Senior Contract Data Analyst

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Senior Contract DataAnalyst

Department: Contracting

FLSA Status: Full Time, Exempt

Salary Level: 6

Position Summary:

Work with the Contracting Services Manager to develop, design, and generate reports to monitor health care payments, rates and financial impact analysis of UHA’s provider contracts.

Essential Duties & Responsibilities:

• Extract, analyze, and trend health care payment data and other pertinent data to support the functions of the Contracting Services department.
• Complete rate proposal impact analysis for custom contracts.
• At the direction of the Contracting Services Manager, create and analyze rate increase options for standard fee schedule update.
• Participate in payment policy development efforts as representative of Contracting Services department.
• Perform research as requested by the Contracting Services Manager.
• Develop, maintain, and revise modules related to contracts, fees, and codes in the UHA claims processing system.
• Coordinate auditing process of contracts and fees within UHA claims processing system.
• Manage Physician Fee Schedule updates.
• Coordinate process to assign rates in UHA claims processing system for newly created codes.
• Coordinate cyclical fee updates for vaccines and other to-be-assigned codes.
• Assign fees in the UHA claims processing system based on contract terms for services on pended claims as needed.
• Maintain monthly reporting required for vendor partners.
• Manage projects as assigned.
• Other duties as assigned by the Contracting Services Manager.
• This Position prohibits any activity that requires interpretation of clinical information to customers, including the choosing of a set of criteria to use for handling a request for healthcare services or treatment.

Required Education and Experience:

The individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Five (5) years’ experience managing and working with large data sets, building databases, querying, generating reports, and analyzing health plan data, statistics, costs, trends and metrics
• Three (3) years of health plan experience and familiarity with claims, authorizations, providers, and membership data

• Proficiency in Microsoft Word, Outlook and other Microsoft programs including experience with Microsoft Operating System PC computer
• Able to plan, analyze, and implement complex projects with a minimal supervision
• Must have good written communication skills to document the department’s policies and procedures

Preferred and Advanced Qualifications:

Mental Demands:

• Excellent data management, analytical and problem solving skills
• Able to use and manipulate large sets of data to enable informed, evidence based decisions
• Great accuracy and attention to detail
• Sound, pragmatic judgement with analytical approach and excellent time management abilities
• Self-motivated with the ability to work independently as well as collaboratively when part of a team

Physical Demands/Working Conditions:

**The individual in this position must reside in the state of Hawaii

Competitive compensation & excellent benefits offered

Visit our website at https://uhahealth.com/page/career-opportunities to apply and for details about vacant positions.

An Equal Opportunity Employer