healthcare analyst

Prime Healthcare Services

<b>Overview:</b><br>
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden City Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
<br><br>
At Garden City Hospital, we pride ourselves on community involvement and commitment to preserving access to quality and compassionate healthcare. We are a state-of-the-art medical facility with over 300 licensed beds and a teaching hospital, offering medical education to students, residents and fellows from across the country. The residency and fellowship programs offer graduate medical education to more than 80 trainees in specialties. Garden City Hospital has an award-winning staff of over 350 of the area's best and brightest physicians from almost every specialty. Learn more at www.gch.org.
<br><br>
<b>Responsibilities:</b><br>
Under the direction of administration, manages financial and statistical reporting for the organization to comply with statutory requirements and in support of senior management's goals and objectives. Ensures timely and accurate financial statements, financial information and related activities and also ensures consistency in calculation methodology.
<br><br>
#LI-BM2
<br><br>
<b>Qualifications:</b><br>
1. Bachelor's degree or equivalent education/experience in business/management.
<br><br>
2. Three to five (3-5) years hospital/healthcare accounting/finance/management experience.
<br><br>
3. Proficient in business software applications.
<br><br>
4. Working knowledge of Windows based personal computers.
<br><br>
<b>Employment Status:</b> Full Time Shift: Days Equal Employment Opportunity:
<br><br>
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Healthcare Business Analyst

Garden City Hospital

<div>
 <strong>
  Overview
  <br/>
  <br/>
 </strong>
 Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden City Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
 <br/>
 <br/>
 At Garden City Hospital, we pride ourselves on community involvement and commitment to preserving access to quality and compassionate healthcare. We are a state-of-the-art medical facility with over 300 licensed beds and a teaching hospital, offering medical education to students, residents and fellows from across the country. The residency and fellowship programs offer graduate medical education to more than 80 trainees in specialties. Garden City Hospital has an award-winning staff of over 350 of the area's best and brightest physicians from almost every specialty. Learn more at www.gch.org .
 <br/>
 <br/>
 <strong>
  Responsibilities
  <br/>
  <br/>
 </strong>
 Under the direction of administration, manages financial and statistical reporting for the organization to comply with statutory requirements and in support of senior management's goals and objectives. Ensures timely and accurate financial statements, financial information and related activities and also ensures consistency in calculation methodology.
 <br/>
 <br/>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bachelor's degree or equivalent education/experience in business/management.
  </li>
  <li>
   Three to five (3-5) years hospital/healthcare accounting/finance/management experience.
  </li>
  <li>
   Proficient in business software applications.
  </li>
  <li>
   Working knowledge of Windows based personal computers.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Employment Status
  <br/>
  <br/>
 </strong>
 Full Time
 <br/>
 <br/>
 <strong>
  Shift
  <br/>
  <br/>
 </strong>
 Days
 <br/>
 <br/>
 <strong>
  Equal Employment Opportunity
  <br/>
  <br/>
 </strong>
 Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
 <br/>
 <br/>
</div>


Accenture

<div><p><b>Entity</b>: - Accenture Strategy &amp; Consulting</p><p><b>
Team</b>: - Global Network &ndash; Data &amp; AI</p><p><b>
Practice</b>: - Health Analytics</p><p><b>
Title</b>: - Data Science Analyst</p><p><b>
Job location</b>: - Gurgaon/Bangalore/Mumbai</p><p></p><p><b>
About S&amp;C - Global Network</b>: - Accenture Global Network - Data &amp; AI practice help our clients grow their business in entirely new ways. Analytics enables our clients to achieve high performance through insights from data - insights that inform better decisions and strengthen customer relationships. From strategy to execution, Accenture works with organizations to develop analytic capabilities - from accessing and reporting on data to predictive modelling - to outperform the competition</p><p></p><p>
Health Care Analytics Practice focused to support Payer and Provider clients reimagine and design variety of custom business contextual solutions and bring pre-built capabilities to life in their journeys to harness the power of data.</p><p></p><p><b>
WHAT&rsquo;S IN IT FOR YOU?</b></p><ul><li>
Conduct data wrangling and analysis on healthcare claims, provider datasets, and publicly available health data.</li><li>
Develop predictive models using data science and AI techniques to address client needs.</li><li>
Utilize natural language processing (NLP) capabilities to extract insights from unstructured data sources.</li><li>
Collaborate with cross-functional teams to implement analytics solutions effectively.</li><li>
Translate complex data findings into clear, concise, and actionable strategies.</li></ul><p><b>
What you would do in this role</b></p><ul><li>
Responible for taking up day-to-day activities for making deliverables to the Client.</li><li>
Duties and Responsibilities:<ul><li>
Act as a Data Scientist for data handling, extraction, manipulation; creating structured form of data and pulling tangible insights from data.</li><li>
Take inputs from the Manger/Consultant to develop statistical models (predictive modeling, forecasting etc.) and apply appropriate techniques such as Exploratory Analysis, Regression, Segmentation etc.</li><li>
Prepare summary of results for in-house discussion and take feedback whenever/wherever required.</li><li>
Develop executive dashboards to present the analytical insights derived from the data analysis.</li></ul></li><li>
Job Qualifications</li></ul><p>
Job Qualifications</p></div>
<br>
<div><p><b>Who are we looking for?</b></p><ul><li>
Proficiency &amp; Experience:<ul><li>
1-4 years of experience in Health Analytics</li><li>
Strong ability to extract strategic insights from large data sets.</li><li>
Adept with using Statistical (like forecasting/modeling, optimization models), Machine Learning (GBM, Decision Trees etc.), AI techniques (Deep Learning)</li></ul></li></ul><p></p><ul><li>
Skills:<ul><li>
Proficient in data handling suites PYTHON, Spark, SQL, or similar packages</li><li>
Excellent written and oral communication skills with ability to clearly communicate ideas and results to non-technical businesspeople.</li><li>
Strong aptitude, ability, motivation, and interest in placing quantitative analysis in the context of marketing and business economics.</li><li>
Adept with knowledge &amp; working on Visualization tools like Tableau, POWER BI, etc.</li></ul></li></ul><p></p><p><b><i>
Accenture is an equal opportunities employer and welcomes applications from all sections of society and does not discriminate on grounds of race, religion or belief, ethnic or national origin, disability, age, citizenship, marital, domestic or civil partnership status, sexual orientation, gender identity, or any other basis as protected by applicable law.</i></b></p></div><p></p>

