Employment Spot

Job Description

PERSONAL CONTACTS:

·         INTERNAL:      Has daily contact with associates, managers, Vice Presidents, CEO, for the purpose of gathering and disseminating relevant data.

·         EXTERNAL:     Has contact with hospital owners, physician owners, and other external customers and clients.

JOB SUMMARY:

·         The Managed Care Analyst works closely with management and staff on projects related to data gathering and analysis including financial, coding, quality, and other pertinent information related to physician practice management.

·         Updates and maintains relevant Sharepoint sites used by Contracting department.

·         Makes significant improvements to overall use of Sharepoint for Contracting Department and outside users.

·         Creates and maintains “static" self-run reports for Contracting department.

·         Is resident expert on all fee schedule methodology, updates and information.  Tracks changes and updates internal and external sites as necessary.

·         Collates information to help Health Choice owners and clients.

·         Responsible for designing and implementing varied and complex data structures to produce analytic results that can be shared with owners.  The workload is heavy and the environment is fast-paced and complex.

·         Works with team to plan and analyze Sharepoint site initiatives to be solved by related data.

·         Educates, instructs and trains personnel on all relative changes and updates.

·         Uses Sharepoint, Access and other software extensively.

·         Models appropriate behavior as exemplified in The Health Choice LLC and the MLH/Metrocare Operating Mission, which reflects commitment to the Continuous Improvement Process (CIP).

Job Requirements

MINIMUM QUALIFICATIONS

·          Bachelor’s degree in Information Technology, Health Information Management or related field required. 

·          Advanced degree is desirable.

·          Broad knowledge of fundamental concepts, practices, and procedures of managed care preferred.

·          Three years experience in accounting, financial management, health information management, patient billing or managed care. 

·          Ability to understand and prepare complex written materials.

·          Strong written and oral communication skills.

·          Ability to organize multiple tasks and projects and maintain control of own workflow.

·          Excellent qualitative abilities including mathematics, statistics, and computer programming.

·          Strong understanding of reimbursement/medical coding terminology to include DRG, CPT, and ICD-9. 

·          Proficient in Microsoft Office products (Word, Excel, PowerPoint, Access, Sharepoint).

·          Excellent influencing and consultative skills. 

·          Previous experience with healthcare information systems.  Knowledge of health care delivery settings, clinical data management, and health care insurance.

·          Skills required include project management, consensus building, problem resolution, strategic and tactical planning, with a strong emphasis on quantitative analysis.