Lead Provider Reimbursement Analyst - Health Alliance Plan

📁
Business (Non-Clinical)
📅
2011356 Requisition #
Thanks for your interest in the Lead Provider Reimbursement Analyst - Health Alliance Plan position. Unfortunately this position has been closed but you can search our 1,283 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.
  • 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.
  • Minimum of three (3) years of experience in leading staff in projects or supervisory/management position preferred.
  • 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 a plus.
  • 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

Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan’s largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more at 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.

Previous Job Searches

My Profile

Create and manage profiles for future opportunities.

Go to Profile

My Submissions

Track your opportunities.

My Submissions

Similar Listings

Troy, Michigan

📁 Business (Non-Clinical)

Troy, Michigan

📁 Business (Non-Clinical)

Troy, Michigan

📁 Business (Non-Clinical)