RMRA Analyst III (Health Alliance Plan) - Full Time - Troy/Days

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Business (Non-Clinical)
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1913195 Requisition #
Thanks for your interest in the RMRA Analyst III (Health Alliance Plan) - Full Time - Troy/Days position. Unfortunately this position has been closed but you can search our 1,280 open jobs by clicking here.

EDUCATION/EXPERIENCE REQUIRED:

  • Bachelor's degree in Accounting, Finance, Business Administration or a related field (must include financial or accounting related course work) required. 
  • Master's degree (Finance, Business Administration, etc.) preferred. 
  • Completion of Advanced Access, Excel, GQL, Cognos, or SQL training preferred. 
  • Two (2) years of Accounting/Finance business related experience required. 
  • Two (2) years managing projects and initiatives designed to improve business operations required. 
  • Three to five (3-5) years of experience developing, analyzing, interpreting & trending data preferred. 
  • Experience with Medicare Advantage, Medicare Part D, Medicaid or Qualified Health Plans preferred. 
  • Experience in health care finance preferred. 
  • Affordable Care Act (ACA) experience or knowledge preferred. 
  • Knowledge of HAP's Core system operations and functionality preferred. 
  • Knowledge of business principles and functions required. 
  • Proficient knowledge of Windows - Excel and/or Access required. 
  • Proficient at using various data sources to develop relevant reporting tools, and to use those tools to enhance processes and procedures required. 
  • Knowledge of accounting and financial reporting principles and business functions required. 
  • Ability to research, analyze, interpret, trend, and implement process improvement initiatives required. 
  • Ability to collect and prepare data for written/oral presentation - report creation and generation required. 
  • The ability to work effectively with all levels within the organization required. 
  • Excellent written and verbal communication skills required. 
  • Well defined problem solving and decision making skills required. 
  • Knowledge of Facets or other Health Insurance Claims/Membership systems preferred. Knowledge of Medicare and/or Medicare Advantage processes preferred. 
  • Visual Basic preferred. 
  • Experience with Cognos, SQL Developer, GQL reporting tools preferred.
CERTIFICATIONS/LICENSURES REQUIRED:
Must meet or exceed core customer service responsibilities, standards and behaviors as outlined in the HFHS’ Customer Service Policy and summarized below:
  • Communication 
  • Ownership
  • Understanding 
  • Motivation
  • Sensitivity 
  • Excellence
  • Teamwork 
  • Respect

Must practice the customer skills as provided through on-going training and in-services.
Must possess the following personal qualities:

  • Be self-directed
  • Be flexible and committed to the team concept
  • Demonstrate teamwork, initiative and willingness to learn
  • Be open to new learning experiences
  • Accepts and respects diversity without judgment
  • Demonstrates customer service values

PHYSICAL DEMANDS/WORKING CONDITIONS:

  • Normal office environment with minimal exposure to noise, dust, or extreme temperatures.
  • Sedentary – Exerts up to 10 lbs. of force occasionally to lift, carry, push, pull, or otherwise move objects, including the human body. Involves sitting most of the time, but may involve walking or standing for periods of time.
  • Talking – Expressing or exchanging ideas by means of the spoken word.
  • Hearing – Perceiving the nature of sounds.

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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