S&C Global Network - AI - Healthcare Analytics -Analyst

RiseIT Solutions

<div><div><b>Title: Epic Claims Analyst</b></div>
<div>Location: 100% Remote</div>
<div>Type: Contract</div>
<div>Rate: DOE</div>
<div>Education: College Bachelors + Certifications</div>
<div></div><div>The Epic Claims Analyst is responsible for establishing credibility at all levels and builds problem-solving partnerships with customers and colleagues. The analyst typically fulfills multiple roles throughout the development, implementation, management, and on-going support of comprehensive information systems. Documents workflows, system configuration, and change control documentation.</div>
<div></div><div>Confers with professional staff to ascertain specific requirements and assists in the completion of programming specifications. This requires the individual to stay current with the system and/or application as well as interfacing with the appropriate department and external analysts. Must employ excellent communication skills in sharing information with users within the department.</div>
<div></div><div>Qualifications</div>
<div></div><div>Minimum Education &amp; Experience:</div>
<ul><li>An approved equivalent combination of education and experience.</li></ul>
<ul><li>Healthcare Experience preferred.</li></ul>
<div>o Level 1 Not EPIC certified and less than 2 years experience</div>
<div>o Level 2 EPIC certified and 2 plus years experience</div>
<div>o Level 3 EPIC certified and 5 plus years experience</div>
<div></div><div>Required Certification/Registration:</div>
<ul><li>Epic Reimbursement and Contract Management.</li></ul>
<div></div><div>Skills and Abilities Required:</div>
<ul><li>Proficiency in more than two computer environments or platforms.</li></ul>
<ul><li>Ability to work with a computer terminal for extended periods of time.</li></ul>
<ul><li>Ability to handle multiple projects.</li></ul>
<ul><li>Ability to handle stressful situations.</li></ul>
<ul><li>Ability to work independently with little supervision</li></ul>
<ul><li>Ability to solve problems</li></ul>
<ul><li>Excellent technical aptitude</li></ul>
<ul><li>Excellent interpersonal skills</li></ul>
<ul><li>Excellent organizational skills</li></ul>
<ul><li>Excellent training skills</li></ul>
<ul><li>Flexible and effective in a team environment</li></ul></div><div></div>

