Lead Analyst, Vendor & Quality Compliance - Health Alliance Plan - Troy
- Bachelor’s or Master’s Degree in Health Care, Business or related field, preferred
Experience Required:
- Minimum two (2) years of auditing experience; vendor management/monitoring experience preferred.
- Minimum of four (4) years combined customer service and professional experience in health care, call center, business and/or insurance environment or capacity
- Minimum of two (2) years of project coordination or project management and data analysis, validation and reporting
- Demonstrated knowledge of CMS regulations and guidelines for Medicare products
- Development of project status reports, workplans, timelines, budget reports, risk management, issue lists, and project metrics
- Demonstrated experience with operational data interpretation, analysis, and reporting
- Knowledge of key performance indicators related to health plan or health system performance (i.e. quality, cost/profitability, etc.)
- Analytical experience in a health system or managed care/insurance related setting with specific exposure to member complaints data
- Experience in providing written and verbal communications, including public presentations, to senior leadership
Preferred:
- Certified in Health Care Compliance
- Experience in consulting, market research/quantitative analysis, or healthcare administration working with and demonstrated knowledge of common industry reporting tools
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.
Benefits
The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health 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.