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Senior Financial Healthcare Data Analyst II
Honolulu, HI
Job Description
- Design, develop and implement standard plan or provider financial and operational reports in response to customer requirements and business needs
- Lead and implement internal controls; facilitate definition of data and other information requirements; define efficient data assembly methods; and maintain adequate documentation for general reference and audit purposes.
- Interpret data and develop reports to communicate findings to senior management.
- Participate in project workgroups; facilitate definition of project requirements and deliverables; influence the progress of team activities and the successful implementation of the project.
- Document and share project activities, analyses, and decisions.
- Develop, analyze, recommend, and enhance workflow processes related to project deliverables.
- Evaluates alternative solutions/decision in light of the potential impact on internal/external resources; understand the resource implications of solutions and makes other recommendations; communicate status and recommendations to management.
- Gather data post-implementation to measure outcomes and impacts.
- Develop, analyze, recommend, and monitor reimbursement and provider strategies; prepare reports that measure the effectiveness of reimbursement and contracting terms and the influence they may have on overall program/plan cost and utilization.
- Analyze data and identify trends, patterns, or other notable issues with an eye for cost reduction opportunities.
- Monitor market trends to identify emerging opportunities or risks in business environments.
- Monitor various websites for reimbursement and policy changes, focusing on Government entities; make recommendations for implementation of changes.
- Communicate with various stakeholders, including physicians, hospital admin staff, other healthcare insurers, auditors, and other departments within the company.
- Annual review of compliance workflows, such as, SSAE, MAR.
- Actively participate in current audits; be able to respond comprehensively to auditor inquiries.
- Review provider contracts and ensure that claims system set ups accurately reflect fully executed, signed agreements.
- Respond to ad-hoc data requests from management, executive staff, and external departments.
- Performs all other miscellaneous responsibilities and duties as assigned or directed
#LI-Hybrid
Job Summary
Company
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Experience
Open
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