Epic Claims Analyst

The University of Kansas Health System

<div><div><div><div><div><div><div><div><h1 class="jobSectionHeader"><b>Position Title
</b></h1></div></div></div></div></div></div></div><p></p>Clinical Research Analyst II (remote)
<p></p>Broadmoor Campus
<p></p><h2 class="jobSectionHeader"><b>Position Summary / Career Interest:
</b></h2>Responsible for implementation and support of applications; works closely with end users to troubleshoot and correct problems relating to applications and assists with conversions to and Implementations of software products. Uses healthcare clinical operations expertise to seek out, research and evaluate a variety of solutions to provide end users with high quality, efficient products; maintains and supports specified installed application software products; demonstrates leadership skills in all job responsibilities.
<p></p><p><b>Responsibilities and Essential Job Functions
</b></p><ul><li>Demonstrates accountability in delivering assigned task; reports project issues and accomplishments to project manager; delivers a work product that meets project requirements as defined by the scope and stays within departmental guidelines for application configuration/development.
</li><li>Assists others and participates in the analysis and documentation of current and future needs and workflows through interviews and gathering data regarding regulatory requirements, operational procedures and hospital/departmental policies.
</li><li>Assists others and participates in the planning, development, implementation, maintenance, support and evaluation of clinical or business application systems as assigned. These activities may include system design, documentation of design decisions, workflow redesign and documentation, data collection, database building, testing and troubleshooting.
</li><li>Maintain relationships with the Nursing and Clinical communities.
</li><li>Works collaboratively with users/stakeholders in assigned clinical areas in the design and implementation of new clinical systems
</li><li>Participates/Contributes/Presents in team and project meetings; works closely with team/department members; can identify more Integrated issues where collaboration is needed.
</li><li>Works effectively and efficiently independently or as part of a team on assignments; requires minimal supervision, and can lead others with some supervision.
</li><li>Under general supervision designs, documents, builds and modifies the complex critical applications in order to best meet the needs of the organization; demonstrates knowledge of such tools as process flow documentation, project reporting, Gantt charting, and resource management.
</li><li>Can research opportunities for optimizations independently based on end-user feedback.
</li><li>Works closely with other analysts to ensure integration between all clinical and business applications; facilitates the integration of data to support the patient&ndash;centered model of healthcare.
</li><li>Has an understanding of the various healthcare settings for patient care, the roles within those settings and workflows that support the care of the patient; can apply this knowledge to workflow analysis and design to support a consistent patient and provider experience.
</li><li>Learns, develops, and maintains an expert level of knowledge in an application or technical area, or develops competency in more than one application or technical area; understands application impacts within the clinical departments and resources;
</li><li>Maintains certifications/proficiencies once obtained.
</li><li>Maintain an up-to-date knowledge of: current trends and issues in healthcare, nursing practice, Healthcare Informatics, national and state-wide standards and regulations, enterprise policies and procedures as related to clinical practice, and the legal Implications of clinical systems.
</li><li>Develops competence in the area of mentoring new analysts; demonstrates excellent customer service skills.
</li><li>Can lead small projects and uses project management methodologies to plan, develop scope, timelines and other project requirements; uses appropriate departmental project management tools, such as Eclipse, SharePoint Issues lists, etc. Accountable for delivering the project as assigned, ensuring that project team adheres to departmental standards for all aspects of the project (example: clear and complete documentation of design decisions or reporting project issues and accomplishments to project leadership routinely).
</li><li>Assists Application Analysts in end-user and system support including investigation, troubleshooting, testing and resolution of reported problems.
</li><li>Coordinates and participates in project activities including meetings and presentations; prepares meeting agendas and facilitates meetings effectively; works with vendor representatives concerning various design, computer software, and equipment issues
</li><li>Organizes, contributes and participates in turnover documentation and presentations when projects are complete and handoff to other analysts for support is conducted.
</li><li>Responds to off duty calls as part of an on-call rotation.
</li><li>Understands testing concepts including different types of testing and their objectives; develops and executes tests scripts based on future state workflows and software enhancements/fixes; works with others to create test scenarios (stories) for integration testing incorporating new features and workflows. Responsible for maintenance of test scripts as workflows change based on software changes or user requirements; documents status and issues of testing and leads troubleshooting activities and issue resolution
</li><li>Participates and coaches others in testing planning by helping identify test scripts needed, patients&rsquo; needed, and resources to include.
</li><li>Reviews future state workflow documentation with Trainer for curriculum development; helps to identify the different roles to be trained and aligning the curriculum to those roles; may also serve as proctor during training events. Reviews training questions during training events and helps to document responses.
</li><li>Participates in communication development of optimizations by producing screen shots and explanations of new feature/function/workflow
</li><li>Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
</li>These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.<br>
<li>
</li></ul><p><br>
<b>Required Education and Experience
</b></p><ul><li>Associates Degree Nursing or other clinical healthcare-related field
</li><li>2 or more years experience in clinical position (Nursing or Ancillary) in a health care institution or clinic
<br>
AND
</li>2 or more years experience as a Clinical Analyst working with information systems<br>
<li>
</li></ul><p><br>
<b>Preferred Education and Experience
</b></p>Bachelors Degree Nursing or other clinical healthcare related field<br>
<ul><li>
</li></ul><p><br>
<b>Required Licensure and Certification
</b></p><ul><li>Current professional license or clinical certificate required in professional area
</li>Certification or proficiency (with certification level score) in assigned Epic application or demonstrated learning of other assigned application must be obtained within 6 months of employment within 180 Days<br>
<li>
</li></ul><p><br>
<b>Preferred Licensure and Certification
</b></p><ul><li>National certification such as CPHIMS from HIMSS
</li><li>Certified in one Epic application
</li></ul><p></p><h2 class="jobSectionHeader"><b>Time Type:
</b></h2>Full time
<p></p><h2 class="jobSectionHeader"><b>Job Requisition ID:
</b></h2>R-49283
<p></p><h3 class="jobSectionHeader"><b>Important information for you to know as you apply:
</b></h3><ul><li><p>The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. <i>See also </i>Diversity, Equity &amp; Inclusion <i>.
</i></p></li><li><p>The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu .
</p></li><li><p>Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.
</p></li></ul><p></p><h2 class="jobSectionHeader"><b>Need help finding the right job?
</b></h2><p></p><p>We can recommend jobs specifically for you! Create a custom Job Alert by selecting criteria that suit your career interests.</p></div>

