Job description
OCCUPATIONAL SUMMARY
Is assigned projects by the Department Coordinator, Manager, or Director that require a deep understanding of health care operations, financial modeling, data analytics, and the ability to operate independently. Conducts complex operational and financial analyses, primarily related to government payer reimbursement, and produces executive-level reports to communicate the results and impact to department and health system leaders. Analyzes impact of government healthcare legislation and regulations. Supports non-routine projects as needed, including complex research and financial modeling related to acquisitions, ACOs, and other provider strategic alignment opportunities. Maintain knowledge on the regulations, operations and reporting of complex healthcare programs and services for the hospital system. Assists in training and development of analysts.
PRIMARY DUTIES AND RESPONSIBILITIES
- Proactively track, review, analyze, and determine expected impact of federal and state government healthcare legislation and regulations.
- Coordinate and conduct complex financial analysis and modeling projects using decision support systems, data warehouses or other data and analytical tools with little or no supervision. Such projects often require unassisted research and would include financial and operational analyses for new and existing programs and services, departmental profitability review, clinical and physician reporting, and strategic planning support.
- Summarize analyses and takeaways in a professional, executive-level document and effectively communicate findings of the project to department management.
- Maintain in-depth knowledge and communicate proficiently in a variety of healthcare finance and operational topics that would include: healthcare reimbursement, cost accounting, budgeting, capital investment analysis, financial statements, profitability review, revenue cycle management, clinical service operations and performance improvement.
- Perform complex financial modeling, due diligence and valuation review related to mergers, acquisitions and physician alignment strategies as well as ACOs, shared savings and other alignment opportunities.
- Identify and analyze emerging payment model opportunities especially related to value-based care strategies.
- Maintain knowledge on the regulations, operations and reporting of complex healthcare programs and services for the hospital system
KNOWLEDGE SKILLS AND ABILITIES/LICENSE OR CERTIFICATION REQUIRED
- Bachelor’s Degree in Business, Health Administration, or related discipline
- Strong analytical skills with the ability to collect, organize, and analyze significant amount of information with attention to detail and accuracy.
- Advanced proficiency at MS Word, MS Excel, and MS PowerPoint
- Advanced communication skills in written, reports and oral formats including experience producing executive-level documents.
- Deep understanding of healthcare finance including knowledge of health system revenue cycle/structure.
- Knowledge of healthcare reimbursement models and strategies, government healthcare policy and reform initiatives, and hospital operations.
- Must have excellent project management skills and be very organized with a strong attention to detail and ability to juggle and effectively prioritize multiple projects simultaneously
- Four (4) or more years relevant experience
KNOWLEDGE SKILLS AND ABILITIES/LICENSE OR CERTIFICATION PREFERRED
- Master’s in Business Administration or Health Administration.
- Healthcare consulting experience.
- Strong knowledge of and experience with databases using SQL or other advanced system languages to model, merge, and validate large data sets. Adept at creating and managing complex queries.
- Prefer at least one (1) year leadership experience.
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