• Net Revenue Modeling Analyst Senior - McLaren…

    McLaren Health Care (Grand Blanc, MI)


    Position Summary:

    Provides corporate financial and statistical analysis to assess the financial and operational impacts of management decisions and proposals. Also, provides subject matter expertise of corporate contract management systems to assess the expected reimbursement of payor contracts.

    Essential Functions and Responsibilities:

    1. Provide analytical operations support using a variety of data sources. Analyze and interpret complex data to provide information for management decisions.

    2. Analyze complex data to identify areas of opportunity, develop proposals and strategies for program development and revisions to existing programs.

    3. Identify cost control and cost management issues and recommend actions to resolve.

    4. Load data, update contract management system, input reimbursement parameters and verify system accuracy.

    5. Evaluates and understands complex contractual language as it relates to reimbursement methodologies

    6. Direct and/or assist in the preparation of a variety of complex strategic and operational studies and analyses to improve system performance and make recommendations for operational improvements.

    Qualifications:

    _Required:_

    + Bachelor’s degree in accounting, business, finance, healthcare administration or related area

    + Five years of experience in healthcare finance or healthcare financial analysis to include experience working with hospital clinical/claim and financial data within healthcare contract management/reimbursement systems. Experience includes insurance payor contracting rates/reimbursement methodologies, working with large databases; data extraction and analysis, extracting data and analyzing, and using a variety of tools including SQL, Access, Excel.

    OR

    + High school diploma or GED equivalent

    + 10 years of experience in healthcare finance or healthcare financial analysis to include experience working with hospital clinical/claim and financial data within healthcare contract management/reimbursement systems. Experience includes insurance payor contracting rates/reimbursement methodologies, working with large databases; data extraction and analysis, extracting data and analyzing, and using a variety of tools including SQL, Access, Excel.