Managed Care Analyst, Ut Health Austin, Dell - University of Texas at Austin

University of Texas at Austin
University of Texas at Austin
Verified Company
Austin, United States

2 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Job Posting Title:
Managed Care Analyst, UT Health Austin, Dell Medical School

  • Hiring Department:
Dell Medical School

  • Position Open To:
All Applicants

  • Weekly Scheduled Hours:
40

  • FLSA Status:
Exempt

  • Earliest Start Date:
Immediately

  • Position Duration:
Expected to Continue

-
Location:


UT MAIN CAMPUS

  • Job Details:
General Notes


This role will define and develop processes to collect, distill and interpret data with a goal to aid better, more informed decision making.

The Managed Care Analyst will also examine and explore data from multiple disparate sources including Electronic Medical Record (EMR) systems, with the goal of discovering insights related to, fee for-service and value-based contracting and payments, business case development and revenue cycle key performance metrics.

Additionally, this role will translate analytic findings into business solutions that provide impact and align with the mission and vision of the organization.

Purpose


The purpose of this position is to capture, transform, interpret, and present healthcare data, in support of the best possible decision making and outcomes on a variety of strategic initiatives.

They will lead payer contracting analytics, payment modeling and reporting, and analytics of revenue cycle key performance indicators (KPIs) in support of successful contract negotiations and payer performance monitoring.


Responsibilities:


  • Leads modeling of commercial and government payment methodologies for all types of healthcare services: physician, ambulatory and hospital etc.
  • Transforms data into analytical insights, to inform decisions for the Managed Care, Revenue Cycle and Executive stakeholders.
  • Effectively communicates analysis to be consumed by department and executive leadership.
  • Demonstrates expert knowledge of both commercial and governmental payers for modeling and analyzing contract proposals with a variety of reimbursement methodologies: fee schedules, case rates, DRG, stop loss and other contract terms.
  • Leverages physician (such as Experian MPV) and hospital (such as FinThrive) claim modeling systems for enhanced payer contract analytics.
  • Continuously learns and adapts to a constantly changing reimbursement environment.
  • Completes extensive and complex financial and operational analyses, modeling of managed care contracts and proposals, analyze fee schedules, revenue cycle KPIs, and determine contract performance and compliance.
  • Performs analysis of claims data files to identify global denial and payment (over/underpayment) trends with payers
  • Extracts, analyzes, and synthesizes data from various sources to identify risks and opportunities.
  • Maximize the use of EMR reporting capabilities related to managed care and revenue cycle to inform and enhance decision making.
  • Represent department needs as it relates to EMR system maintenance and upgrades.
  • Additional Duties as assigned.
Required Qualifications

  • Relevant education and experience may be substituted as appropriate._
Preferred Qualifications

Master's degree in Data Science, Analytics, Economics, Finance, Statistics, Mathematics, Actuarial Sciences or other quantitative discipline.

Advanced Microsoft Excel Skills Two (2) or more years of experience using Tableau or similar BI tools to build reporting dashboards and analyze data.

Experience with financial/business operations reporting in Healthcare. Experience with health data analytics as it relates to managed care contracting and revenue cycle. Application of data privacy practices and laws to ensure privacy, security, and confidentiality, including HIPAA. Proficient skills with modeling and forecasting beyond simple regression.

Salary Range

$65,000 + depending on qualifications

Required Materials- Resume/CV

  • 3 work references with their contact information; at least one reference should be from a supervisor
  • Letter of interest
  • Employment Eligibility:
  • Retirement Plan Eligibility:
  • Background Checks:
A criminal history background check will be required for finalist(s) under consideration for this position.

  • Equal Opportunity Employer:
The University of Texas at Austin, as an

equal opportunity/affirmative action employer

, complies with all applicable federal and state laws regarding nondiscrimination and affirmative action. The University is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, or veteran status in employment, educational programs and activities, and admissions.

  • Pay Transparency:


The University of Texas at Austin will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.

However, employees who have access to the compensation information of other employees or applican
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