Health Data Operations Specialist (On-site)

UMC Health System • Richmond, KY

5d • Onsite

About The Position

The Health Data Analyst is responsible for assisting the Managed Care Director in developing and implementing strategies to improve managed care net revenue, payor and business relations, and cash collections for University Medical Center and its affiliates.

Requirements

• High School Diploma or GED
• Two (2) years of experience in healthcare data analytics, managed care, payor operations, healthcare finance/revenue cycle, healthcare operations, or a related field.
• Proficient in use of Microsoft Office Suite applications, including Access and Excel.
• Demonstrated ability to present to small and large audience and explain analytical findings.
• Demonstrated ability with data analytics with ability to generate graphs/reports from analytical results.
• Analytical mindset with good problem-solving skills in using data.
• Good interpersonal skills.

Nice To Haves

• Bachelor’s degree in Healthcare Administration, Finance, Accounting, Economics, Data Analytics, or a related field preferred.
• Experience working with healthcare payers and reimbursement data preferred.
• Certification by the Healthcare Financial Management Association (HFMA) preferred or expected within 24 months of employment.

Responsibilities

• Assist with new and current contracts to increase inpatient and outpatient net revenue.
• Assist in negotiating, renegotiating managed care agreements, interacting with payors on contract compliance, and payment issues.
• Responsible for standard and ad-hoc extracts/reports across multiple data sources.
• Assist with Provider credentialing and enrollment.
• Analysis of managed care contract performance, reimbursement trends, and payment variances.
• Maintain data, extract, analyze data and trends to provide business insights based on findings.
• Create relevant and user-friendly reports and presentations for internal and external customers.
• Provide suggestions on ways to improve payer contracts, quality, and cost effectiveness for the Hospital System.
• All other assigned duties as requested by assigned department.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED