Talent Pool: Corporate Services/Professional
Identifies and validates key revenue and payment data sources.
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Defines the end results of analysis in the context of business objectives including revenue optimization, efficiency, yield actualization.
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Conducts analysis of revenue, cost and utilization data involving modeling of alternative payment levels and arrangements.
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Carries out qualitative research related to payer market presence, trends, product plans, and collaborative innovation.
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Participates in collaborative teamwork in preparation for Managed Care discussions and negotiations.
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Completes other special projects and duties as assigned.
Knowledge, Skills, and Abilities
Advanced Excel; Hyperion/Lawson/ESSbase - Advanced level; Concepts of preferred and relevant healthcare industry
PREFERRED
Ability to influence others not under direct control
Ability to multi-task and prioritize
Ability to remain calm and composed in stressful situations (ie: fast paced environment, meeting deadlines/work quotas, etc.)
Access
Analytical Skills
Attention to detail, thorough in work
Accepts responsibility for effective two-way communication using clear and well-organized oral and written techniques. Demonstrates self-awareness of non-verbal messages, keeping verbal and non-verbal messages consistent. Incorporates recognition of cultural impact on understanding and effectively uses interpreters and language translation devices.
Protects all confidential information and obeys all HIPAA regulations. Adheres to all organizational and departmental policies and procedures, including dress code.
Critical thinking and decision making skills
Demonstrates an unwavering commitment to do what is ethically "right". Consistently tells the truth unless doing so would violate confidentiality or compromise the safety or privacy rights of patients or others. Behaves in a manner fully consistent with stated intentions and commitments, even when there is no one to witness activities. Stands up for what is right even when there are personal risks or when there are clear rewards for doing otherwise.
Demonstrates an ability to interact with others in a courteous and professional manner and establish good working relationships.
Possess knowledge of concepts, procedures and troubleshooting techniques.
Leadership Skills
Organizational Skills
Identifies practices or procedures that are not working effectively and challenges underlying assumptions. Includes a representative number of persons when addressing issues (including patients and their families), resulting in the best resolution from various perspectives. Looks for the root cause of any problem, resulting in solutions that are enduring and sustainable.
Reacts promptly when requests are made or situations clearly call for it. Shifts priorities when a timely response is essential. Actions reflect sensitivity to patient/customer needs and sense of urgency. Balances speed of response with safety concerns.
Team building skills
Establishes priorities during routine daily operations, addressing time-sensitive matters first, while also accomplishing day-to-day tasks and duties. Effectively triages tasks and events according to urgency level, impact on patients and outcomes desired under special conditions (e.g., during crises and emergencies). Makes choices that result in maximum completion of essential duties and minimum personal stress.
EDUCATION:Required: Bachelor's degree
EXPERIENCE:Required: 5 years
LICENSURE/CERTIFICATION/REGISTRY/LISTING:REQUIRED
PREFERRED