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Senior Analyst - Claims Support

Senior Analyst - Claims Support

Job ID 
2017-4330
Job Locations 
US-CT-Hartford
US-Remote
US-FL-Tampa
Category 
..

More information about this job

Overview

Supports Revenue Cycle Management and performs operational management functions (e.g. monitoring end-to-end inventories and assisting in resource allocations decisions across the department and vendor resources), metric development and tracking, business performance analysis and reporting, and business improvement projects. Responds to ad hoc requests for support and analysis. Requires limited supervision and technical assistance. Administer workforce levels in a manner to exceed key performance indicators and budgetary constraints within the department. Specialize in metric development, including the development of tools and reports to explain variation and inter-relationships across all business processes.

 

Responsibilities

• Works closely with management to gather, analyze, summarize and prepare recommendations of financial plans, trends, and operating forecasts.
• Integrates multiple data sets from various systems to produce meaningful reports.
• Develop and maintain systems to allow for efficient analysis and distribution of information, particularly through standardized regular reports.
• Resolves complex organization and technological problems.
• Ability to monitor and track highly detailed and multiple complex projects, systems, and data
• Develop and manage reports on multiple key performance indicatiors and metrics across Revenue Cycle Management for all work types and other existing and new metrics.
• Responsible for identification of process inter-relationships to provide deeper insight to management on business drivers behind the metrics.
• Responsible for operation of the work distribution methodologies/ tools, current and future.
• Administrate operational analysis, identifying and implementing processes as necessary to improve the level of quality and efficiency within Operations areas.
• Serve as SME regarding the process flow of the life of a claim including understanding systems used and functions performed within each work type, dependancies/ interactions and identification of potential impact resulting from any change.
• Problem solve for complex operational processes and research determining root cause of metric variances.
• Develop, monitor and maintain work flow management reports and tools for all claims processes to support data analysis and reporting.
• Problem solve for complex operational processes and research determining root cause of metric variances.
• Perform on-demand, rapid analytics and reporting of multiple inputs/ sources.
• Develop and manage data and/or databases that support performance improvement activities.
• Develop and maintain comprehensive reports for management and analyze historical data for root cause research and trend.

 

 

TRAVEL REQUIRED
10%

 

 

Qualifications

Bachelor’s Degree preferred, plus a minimum of 3 years of experience, preferably in healthcare operations. Excellent organizational and analytical skills required. Experience with working independently as well as in a team environment. Proficient in Microsoft Office applications, specifically Microsoft Excel, Visio, Word and Powerpoint. Ability to work under tight deadlines. Ideal candidate will possess expertise in data analysis, data collection and process improvement. Basic knowledge of TOAD, SQL and operating systems related to Revenue Cycle Management preferred.  Manage multiple tasks, be detail oriented, be responsive, and demonstrate independent thought and critical thinking.

 

CareCentrix maintains a drug-free workplace in accordance with Florida’s Drug Free Workplace Law.