Medical Economics Analyst II

Ah Managed Care

Other

0 views0 saves0 applied

Apply Now

Quick Summary

Requirements Summary

(Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/23km2677 Pay Range: $66,830.40 - $124,300.

Technical Tools

Other

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

What We Offer

~1 min read

✓Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

✓Paid Time Off from Day One

✓403-B Retirement Plan

✓4 Weeks 100% Paid Parental Leave

✓Career Development

✓Whole Person Well-being Resources

✓Mental Health Resources and Support

✓Pet Benefits

Day (United States of America)

1051 WINDERLEY PL

MAITLAND

Florida

32751

Researches and analyzes managed care data from various financial systems and interface tools. Performs complex and varied healthcare data analysis, including financial modeling and risk forecasting. Identifies and implements improvements in quality control and timeliness of reporting. Extracts, collects, analyzes, and interprets health utilization and financial data. Interprets and analyzes data from various sources using knowledge of healthcare managed care contracts and administrative claims data. Employs existing complex models and implements them on new projects and contexts. Designs new solutions for data and analytic challenges faced by the organization. Supports negotiations of capitated and other value-based agreements through detailed data analytics. Develops financial models to inform negotiation parameters. Evaluates possible changes to key terms in existing value-based agreements. Identifies risk and exposure associated with various reimbursement structures. Produces prospective analyses on new ventures, products, and service offerings. Prepares and presents analytics or project results to key stakeholders for review and decision-making. Evaluates and understands contract language related to reimbursement methodologies for various provider types. Applies detailed understanding of medical coding. Other duties as assigned.

Working knowledge of value-based arrangements, including shared savings, bundled payments, pay-for-performance, and capitation [Preferred]
Working knowledge of population health, utilization measurement, and claims analytics [Preferred]
Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical economics [Required]
Proficiency in understanding professional and facility claims and managed care concepts such as risk adjustment, capitation, FFS, DRG, APG, APCs and other payment mechanisms [Required]
Experience in modeling financial impact of changes [Required]
Strong ability to handle multiple projects including problem solving, research, analysis, and communication in a fast-paced environment [Required]
Intermediate level of proficiency working with MS Excel including Formulas, calculations, charts, and graphs [Required]
Strong skills in analytical/problem solving and presentations [Required]

Bachelor's [Required]
Master's [Preferred]

in Finance, Health Care Administration, Accounting, Mathematics, or Health and Informatics or related field
in a related field

4+ experience performing data, financial and/or risk analytics in a healthcare environment [Preferred]

EPIC-Hospital Billing Certification (EPIC HB) [Preferred]

Requirements

~1 min read

$66,830.40 - $124,300.80

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:
https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Location & Eligibility

Where is the job

Ah Managed Care

On-site at the office

Who can apply

Same as job location

About this job

Pay per year: $66,830–$124,301 a year; 43% above the $67,000 median for Other jobs on Jobera (144,788 salaries).
Posted: Today
Employer: has 15,564 open jobs on Jobera.