Provider Reimbursement Analys II - Health Alliance Plan - Troy

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Business (Non-Clinical)
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1810914 Requisition #
Thanks for your interest in the Provider Reimbursement Analys II - Health Alliance Plan - Troy position. Unfortunately this position has been closed but you can search our 1,049 open jobs by clicking here.
EDUCATION/EXPERIENCE REQUIRED:
  • Bachelor’s degree in Business Administration, Economics, Health Care, Finance, Information Systems, Statistics or other related field is required. Master’s degree in related field preferred
  • Minimum of three (3) 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
  • Minimum two (2) years of experience in relational databases such as Oracle and Access, ad hoc reporting tools, and analytical processing tools (Cognos Business Insight preferred).
  • 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.
  • 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 one (1) 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, 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.  



     Overview

       Henry Ford Health System, one of the largest and most comprehensive integrated U.S. health

       care systems, is a national leader in clinical care, research and education.  The system includes

       the 1,200-member Henry Ford Medical Group, five hospitals, Health Alliance Plan (a health

       insurance and wellness company), Henry Ford Physician Network, a 150-site ambulatory

       network and many other health-related entities throughout southeast Michigan, providing a

       full continuum of care.  In 2015, Henry Ford provided $299 million in uncompensated care.

       The health system also is a major economic driver in Michigan and employs more than 24,600

       employees.  Henry Ford is a 2011Malcolm Baldrige National Quality Award recipient.  The

       health system is led by President and CEO Wright Lassiter III.  To learn more, 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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