healthcare finance analyst

Network Solutions IPA

Healthcare Financial AnalystWork Setting: Hybrid (Remote + On-site)Work Location: 3611 14th Ave, Brooklyn, 11218About NSIPA:Network Solutions IPA (NSIPA) is a leading New York&ndash;based Independent Practice Association with a diverse, multi-specialty provider network. The organization has grown to more than 600 physician members, serving over 100,000 patients across New York City, Nassau, Suffolk, and Westchester counties.We are committed to helping independent providers succeed in the transition to value-based care.​Through strategic partnerships, operational support, and robust payer relationships, NSIPA delivers the tools, resources, and expertise that allow practices to grow, perform, and succeed in today&rsquo;s complex healthcare landscape without sacrificing independence. ​ We achieve this by collaborating with payers to deliver Quality Incentive Programs, Shared Savings arrangements, and Risk-Based Contracts. Contracted with over 21+ Payers for over 600+ Providers.NSIPA provides a comprehensive suite of services, including credentialing and network operations, provider engagement, and contracting; care coordination and member outreach; and provider-and patient centered programs. As part of New York State&rsquo;s 1115 Medicaid Waiver, NSIPA plays a key role in identifying, screening, and addressing health-related social needs by connecting Medicaid members to community-based resources and care supports. These services are designed to strengthen provider efficiency, address health related social care needs, and advance value‑based care and population health opportunities. Recognized as one of New York&rsquo;s fastest‑growing IPAs, NSIPA supports improved clinical outcomes, enhanced provider performance, and cost savings for payers through its robust infrastructure and operational expertise.Position Overview: We are seeking a detail-oriented Financial Analyst with 1&ndash;2 years of experience in reconciliations and financial reporting to support our Value-Based Care (VBC) initiatives. This role will assist in analyzing financial performance, validating payment data, and ensuring accuracy in reconciliations related to payer contracts and population health programs.The ideal candidate is analytical, organized, and comfortable working with financial data in a healthcare environment.Roles &amp; Responsibilities:&middot; Perform monthly and quarterly financial reconciliations related to VBC contracts and payer arrangements including but not limited to medical expense ratio, premium, IBNR and quality dependency components.&middot; Assist in validating capitation payments, shared savings calculations, and incentive payments.&middot; Understanding managed care, Medicare and Medicaid value-based care models and their calculations.&middot; Prepare recurring financial and operational reports for leadership review.&middot; Analyze variances and identify discrepancies in payment and claims data.&middot; Support forecasting and budgeting activities for VBC programs.&middot; Collaborate with operations, billing, and population health teams to ensure data accuracy.&middot; Maintain financial tracking models and update performance dashboards.&middot; Assist with audit preparation and documentation as needed.&middot; Assist with managing care gap files and the submission and oversight of supplemental data files.&middot; Ensure compliance with internal financial controls and reporting standards.Skills &amp; Competencies:&middot; Proficiency in Microsoft Excel (formulas, pivot tables, VLOOKUP, data analysis)&middot; Ability to identify trends, variances, and anomalies in financial reports&middot; Strong analytical, financial and problem-solving skills&middot; Excellent attention to detail and accuracy in financial data&middot; Ability to work independently and as part of a team&middot; Comfortable working with large datasets and performing reconciliationsRequired Qualifications:&middot; 1&ndash;2 years of experience in financial analysis, reporting, or reconciliations&middot; Knowledge of basic accounting principles and financial controls&middot; Familiarity with healthcare finance, Value-Based Care (VBC), or preferred payer contracts&middot; Understanding of healthcare payment models (capitation, shared savings, bundled payments) is a plus&middot; Strong organizational and time-management skills with the ability to prioritize tasksWhy Join NSIPA?&middot; High-impact leadership role with direct influence on organizational strategy.&middot; Opportunity to shape the future of value-based care across diverse populations.&middot; Collaborative, mission-driven environment focused on improving patient outcomes.&middot; Visibility, growth, and the ability to build and scale performance programs.Physical Demands:The physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand; walk; sit for extended periods of time; use hands to finger, handle, or feel; make precisely coordinated movements of the fingers of one or both hands to grasp, manipulate, or utilize computer equipment; reach with hands and arms; and talk or hear. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, ability to adjust focus and ability to match or detect differences between colors, including shades of color and brightness.EEO Statement:NSIPA is an equal opportunity employer committed to diversity and inclusion. We encourage applications from all qualified individuals regardless of race, color, religion, gender, sexual orientation, age, national origin, disability, or veteran status.Pay: $25.00 - $27.00 per hourWork Location: Hybrid remote in Brooklyn, NY 11218

