Cost And Utilization Analyst

• Assists with preparation of all financial reports to Michigan Department of Health and Human Services (MDHHS) through the year.
• Represents OCHN on financial workgroups.
• Work with other Cost and Utilization Analysts to help them understand the service models developed by OCHN and develop efficient rates for the provider network.
• Review the monthly financials and provide feedback to the Director of financial analytics.
• Attend monthly/quarterly meetings with the provider network and provide financial updates.
• Understand fund source allocation for revenue and expense reporting.
• Ability to organize and lead meetings with other OCHN departments and provider network.
• Act as a liaison between the provider network and MDHHS to communicate feedback regarding changes to funding, procedure codes, and reporting requirements.
• Collect, analyze, and interpret data and statistics using quantitative and qualitative methods. Prepare and present complex and detailed statistical reports.
• Use integrated relational computer systems to create and access database files and prepare statistical charts, graphs and exhibits.
• Provide statistics and established benchmarks regarding Cost and Utilization statistics.
• Initiate, manage and report on projects using standard project management, cost accounting and budget management principles. Monitor scope, schedule and budget of project/program and coordinate project/program evaluation and improvements.
• Compile, analyze and report on operational information including trends, staffing/resource allocation, and budgeting.
• Perform cost analysis and project costs associated with OCHN programs.
• Conduct comprehensive surveys and research projects, including assisting with program evaluation studies and other administrative studies.
• Serve as financial support person for OCHN departments.
• Serve as primary financial liaison between OCHN contract providers regarding financial issues.
• Coordinate the financial activities policies, procedures and directives between the contract providers and OCHN.
• Assure that Contracted providers comply with all financial policies and directives.
• Track, analyze, and monitor all costs and Utilization for contract providers.
• Prepare, analyze, and monitor budget for contract providers.
• Develop and implement outcomes based contracting rates using statistical analysis.
• Provide recommendations for improvements and changes in procedures, costs, and Utilization to increase system efficiencies and effectiveness.
• Other duties as assigned by the Director of Financial Analytics.

Job Requirements and Qualifications:

• Bachelor’s degree in Business Administration, Finance, Accounting, or Related discipline.