Sr. Financial Analyst
About The Position
The Revenue Integrity Senior Financial Analyst requires a comprehensive understanding of general healthcare operations, standards, and practices, along with a high level of independent thinking. This role involves conducting complex analysis and modeling to prevent revenue leakage and compliance risks, utilizing healthcare industry standards to build analytical tools. The analyst will perform both qualitative and quantitative analysis to identify patterns, insights, and trends for decision-makers. Key areas of support include monitoring the organization's charging practices and capture, CDM build and maintenance support, developing programmatic pricing strategies, and conducting compliance/program objective reviews. The position is independently responsible for assigned work and may provide training and interact with individuals across the organization.
Requirements
- Bachelor's degree preferably in Finance, Economics, Accounting, Business, Public Health or Healthcare Administration or similar field
- Four (4) years of experience in decision-making support role OR combination of experience and relevant advanced degree.
- Experience in training/educating and mentoring others.
- Experience in the development and management of complex project plans.
- Skills in using Microsoft Office products; advanced level ability with Excel & Access applications.
Nice To Haves
- 4+ years’ experience in healthcare finance role.
- Master's in Business Administration, Healthcare Administration, or similar role.
- Two years’ experience as a Healthcare Senior Financial Analyst or Consultant.
- Strong knowledge of and experience with databases using SQL or other advance system languages.
- Adept at creating and managing complex queries.
- Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews.
- Strong analytical skills with the ability to collect, organize, and analyze significant amount of information with attention to detail and accuracy.
- Demonstrated advanced executive-level professional communication skills in written reports and oral formats.
- Experience with decision support products.
- Experience with Standard Query Language (SQL).
Responsibilities
- Produces actionable reports that show key performance indicators, identifies areas of interest and displays analysis of the study.
- Documents process used and communicates findings and insights.
- Uses standard analysis tools and some advanced modeling.
- Integrates advanced understanding of program design and objectives in interpreting the results.
- Provides advanced level insights and recommendations regarding the findings.
- Builds and uses more complex queries and processes to extract data.
- Evaluates results for reasonableness against the provided requirements and program knowledge.
- Investigates and is able to address most inconsistencies found and documents data limitations.
- Advanced understanding of Revenue Integrity, CDM, pricing strategies and reimbursement practices.
- Independently designs and builds reports using the most appropriate data elements.
- Routinely arranges interdepartmental meetings to either gather or share information related to projects.
- Trains analysts on standard healthcare concepts.
- Shares analytical tools and methods with the team and other colleagues.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