Healthcare Finance Analyst

o2 technologies inc

&lt;Overview&gt; Ignite your career as a dynamic Finance Analyst, where your expertise in financial analysis and strategic planning will drive impactful business decisions. This role offers an exciting opportunity to leverage advanced financial software, data visualization tools, and quantitative research methods to support organizational growth.Skills:Advanced Excel and financial analysisManaged care and contract analysis (PMPM, payer mix)Knowledge of CPT, HCPCS, and ICD codingHealthcare reporting and data insightsTrend analysis and financial modelingExperience in hospital/medical settingROI, forecasting, and business planningJob Type: TemporaryPay: $25.00 per hourExpected hours: 40 per weekWork Location: In person

Finance Analyst

BayCare Health System

<div>At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network includes 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers, and thousands of physicians. With the support of more than 34,000 team members, we promote a forward-thinking philosophy built on trust, dignity, respect, responsibility, and clinical excellence.
Position Details:
Clearwater, FL (Hybrid) | Full-Time | Exempt | Reimbursement Department
About the Role:
The Senior Revenue Management Analyst plays a key role in BayCare&rsquo;s Reimbursement department, specializing in government reimbursement and cost reporting. This position supports accurate net revenue analysis, financial forecasting, and regulatory compliance. The ideal candidate brings strong healthcare finance knowledge, sharp analytical skills, and the ability to work independently in a fast-paced, mission-driven environment.
Your Role Within the Team:
<ul><li>Analyze government reimbursement data and develop strategies for Medicare/Medicaid Cost Reports
</li><li>Prepare and review annual cost reports and ensure regulatory compliance
</li><li>Monitor federal and state reimbursement changes and assess financial impact
</li><li>Support net revenue analysis, forecasting, and reserve methodology
</li><li>Collaborate with cross-functional teams in Finance, Revenue Cycle, and Accounting
</li><li>Build and maintain financial models, reports, and dashboards
</li><li>Assist in external audits and regulatory reviews related to reimbursement
</li>Lead or contribute to special projects and process improvements 
<li>
</li></ul> 
Qualifications
Required:
<ul><li>Bachelor&rsquo;s degree in Accounting, Finance, or related field
 
(Unrelated degree accepted with 5+ years of reimbursement/revenue cycle experience)
</li><li>Minimum 5 years of healthcare finance or government reimbursement experience
</li><li>Strong knowledge of cost reporting and payer reimbursement models
</li></ul>Preferred:
<ul><li>Master&rsquo;s degree in Business or Healthcare Administration
</li><li>Experience with Tableau, SQL, or advanced Excel modeling
</li>Familiarity with CMS cost reports and regulatory audits 
<li>
</li></ul> 
Apply today and bring your expertise to a mission-driven team. 
 
Equal Opportunity Employer Veterans/Disabled</div>

Revenue Management Analyst Sr

Benton County Oregon

<div><div><div><h2 class="jobSectionHeader">Job Summary</h2></div>
<div><div>Benton County Health Services Department is looking for a Revenue Cycle Analyst.</div> 

JOB SUMMARY 
The Revenue Cycle Analyst provides complex technical, analytical, and systems support for revenue cycle operations across Health Services, including both public health and the Community Health Centers (CHC). This position plays a key role in monitoring, analyzing, and optimizing the full revenue cycle, spanning patient registration, provider documentation, coding, billing, denial management, claims reconciliation, credentialing interfaces, and reporting systems.
The Analyst is the subject matter expert in business systems supporting the revenue cycle (e.g., EPIC via OCHIN) and ensures workflows are configured for accuracy, regulatory compliance, and efficiency. They lead revenue cycle reporting and metrics design, support operational improvements, and serve as a liaison for complex technical tickets (e.g., JIRAs submitted to OCHIN), working closely with internal and external stakeholders.
This position is process-focused and does not supervise staff but provides leadership over business system functions and contributes to strategic planning, operational audits, and performance improvements across the department.
Click here (Download PDF reader) for a complete list of the duties and responsibilities of this position. 
 
BENEFITS<div>
Generous time off to maintain a healthy work-life balance!</div><ul><li>
11 Paid Holidays + 2 Floating Holidays + 8 hours of vacation accrual every month + sick leave! Vacation accrual increases with years of service.</li></ul><div>
$0 Health Insurance Premium!</div><ul><li>
Medical, Dental and Vision -cover your eligible family members without additional premium.</li><li>
In addition, the County contributes up to $1,900 per year to your Health Savings or Reimbursement account, depending on plan and personal contributions.<ul><li>
Apart from your deductible you can use this money for things that aren&rsquo;t traditionally paid by insurance &ndash; i.e. Ibuprofen, Tylenol and other preventative type medications</li><li>
You never lose your Health Savings Account funds as it rolls over from year to year</li></ul></li><li>
Dependents up to age 26 are covered.</li></ul><div>
Get ready for retirement. Generous employer paid contributions!</div><ul><li>
After 6 months of employment:<ul><li>
The County makes a retirement contribution of 6% of your salary towards Oregon PERS.</li><li>
The County makes a deferred compensation 457b plan contribution of 1.5% of your salary! You can add more if you wish.</li></ul></li></ul><div>
A free and award-winning wellness program</div><ul><li>
Interactive and personalized approach focused on your whole health.</li><li>
Onsite and virtual seminars, wellness challenges and fun activities.</li><li>
Monetary incentives and cool prizes to engage everyone and meet your individual needs.</li></ul><div>
100% employer-paid coverage for AD&amp;D ($100,000), Life ($50,000), and Long-Term Disability coverage.</div><ul><li>
Supplemental plans are available at reasonable rates.</li></ul>
Annual salary range: $73,881 -$106,797 
<div>
Please ensure you have provided a thorough and updated application as it pertains to the position for which you are applying. Your application materials will be used to determine salary based on a pay equity assessment.</div><div>
 For further information, please click on the link: Oregon Pay Equity Law</div> 

MINIMUM QUALIFICATIONS 
Revenue Cycle Analyst Minimum Qualifications 
The following minimum qualifications are required for this position:<ul><li>
Bachelor&rsquo;s degree from an accredited college or university in Health Information Management, Business Administration, Health Informatics, Finance, or a closely related field. AND</li><li>
Minimum of 4&ndash;5 years of progressively responsible professional experience in revenue cycle operations, healthcare finance, or healthcare business systems.</li></ul><div>
An equivalent of education and experience may be accepted. 
Applicants must have at least 6 months of actual work experience to receive equivalency.</div> 

The Ideal Candidate will have: 
<ul><li>
Ability to compile and analyze financial data related to healthcare programs and craft clear, actionable recommendations to management regarding funding strategies, program effectiveness, and future directions.</li><li>
Demonstrated experience applying the principles and practices of program development, coordination, and process improvement, especially within moderately complex programs with public or cross-functional visibility.</li><li>
Excellent communication skills, both written and verbal, include the ability to present complex data and system configurations in a clear, concise manner to audiences with varying levels of financial or technical literacy.</li><li>
Strong skills in business writing and technical report development, including documentation of billing workflows, payer setup processes, system configurations, and analytical findings.</li><li>
Ability to prepare, read, and interpret policy documents, payer contracts, coding and billing regulations, and complex financial or operational reports.</li><li>
Proven ability to manage competing priorities with high attention to detail, particularly when validating data sets, resolving claims issues, or supporting system configuration work.</li><li>
Strong technical skills, including:<ul><li>
Advanced Microsoft Excel (e.g., pivot tables, functions, data reconciliation)</li><li>
Familiarity with SQL and data querying</li><li>
Experience with JIRA ticketing systems for issue tracking and resolution</li><li>
Exposure to data visualization tools such as Power BI or Tableau</li><li>
Competency in working with electronic health records (EHRs), particularly EPIC (OCHIN preferred), including revenue cycle-related system build, maintenance, and testing</li></ul></li></ul> 

Questions regarding this position can be directed to 
Debbie Sessions, Director of Business Operations 
Benton County Health Services 
Telephone: (541) 609-8441 
debbie.sessions@bentoncountyor.gov 
 
