Medicare Revenue Management, Financial Reporting & Analytics Manager - Health Alliance Plan - Remote

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Business (Non-Clinical)
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2110578 Requisition #
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EDUCATION/EXPERIENCE REQUIRED:

  • Bachelor’s Degree in Accounting Finance or Business Administration. MBA preferred
  • Minimum of three (3) years of managerial experience.
  • Five (5) years of healthcare finance/medical economics experience.
  • Medicare or Medicaid Related Background with 3 + years of risk adjustment experience with Managed Care Organization
  • Deep understanding of Medicare risk score methodologies.
  • Deep understanding of various reimbursement methodologies (all patient refined diagnosis related groups and Medicare severity diagnosis related groups)
  • Basic Microsoft Project, Visio, Adobe Acrobat; intermediate Microsoft Word, PowerPoint, advanced Microsoft Excel, Access skills are required.
  • Experience leading cross functional business teams.
  • Strong analytic skills.
  • Ability to work with large data sets
  • Excellent written and oral communication skills, including presentation skills.
  • Strong ability to work independently with limited direct supervision.
  • Ability to lead professional staff and resolve conflicts in opinion.
  • Ability to work with automated systems.
  • Ability to work across multi-disciplinary teams.
  • Ability to organize and manage multiple priorities and/or projects by using appropriate methodologies and tools.
  • Strong work ethic, reliable, resourceful, with enthusiastic attitude.
  • Knowledge of Medicare Advantage risk adjustment payment methodology preferred.
  • Knowledge of CMS programs, processes, and payment principles preferred.

Overview

HAP is a Michigan-based, nonprofit health plan that provides health coverage to individuals,          companies and organizations. A subsidiary of Henry Ford Health System, we partner with doctors, employers and community groups to enhance the overall health and well-being of the lives we touch. With more than 1,100 dedicated and passionate employees, our goal is to make health care easy for our members.

 

Under the leadership of President and CEO Robert G. Riney, Henry Ford Health is a

$6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites

including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and

other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system

now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one

of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the

health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s  

major academic medical centers, receiving between $90-$100 million in annual research funding and

remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical

education and training, the health system has trained nearly 40% of physicians currently practicing

in the state and also provides education and training for other health professionals including nurses,

pharmacists, radiology and respiratory technicians. visit HenryFord.com.

Benefits

Whether it's offering a new medical option, helping you make healthier lifestyle choices or

making the employee enrollment selection experience easier, it's all about choice.  Henry

Ford Health System has a new approach for its employee benefits program - My Choice

Rewards.  My Choice Rewards is a program as diverse as the people it serves.  There are

dozens of options for all of our employees including compensation, benefits, work/life balance

and learning - options that enhance your career and add value to your personal life.  As an

employee you are provided access to Retirement Programs, an Employee Assistance Program

(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness

and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other

benefits and services. Employee's classified as contingent status are not eligible for benefits

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.

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