Financial Analyst

Community Health Systems Professional Services Corporation • Franklin, TN

7d

About The Position

The Financial Analyst provides data retrieval, contract modeling, and financial analysis support to the Director, VP, and Managed Care Regional Contracting Directors. The role retrieves reimbursement data from hospital and physician accounting systems, models the financial impact of payer reimbursement proposals, and supports contract interpretation and analysis. It also produces written reports, performs quality assurance on monthly data loads, and completes special projects and reports as needed.

Requirements

• Two to five years of experience with reimbursement methodologies, including DRG, APC, COPPS, OPPS, case rates, per diems, and HCPCS and CPT code fee schedules.
• Familiarity with hospital and physician billing and coding terminology, including diagnostic codes, revenue codes, procedure codes, and HCPCS codes.
• Knowledge of healthcare product lines, including HMO, PPO, HIX, Medicare, Medicaid, Tricare, and Workers' Compensation.
• Ability to communicate complex and technical issues clearly, both in writing and verbally.
• Ability to work independently and manage multiple projects simultaneously.
• Knowledge of word-processing software.
• Exceptional Excel skills.
• Bachelor's degree required.
• Two to five years of work experience required.
• Knowledge of or experience modeling or working with health plan, hospital, and physician managed care commercial and Medicare reimbursement methodologies and terminology.

Nice To Haves

• Accounting or Data Analytics emphasis in a bachelor's degree.
• Knowledge of contract modeling systems such as FinThrive.
• Knowledge of Access or SQL.
• Prior experience in hospital, physician, or health plan financial analysis, or equivalent experience.

Responsibilities

• Retrieve reimbursement data from hospital and physician accounting systems.
• Build financial models to analyze and evaluate the reimbursement impact of hospital and physician payer reimbursement methodology proposals.
• Work with Managed Care Regional Contracting Directors on contract interpretation issues to ensure the accuracy of contract models and financial analysis.
• Produce clear and concise written reports summarizing payment modeling analysis.
• Perform quality assurance on monthly data loads.
• Complete special projects and reports as needed.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level