Working &amp; Living in Benton County 
Perfectly placed in the Willamette Valley, 90 miles south of Portland and 40 miles north of Eugene, Benton County has easy access to urban areas with ample opportunities for cultural activities. Combined with outdoor recreation galore in the Cascade Range 80 miles to the east and the Coastal Range and Pacific Ocean 50 miles west, the county&rsquo;s 90,000 residents like to say they &ldquo;have it all.&rdquo; 
<div>
Working in Benton County</div><div></div><div> 
Living in Benton County</div><div></div>
How to Apply<ul><li>
To apply for this position, click on the &quot;Apply&quot; button to fill out all information in the online application and complete the questionnaire. Failure to do so may result in your application being removed from consideration.</li><li>
Only complete applications received by the posted application deadline date, or the first review date will be considered.</li><li>
Answer all supplemental questions.</li></ul>
After you Apply<ul><li>
You will get an email stating your application has been submitted. Log in to your NeoGov account before the job announcement closes to see if you have any pending tasks or notifications and make sure to complete these tasks before the job announcement closes. These can be found under the &ldquo;My Applications&rdquo; section.</li><li>
Be sure to check both your email and NeoGov account for updates regarding this recruitment.</li></ul>
Additional information<ul><li>
This is a FLSA exempt position.</li><li>
This position is represented by the American Federation of State, County and Municipal Employees (AFSCME).</li><li>
This position requires driving and may require use of a personal vehicle.</li><li>
Hiring is contingent upon the successful completion of a background check.</li><li>
This posting may be used to fill multiple vacancies.</li><li>
Please save a copy of this job announcement for your reference, as it may not be available for you to view after the job closes.</li><li>
Eligible veterans who meet the qualifications will be given veterans' preference. For further information, please see the following website: Veterans Resources. NOTE: If claiming veterans&rsquo; preference please be sure to attach your DD214 and Disability letter from the VA (if applicable).</li><li>
Benton County does not offer VISA sponsorships. Within three days of hire, you will be required to complete the US Department of Homeland Security's I-9 form confirming authorization to work in the United States. Benton County will review these documents to confirm that you are authorized to work in the United States.</li><li>
If you wish to identify yourself as an individual with a disability under the Americans with Disabilities Act of 1990 and will be requesting accommodation, please contact the Benton County Human Resources Department by calling 541-766-6081.</li></ul>
 
Helpful links and contact information: 
 Learn more about Benton County 
Understanding the County Application Process 
Job Interest Cards webpage 
 
For more information you may contact us by e-mail at recruiting@bentoncountyor.gov or by phone at 541-766-6081.</div></div></div>

Revenue Cycle Analyst

Molina Healthcare

JOB DESCRIPTION
 
Provides subject matter expertise and leadership for financial planning and analysis activities including developing the organization's short and long-term financial plans and identifying financial opportunities to improve profitability.
 
Job Summary
 
Provides subject matter expertise and leadership for financial planning and analysis activities including developing the organization's short and long-term financial plans and identifying financial opportunities to improve profitability.
 
Essential Job Duties
 
Monthly variance analysis and management reporting
 
Oversees the Forecasting and Annual Planning cycles for business segment
 
Monitoring and identifying cost & revenue trends
 
Membership analytics
 
Manage the segment’s capital investment request/prioritization process including assisting the business partners with development of strong business cases
 
Work cross functionally to provide financial information and aid in strategic decisions, including development of financial models
 
Identify areas of cost reduction and operational improvement
 
Drive improvements in financial processes, systems, and reporting capabilities to enhance efficiency and accuracy
 
Required Qualifications
 
At least 5 years of health care finance and/or analytical experience, or equivalent combination of relevant education and experience.
 
Bachelor’s degree in finance, accounting or a related field.
 
Advanced training or experience in health care analytics.
 
Ability to convert data to meaningful reports.
 
Strong critical-thinking and attention to detail.
 
Ability to effectively collaborate with technical and non-technical stakeholders.
 
Strong time-management skills and ability to manage simultaneous projects and tasks to meet internal deadlines.
 
Strong verbal and written communication skills.
 
Proficient in Microsoft Office suite products, including key skills in Excel (VLOOKUPs and pivot tables), and applicable software program(s) proficiency.
 
Preferred Qualifications
 
Certified Public Accountant (CPA), Chartered Financial Analyst (CFA), or Certified Management Accountant (CMA).
 
Health insurance industry experience.
 
Experience with specialized financial analytics software.
 
Proficient in SQL/Power BI
 
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
 
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
 Pay Range: $65,791.66 - $142,548.59 / ANNUAL
 <ul>
<li>Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.</li>
</ul>

Financial Planning & Analysis Manager - REMOTE

Kelsey-Seybold Clinic

<div>Job ID: 2344097 
Job Type: Full-time 
Location: Pearland, TX 77581

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation&rsquo;s leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.

The Healthcare Finance (HCF) department exists to monitor and improve the financial performance of Kelsey-Seybold&rsquo;s 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 Senior Analyst provides financial data, reporting and other actionable information to the HCF Management Team and other departments regarding the business units, process, products and/or service lines as directed by the manager. The Senior Analyst is able to independently identify areas requiring investigation and perform analyses and recommend solutions with little to no guidance. Responsibilities related to this position include:
<ul>
<li>Creating/producing financial reports, analysis and financial reconciliations required to understand the key drivers of the relevant business unit or service line</li>
<li>Helping to develop the systems and processes that are the foundation for reporting and analysis</li>
<li>Providing 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</li>
<li>Presenting findings and recommending solutions to internal and external customers and KS Executive team</li>
<li>Acting as a subject matter and technical expert for more junior analysts</li>
</ul>
If you are located in Pearland, TX, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:
<ul>
<li>40% Production and analysis of reports and data required to understand the key drivers of the relevant business unit or service line
<ul><li>Given analytical project or task data requirements, work independently to access and validate needed data from multiple disjointed data sources</li>
<li>Implement appropriate measurement and analytical methods to achieve specified analytical project or task objectives</li>
<li>Produce summary, detail and dashboard reports and management summaries that present data findings in a professional, concise, and readable format for content and audience</li>
<li>Prepare monthly, quarterly, and annual reconciliations and analyze trends</li>
<li>Identify potential problems with analysis assumptions and data quality and apply established quality assurance processes to resolve problems or escalate them as needed</li>
<li>Analyze findings and provide actionable insights and recommendations based on analysis and drilldown</li>
<li>Develop analyses and models to estimate the impact of different scenarios, assisting in the business decision-making process</li>
</ul></li><li>20% Help to develop and maintain the systems and processes that are the foundation for reporting and analysis
<ul><li>Create and maintain documentation of report processes and logic applied in reporting</li>
<li>Coordinate with Business Intelligence (BI) team as needed to ensure data warehouses used or maintained by the department are accurate and complete</li>
<li>Develop and implement quality assurance procedures to ensure accuracy of project data, results, written reports, and presentation materials</li>
<li>Identify opportunities for increased automation of reports and processes and work with department tools or BI to implement</li>
</ul></li><li>10% Contribute to the ongoing development of departmental expertise through participation in team meetings, trainings, and independent research as required</li>
<li>10% Manage ad hoc projects of varying complexity and duration while completing routine workload</li>
<li>10% Present findings and analysis to HCF Management team, KS Executive team, and internal and external customers. Communicate professionally to provide decision support, scope analysis requests, and provide recommendations and actionable insights as needed</li>
<li>10% Train and coach less-experienced analysts on data retrieval techniques, programming practices, and statistical analysis and data visualization methods in the context of specific tasks</li> 
</ul>
You&rsquo;ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:
<ul>
<li>Bachelor&rsquo;s Degree in Finance, Economics, Mathematics, Healthcare Administration, or related field</li>
<li>5+ years of experience in data analysis, or decision support, or medical economics, or healthcare informatics, or managed healthcare or equivalent combination of education and experience to demonstrate ability to succeed in healthcare analytics</li>
<li>Experience with SQL or other programming tools (including Visual Basic and Excel macros)</li>
<li>Experience writing, debugging and documenting complex queries against relational databases</li>
<li>Basic knowledge of Microsoft Power Point and Microsoft Word</li>
<li>Advanced proficiency in Microsoft Excel</li>
<li>Demonstrated initiative and problem solving skills</li>
<li>Demonstrated analytical/modeling skills with ability to convert raw data into actionable business insights</li>
<li>Demonstrated high level of accuracy with excellent attention to detail</li>
<li>Demonstrated solid organizational and time management skills</li>
<li>Proven ability to work in a dynamic setting and balance multiple priorities while meeting deadlines</li>
<li>Proven superior analytical skills</li>
<li>Proven ability to communicate complex information in a clear and concise manner</li>
<li>Fluent in English both verbal and written, effective communicator</li>
</ul>
Preferred Qualifications:
<ul>
<li>Experience in the healthcare industry with understanding of data in healthcare organizations (including claims data, ICD10, Medicare Advantage, Health Insurance Marketplace, capitated payment models)</li>
<li>Experience with Statistical Software (including SAS, R, Minitab, SPSS)</li>
<li>Knowledge of Crystal Reports, Microsoft Access, or SSRS</li>
<li>Familiarity with EPIC and Clarity reporting data warehouse</li>
<li>Demonstrated ability to analyze and report on business units, products or service lines with minimal supervision/direction</li>
</ul>
<ul><li>All employees working remotely will be required to adhere to UnitedHealth Group&rsquo;s Telecommuter Policy</li></ul>

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you&rsquo;ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes &ndash; an enterprise priority reflected in our mission. 


OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.</div>

Sr. Healthcare Information and Data Analyst, Kelsey-Seybold Clinic Houston, TX (Hybrid)

WVU Medicine

<div><h2 class="jobSectionHeader">Welcome! We&rsquo;re excited you&rsquo;re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you&rsquo;ll find other important information about this position.
</h2>Leads, coordinates, and supports provider compensation and revenue cycle analysis for assigned support group. The position will provide analytical support for the development and measurement of production, compensation, and operational targets and models, and the coordination of the development, implementation, monitoring, and updating of provider compensation plans. This role will monitor and analyze provider revenue cycle indicators, identifying opportunities for improved performance. This position will work closely with the Regional Administrators, Hospital and Physician Leadership, to ensure productivity/compensation are being reported and paid to providers accurately and in a timely manner. Ensure accurate budgeting and strong monitoring of financial results to maximize efficiency and identify opportunities for margin enhancement.
MINIMUM QUALIFICATIONS :
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor&rsquo;s degree in business administration, accounting, finance or other related area
EXPERIENCE:
1. Three (3) years of accounting/finance related experience
PREFERRED QUALIFICATIONS :
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. CPA certification
2. Master&rsquo;s degree in accounting, finance, or business administration
EXPERIENCE:
1. Experience in Healthcare preferred.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Coordinate provider performance and compensation analysis and reporting process by working with clinical and hospital leadership who play a role in the process.
2. Independently analyze and complete monthly performance reports for non-academic provider practice entities. Work closely with regional accountants &amp; practice leaders to assess performance against targets.
3. Maintains physician compensation and contract management software for SMG.
4. Monitors total compensation payments made to employed and contracted providers to ensure adherence to compensation plan and compliance with Fair Market Value standards. . Communicates directly with SMG leadership regarding negative variances and rolling projections.
5. Continuously monitor revenue cycle performance improvement and margin enhancement opportunities and communicate to Finance and Provider Practice leadership. Specific reporting duties include: comparing reimbursement by clinic/provider and payor to ensure consistency across all practice sites; identify potential payor enrollment issues; and monitor and act upon claims denials.
6. Directs the payment of Medical Directorships, Call Pay and other non-productivity contractual terms.
7. Coordinates the completion of financial analysis related to and in support of new services, provider compensation rates, and long term strategic initiatives of the Provider Practices. Leverage Inflow or equivalent tool to aide in assessment.
8. Develops &amp; Monitors Physician compensation Models, including incentives in conjunction with Finance and Provider Practice Leadership.
9. Conduct analytical research of historical data as well as projected impact of new or changing services related to the non-academic practices.
10. Oversee the process of maintaining the physician compensation plans, incentive payment calculations, and maintaining provider productivity tools &amp; reports.
11. Collaborate with Hospital Finance &amp; Reimbursement team on the completion of larger scale financial projections related to the Provider Practices.
12. Key member of core SMG Administration team. Analyze and provide recommendations on compensation model upgrades.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. May need to sit during extended periods of time.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Standard office environment.
SKILLS AND ABILITIES:
1. Ability to work with computer databases and spreadsheet software
2. Strong organizational skills and attention to detail
3. Ability to multi-task and work in a challenging fast paced environment
4. Excellent written and verbal communication skills
5. Independent worker and analytical thinker with ability to conduct research, data analysis and resolve complex problems
Additional Job Description:
Scheduled Weekly Hours:
40
Shift:
Exempt/Non-Exempt:
United States of America (Exempt)
Company:
SMG System Medical Group
Cost Center:
671 SMG Corporate Admin
Address:
3040 University Ave
Morgantown
West Virginia
Equal Opportunity Employer 
West Virginia University Health System and its subsidiaries (collectively &quot;WVUHS&quot;) is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.</div>

Financial Analyst

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