Lead Healthcare Provider Claims/Reimbursement Data Analyst (Remote) - Health Alliance Plan

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Business (Non-Clinical)
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2312001 Requisition #
Thanks for your interest in the Lead Healthcare Provider Claims/Reimbursement Data Analyst (Remote) - Health Alliance Plan position. Unfortunately this position has been closed but you can search our 1,254 open jobs by clicking here.

EDUCATION/EXPERIENCE REQUIRED:

  • Bachelor’s degree in Business Administration, Economics, Health Care, Finance, Information Systems, Statistics or related field.
  • Minimum of five (5) years progressive analytical experience in a healthcare or managed care/insurance related setting with specific exposure to provider contracting and reimbursement data and methodologies as well as case management, disease management, patient/member data.
  • Demonstrated experience with data interpretation, analysis, and reporting; clinical and financial data; predictive modeling and forecasting; key performance indicators as it relates to medical cost data.
  • Demonstrated experience automating complex reporting processes and developing best practices and reporting standards.
  • Minimum of three (3) years of experience in leading staff in projects or supervisory/management position preferred.
  • Extensive knowledge of advanced financial methods and modeling used in analyzing health care data and in data mining.
  • Excellent analytical, problem solving, verbal and written skills to communicate complex ideas.
  • Excellent skills with ability to integrate and co relate information from different domains and subject areas.
  • Demonstrated project management experience in running corporate wide projects.
  • Knowledge of medical claims data and managed care membership data. 
  • Knowledge of business intelligence applications, data, and tools.
  • Advanced technical skills, which includes, but is not limited to MS Access and Excel, Alteryx, SQL, SAS and/or other statistical software.
  • Knowledge of Medicare and Medicaid Reimbursement methodologies.
  • Intermediate to advanced Cognos Report Writer skills.
  • Ability to navigate HAP systems, including Oracle, Facets, and other similar software.

    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

       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 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 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 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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