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Medical Economics Analyst Senior
- AdventHealth (Maitland, FL)
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Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.
All the benefits and perks you need for you and your family:
+ Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
+ Paid Time Off from Day One
+ 403-B Retirement Plan
+ 4 Weeks 100% Paid Parental Leave
+ Career Development
+ Whole Person Well-being Resources
+ Mental Health Resources and Support
+ Pet Benefits
Schedule:
Full time
Shift:
Day (United States of America)
Address:
1051 WINDERLEY PL
City:
MAITLAND
State:
Florida
Postal Code:
32751
Job Description:
Researches and analyzes managed care data from various financial systems and interface tools. Performs complex and varied healthcare data analysis, including financial modeling and risk forecasting. Identifies and implements improvements in quality control and timeliness of reporting. Extracts, collects, analyzes, and interprets health utilization and financial data. Interprets and analyzes data from various sources using knowledge of healthcare managed care contracts and administrative claims data. Employs existing complex models and implements them on new projects and contexts. Designs new solutions for data and analytic challenges faced by the organization. Supports negotiations of capitated and other value-based agreements through detailed data analytics. Develops financial models to inform negotiation parameters. Evaluates possible changes to key terms in existing value-based agreements. Identifies risk and exposure associated with various reimbursement structures. Produces prospective analyses on new ventures, products, and service offerings. Prepares and presents analytics or project results to key stakeholders for review and decision-making. Evaluates and understands contract language related to reimbursement methodologies for various provider types. Applies detailed understanding of medical coding. Other duties as assigned.
The expertise and experiences you’ll need to succeed:
QUALIFICATION REQUIREMENTS:
Bachelor's (Required), Master'sEPIC-Hospital Billing Certification (EPIC HB) - Accredited Issuing Body
Pay Range:
$66,170.74 - $123,073.07
_This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._
**Category:** Revenue Cycle & Managed Care
**Organization:** AdventHealth Corporate
**Schedule:** Full time
**Shift:** Day
**Req ID:** 150662192
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