Clinical Research Analyst II (remote)

Air Methods

<div>Overview:
<div><b>
Job Summary</b></div><div>
The PBS IDR Analyst will audit and review processes for benchmarks, identify deficiencies, document findings, use critical thinking and problem solving to provide analysis and determine opportunities to improve outcomes and/or processes. This role is responsible for knowing CMS NSA Guidelines and quickly adapt to the changes within the No Surprise Act. The PBS IDR Analyst will define problems, collect data, identify causal factors, identify root causes, and recommend and implement solutions. This position has analytical, and/or administrative responsibilities specific to the department. Responsible for being up to date on department processes and involves specialized background or knowledge regarding claims processing rules relevant to the assignment.</div><div><b>
Essential Functions and Responsibilities include the following:
</b></div><ul><li>Execute the IDR process for each dispute from initiation to completion. This includes, but not limited to submitting initiations, indexing, making fee payments, building offers, submitting offers, and updating tracker</li><li>
Review and audit IDR process, tracker and dashboard to ensure no data gaps to accurately gather, synthesize and communicate timely relevant information to ensure IDR process is performing without error.</li><li>
Communicate with IDR entities, payors and other relevant parties via phone, email or other means for follow up and tracking purposes</li><li>
Support and communicate with IDR leadership on quality escapes, improvement ideas and other components of the IDR process to maintain timely process</li><li>
Other duties as assigned</li></ul><div><b>
Additional Job Requirements</b></div><ul><li>
Regular scheduled attendance</li><li>
Indicate the percentage of time spent traveling - 10%</li></ul><div>
Subject to applicable laws and Air Method&rsquo;s policies, regular attendance is an essential function of the position. All employees must follow Air Methods&rsquo; employment practices and policies.</div><div><b>
Supervisory Responsibilities</b></div><div>
This position has no supervisory responsibilities.
</div><div><b>Qualifications</b></div><div>
To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the essential functions of the position.</div><div><b>
Education &amp; Experience</b></div><ul><li>
High School Diploma or general education degree (GED) and 1 to 3 years&rsquo; related experience and/or training; or equivalent combination of education and experience</li><li>
Bachelor&rsquo;s degree (B.A. /B.S.) preferred.</li><li>
3-5 years&rsquo; experience working with medical billing; claims, appeals, coding, cash posting, customer service, insurance verification, medical records</li><li>
3-5 years of experience in healthcare financial and revenue cycle analysis preferred</li></ul><div><b>
Skills</b></div><ul><li>
Strong analytical and organizational skills</li><li>
Excellent written communication skills</li><li>
Accuracy and Precision</li><li>
Ability to multi-task, critically think and prioritize workload in a fast-paced environment</li><li>
Working knowledge of healthcare payment models, revenue cycle, payer contracting, claims life cycle</li><li>
Ability to work with multiple departments and understand the processes and workflow for each</li><li>
Ability to work independently with minimal direction</li><li>
Ability to work closely with management and trainer to identify any training opportunities to remediate deficiencies found</li><li>
Ability to exercise discretion and judgment while auditing the work of others</li></ul><div><b>
Computer Skills</b></div><ul><li>
Advanced in Microsoft Suite, including Word, Excel, PowerPoint, and Outlook.</li></ul><div><b>
Certificates, Licenses, Registrations</b></div><ul><li>
None</li></ul><div></div><div><br>
Air Methods is an EEO/AA employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.</div>
Minimum pay: USD $22.62/Hr. Maximum Pay: USD $27.69/Hr. Benefits:
<div>
For more information on our industry-leading benefits, please visit our benefits page here.</div>
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities:
<div>
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities</div><div>
The contractor 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 applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor&rsquo;s legal duty to furnish information. 41 CFR 60-1.35(c)</div></div>

PBS IDR Analyst

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