Healthcare Data and Info Analyst I - Kelsey Seybold Clinics Pearland, TX

UnitedHealth Group•Pearland, TX

About The Position

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation’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's product lines and health plans. The HCF Analytics team is a customer service-focused team providing consultation to the KS executive team as well as selecting 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 Analyst I 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. Responsibilities related to this position include:

Requirements

Bachelor’s Degree in Finance, Economics, Mathematics, Healthcare Administration, or related field; or Associate Degree with equivalent work experience
3+ years of experience in data analysis, decision support, medical economics, healthcare informatics, or managed healthcare or equivalent combination of education and experience to demonstrate ability to succeed in healthcare analytics
Experience with SQL or other programming tools (including Visual Basic and Excel macros)
Basic knowledge of Microsoft Power Point and Microsoft Word
Advanced proficiency in Microsoft Excel
Demonstrated initiative and problem-solving skills
Demonstrated analytical/modeling skills with ability to convert raw data into actionable business insights
Proven fluent in English both verbal and written, effective communicator
Proven high level of accuracy with excellent attention to detail
Proven solid organizational and time management skills
Proven ability to work in a dynamic setting and balance multiple priorities while meeting deadlines
Proven excellent interpersonal, written, and oral communication skills. Proficient in Microsoft excel, word etc.
Proven detail-oriented, good organizational skills. Excellent leadership skills

Nice To Haves

Experience in the healthcare industry with understanding of data in healthcare organizations (including claims data, ICD10, Medicare Advantage, Health Insurance Marketplace, capitated payment models)
Experience writing, debugging and documenting complex queries against relational databases
Experience with SQL or other programming tools (including Visual Basic and Excel macros)
Experience with Statistical Software (including SAS, R, Minitab, SPSS)
Knowledge of Crystal Reports, Microsoft Access, or SSRS
Familiarity with EPIC and Clarity reporting data warehouse
Demonstrated ability to analyze and report on business units, products or service lines
Demonstrated analytical/modeling skills with ability to convert raw data into actionable business insights
Proven ability to communicate complex information in a clear and concise manner

Responsibilities

Creating/producing financial reports, analysis and financial reconciliations required to understand the key drivers of the relevant business unit or service line
Helping to develop the systems and processes that are the foundation for reporting and analysis
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