Supervisor, Healthcare Informatics - Houston, United States - KS Management Services, LLC

KS Management Services, LLC
KS Management Services, LLC
Verified Company
Houston, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Responsibilities


The Healthcare Finance (HCF) department exists to monitor and improve the financial performance of Kelsey-Seybold's (KS) product lines and health plans.

The HCF Analytics team is a customer service-focused department providing consultation to the KS executive team as well as to select operational and functional departments.

The HCF Analytics team works closely with internal and external partners to identify revenue and cost savings opportunities, support new product and business development, ensure regulatory compliance, inform contract negotiations and complete reconciliation of incentive arrangements, claims, capitation, and premium payments with other payers, vendors and/or government entities.


The HCF department is adequately staffed by highly skilled, motivated and inquisitive individuals that deliver complex analysis of financial and utilization data to support revenue enhancement and identify cost savings opportunities.

The Supervisor will oversee the work of a team of 1-3 analysts and closely collaborate with the Manager and Director of Healthcare Finance to oversee and provide financial data, reporting and other actionable information to the HCF Management Team and other departments regarding relevant business units, process, products and/or service lines.

The Supervisor is responsible for ensuring timely receipt and load of external data required for the team's analysis and reporting.


Responsibilities related to this position include:

  • Oversight and production of recurring financial reports, financial reconciliations, and analysis required to understand the key drivers of the relevant business unit or service line.
  • Helping to develop and implement the systems and processes that are the foundation for reporting and analysis.
  • Coordinating the delivery of analytical support to internal customers including the Central Business Office, Pharmacy Services, Business Planning, Accounting, Managed Care Contracting, Claims, Marketing, and Utilization Management departments and partnering with the Business Intelligence team to automate and improve reporting.
  • Presenting findings and recommending solutions to internal and external customers and KS Executive team.

Job Title:
Supervisor, Healthcare Informatics

Location:
Pearland Administrative Office

Department:
KS Plan Advantage-Risk Adjustm**
Job Type: Full Time

Salary Range:
$99,164 - $122,501 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)

Qualifications

Education

Required:
Bachelor's Degree in Finance, Economics, Mathematics, Healthcare Administration, or related field


Preferred:
MBA or MHA preferred


Experience

Required: 5+ years of experience in data analysis, decision support, medical economics, healthcare

informatics, or managed healthcare.

2 + years of experience supervising or managing teams and/or projects.

Demonstrated initiative and problem-solving skills.

Demonstrated ability to create and implement analysis/modeling that converts raw data into actionable

business insights.

Demonstrated ability to analyze and report on business units, products or service lines with mínimal

supervision/direction.

Preferred:
Experience in the healthcare industry and familiarity with healthcare systems (e.g.,

enrollment/eligibility, capitation, claims payment, etc.) with a Managed Care Organization (MCO)

Knowledge of medical insurance products and basic underwriting concepts.

Experience with Medicare Part C or Health Insurance Marketplaces highly desirable, particularly with CMS risk

adjustment models.

Experience in the healthcare industry with understanding of data in healthcare organizations (including claims

data, ANSI data specifications, ICD10, Medicare Advantage, Health Insurance Marketplace, capitated

payment models).


License(s)

Required:
N/A


Preferred:
N/A


Special Skills

Required:
Advanced proficiency in Microsoft Excel

Basic knowledge of Microsoft Power Point and Microsoft Word

Experience writing, debugging and documenting complex queries against relational databases

Experience participating in/leading system design and implementation initiatives

Preferred:
Experience with Statistical Software (including SAS, R, Minitab, SPSS)

Experience with reporting tools (including Crystal Reports and Microsoft Access)

Familiarity with EPIC and Clarity reporting data warehouse


Other

Required:
Fluent in English both verbal and written, effective communicator

High level of accuracy with excellent attention detail

Strong organizational and time management skills

Proven ability to work in a dynamic setting and balance multiple priorities while meeting deadlines

Superior analytical skills

Ability to communicate complex information in a clear and concise manner

Ability to motivate others and function as a working manager


Preferred:
N/A


Working Environment:
Office


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