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Form of workJob Description
Optimizing payer and revenue strategies, including taking on financial healthcare risk, allows healthcare providers greater flexibility in the development of care offerings, delivery vehicles, and performance under value-based care models and incentives. A number of current Mayo Clinic strategic priorities require a capability system focused on clearly and accurately assessing this financial risk in order to deliver upon expected performance. As a RSI Senior Modeler, you will be empowered to support short and long term strategic/operational business activities; use quantitative analytics to design, develop and/or enhance reports and models that will have an impact on enterprise revenue strategies and business decisions. In this role, you will have the opportunity to lead in creating viable, valuable solutions to improve the world's best healthcare system in a complex health care landscape. Primary Responsibilities: Participates in the development of financial models, cost of care analysis, pro-forma statements, and ad-hoc reports. Use various tools to produce insightful data analytics and meaningful interpretations of relevant healthcare claims pricing, reimbursement and utilization data. Analyze and interpret healthcare claims data to create and review monthly / quarterly and ad hoc exhibits based on detailed data sets. Perform data analysis that impacts pricing and reimbursement strategies, service utilization, cost of care, risk score, financial forecasts and risk assumptions. Interprets data requests from users and identifies the correct venue for information and its translation into understandable terms. Build and maintain actuarial, financial, or healthcare economic models for analyzing healthcare claims, risk scores and demographic data. Develop presentation materials and communication results of the healthcare analyses to various stakeholders. Other duties as assigned.
*This position is 100% remote work. Individual may live anywhere in the US.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.
Qualifications
Bachelor's Degree in Health Informatics, Math/Statistics, Finance/Business or other related field required. Master's degree preferred. Six years' direct experience can be considered in lieu of Bachelor's Degree with approval of Chair of RSI.
Strong analytical ability and familiarity with advanced financial and healthcare concepts. Knowledge of healthcare claims data, cost & utilization metrics and coding structures a plus. Ability to learn quickly and work independently. Ability to prioritize tasks among competing deadlines and manage multiple projects concurrently. Excellent critical thinking skills, decisive judgment, self-motivated and proactive; and ability to work productively with minimal supervision. Ability to balance analysis vs. over analysis to provide accurate direction insights based on limited datasets. Three to five years of data analytics experience in the healthcare industry working with extensive amounts of healthcare data and major databases. Proficiency in MS Excel, SAS and/or SQL; working knowledge of Word and PowerPoint. Good interpersonal skills and communication skills, both oral and written.
About Us
Why Mayo Clinic
Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. You'll thrive in an environment that supports innovation, is committed to ending racism and supporting diversity, equity and inclusion, and provides the resources you need to succeed.
About the Team
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.
Affirmative Action and Equal Opportunity Employer
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.
Optimizing payer and revenue strategies, including taking on financial healthcare risk, allows healthcare providers greater flexibility in the development of care offerings, delivery vehicles, and performance under value-based care models and incentives. A number of current Mayo Clinic strategic priorities require a capability system focused on clearly and accurately assessing this financial risk in order to deliver upon expected performance. As a RSI Senior Modeler, you will be empowered to support short and long term strategic/operational business activities; use quantitative analytics to design, develop and/or enhance reports and models that will have an impact on enterprise revenue strategies and business decisions. In this role, you will have the opportunity to lead in creating viable, valuable solutions to improve the world's best healthcare system in a complex health care landscape. Primary Responsibilities: Participates in the development of financial models, cost of care analysis, pro-forma statements, and ad-hoc reports. Use various tools to produce insightful data analytics and meaningful interpretations of relevant healthcare claims pricing, reimbursement and utilization data. Analyze and interpret healthcare claims data to create and review monthly / quarterly and ad hoc exhibits based on detailed data sets. Perform data analysis that impacts pricing and reimbursement strategies, service utilization, cost of care, risk score, financial forecasts and risk assumptions. Interprets data requests from users and identifies the correct venue for information and its translation into understandable terms. Build and maintain actuarial, financial, or healthcare economic models for analyzing healthcare claims, risk scores and demographic data. Develop presentation materials and communication results of the healthcare analyses to various stakeholders. Other duties as assigned.
*This position is 100% remote work. Individual may live anywhere in the US.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.
Qualifications
Bachelor's Degree in Health Informatics, Math/Statistics, Finance/Business or other related field required. Master's degree preferred. Six years' direct experience can be considered in lieu of Bachelor's Degree with approval of Chair of RSI.
Strong analytical ability and familiarity with advanced financial and healthcare concepts. Knowledge of healthcare claims data, cost & utilization metrics and coding structures a plus. Ability to learn quickly and work independently. Ability to prioritize tasks among competing deadlines and manage multiple projects concurrently. Excellent critical thinking skills, decisive judgment, self-motivated and proactive; and ability to work productively with minimal supervision. Ability to balance analysis vs. over analysis to provide accurate direction insights based on limited datasets. Three to five years of data analytics experience in the healthcare industry working with extensive amounts of healthcare data and major databases. Proficiency in MS Excel, SAS and/or SQL; working knowledge of Word and PowerPoint. Good interpersonal skills and communication skills, both oral and written.
About Us
Why Mayo Clinic
Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. You'll thrive in an environment that supports innovation, is committed to ending racism and supporting diversity, equity and inclusion, and provides the resources you need to succeed.
About the Team
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.
Affirmative Action and Equal Opportunity Employer
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.
