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Managed Care Analytics Spec

Managed Care Analytics Spec

Job Description

This position provides high level technical and analytical support for managed care related financial analysis, performance-based contracting, and contract financial performance monitoring. This position acts as the analytics lead for all department financial reporting and analysis functions to support achievement of financial goals.

PCH Values
  • Family-Centered care that focuses on the need of the child first and values the family as an important member of the care team
  • Excellence in clinical care, service and communication
  • Collaborative within our institution and with others who share our mission and goals
  • Leadership that set the standard for pediatric health care today and innovations of the future
  • Accountability to our patients, community and each other for providing the best in the most cost-effective way.
Position Duties

1. Utilizes data and analysis tools, such as Excel, Access, EPSi, Misys, Crystal Reports and others to perform complex data analysis and generate reports to meet department needs.
2. Maintains contract models and terms in EPSi contracts module. Performs testing and audits to ensure system is modeling correctly and within known limitations. Makes recommendations for system enhancements.
3. Presents financial data accurately and concisely in a standard format or a format most appropriate for the intended user.
4. Performs miscellaneous job related duties as requested.

Job Requirements

Education Requirements
  • Bachelor's degree in business, finance, accounting or a closely related field. (Required)
Experience Requirements
  • Five years of directly related experience in a healthcare environment such as a hospital, health plan, or health system. (Required)
  • Experience with various business intelligence tools. (Preferred)
Skill Requirements
  • In depth knowledge of statistical models and database development. (Required)
  • Advanced knowledge of Microsoft Access and Excel applications. (Required)
  • Thorough knowledge of managed care principles, business models, hospital and professional coding, and financial terms. (Required)
  • Working knowledge of database computer language and relational database management systems such as SQL and Oracle. (Preferred)
  • Knowledge of Allscripts systems, especially AMPFM and EPSi. (Preferred)
Physical Requirements
  • Physical Requirement - Climbing (Occasionally)
  • Physical Requirement - Hearing (Constantly)
  • Physical Requirement - Reaching (Occasionally)
  • Physical Requirement - Sitting (Constantly)
  • Physical Requirement - Standing (Frequently)
  • Physical Requirement - Talking (Constantly)
  • Physical Requirement - Walking (Frequently)
  • Physical Requirement - Near Vision (Constantly)
  • Physical Requirement - Far Vision (Occasionally)
  • Physical Requirement - Color Discrimination (Occasionally)
  • Physical Requirement - Use of keyboard, mouse and/or computer equipment (Constantly)

Job Snapshot

Employment Type Full-Time
Job Type Health Care
Education 4 Year Degree
Experience Not Specified
Manages Others Not Specified
Industry Healthcare - Health Services
Required Travel Not Specified
Job ID 41413
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Managed Care Analytics Spec

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