Service Analyst – End User Computing Enablement
Allstate
Underpayment Analyst
AdventHealth
full-time
Posted on:
Location Type: Remote
Location: Remote • Florida • 🇺🇸 United States
Visit company websiteJob Level
Junior
Tech Stack
SQLTableau
About the role
- The Managed Care Analyst applies technical, analytical, and problem-solving skills to provide solutions/improvements within the department.
- Responsible for completing financial and/or operational analysis of contracts, developing and tracking key performance indicators, financial modelling comparative analysis and bench marking.
- This person demonstrates competences in decision support and reporting through converting raw data into useful and actionable information.
- This person is responsible for compiling and analyzing data as well as for creating meaningful applications to support executive decision making.
- Reimbursement Supports Managed Care leadership in financial modeling.
- Applies basic understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10, CPT, HCPCS II, DRG and revenue codes.
- Demonstrates knowledge of various reimbursement methodologies including, Per Diem, DRG, fee schedules, and percent of charge.
- Demonstrates knowledge of commercial payers for modeling and analyzing contract proposals.
- Performs analytical and planning functions in support of Managed Care decision making.
- Participates in the annual Managed Care revenue budget process.
- Utilizes a variety of software applications and data sources to produce the Managed Care Suite, DAA reports, other standard reporting, and adhoc reports.
- Evaluates actual contract performance against expected; analyzes data to distinguish patterns and recognize trends in contract performance.
- Supports Senior Managed Care Analyst in timely and efficiently completing financial analyses related to Managed Care net revenue.
- Completes multiple projects in a fast-paced environment within timeframes outlined in the department policies and as specified by Leadership.
- Adapts to new situations and changing priorities to accomplish project deadlines and department goals.
- Demonstrates strong project management and organizational skills by maintaining up-to-date project lists to assist in setting appropriate project priorities.
- Applies technical expertise in the development of models and decision support information.
- Assures the application of appropriate standards of data analysis and that all analytics are quality checked.
- Develop an understanding of reimbursement methodologies and their impact on internal systems and other departments.
- Fully documents the process required to replicate any analytic process undertaken.
- Contributes to the overall completion of the work product in group project situations.
- Maintains and utilizes available resources to ensure work is completed accurately and timely.
- Displays a willingness to grow and develop skills required to perform his/her job duties.
- Takes the initiative to seek out education and training to stay informed of changes in the field of managed care.
- Participates in meetings as assigned or requested.
- Communicates problems and recommends solutions to Finance Manager.
- Adheres to applicable internal policies, procedures, and guidelines as set forth by Adventist Health Systems, its associated hospitals, physician groups, PHOs and ancillaries during the execution of assigned duties.
- Abides by all applicable rules, regulations, and laws prescribed by any authoritative governing body such as the State of Florida, AHCA, etc.
Requirements
- Associate Degree
- 1+ Work Experience
- Microsoft Office (Excel PowerPoint, Word, Outlook, Visio, etc.)
- Excellent verbal and written communication skills
- Excellent problem-solving skills
- Healthcare information systems (PCON, Cerner, Soarian)
- Business Intelligence Software (Qlikview, Tableau, SAP, etc.)
- Data warehousing tools (SQL Server, etc.)
- Microsoft Visual Basic/Access
- Financial Reporting and Analysis
Benefits
- Benefits from Day One
- Career Development
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
financial analysisfinancial modelingdata analysismedical codingreimbursement methodologiescontract performance evaluationproject managementdata quality assurancebusiness intelligencedata warehousing
Soft skills
problem-solvingcommunicationorganizational skillsadaptabilityinitiativeteam collaborationdecision supportanalytical thinkingtime managementwillingness to learn
Certifications
Associate Degree
