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Sr Financial & Data Analyst – Healthcare Economics

🕒 yesterday
📍 🇺🇸 Des Moines - Hybrid🎸 Senior📈 Financial Analyst💼 Full-Time
Financial AnalysisData ModelingMicrosoft ExcelPower BI
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📜 Description

  • Lead, design, implement, and maintain provider reimbursement strategies and financial reporting.
  • Apply understanding of contracting, claims payment procedures, and payment policy to lead initiatives.
  • Build and maintain strong business relationships with Health Network team members.
  • Mentor team members and serve as the subject matter expert on provider reimbursement.
  • Make strategic recommendations to leadership regarding payment policy decisions.

🛠️ Requirements

  • Bachelor's degree in accounting, finance, business, economics or related field or direct and applicable work experience.
  • 7+ years of relatable experience within the health insurance, healthcare or related financial industry experience including demonstrated experience performing financial analysis and data modeling preferably in a healthcare setting.
  • Solid knowledge of and demonstrated ability in Microsoft Excel along with technical proficiency with tools such as Power BI, Tableau, SAS EG and/or SQL.
  • Knowledge of hospital, physician and other provider payment and contracting strategies.
  • Demonstrated knowledge of the health insurance industry including delivery systems and managed care concepts; thorough understanding of reimbursement, contracting, claims processing, medical policies.
  • Experience interpreting claims data, trends and provider utilization in order to determine payment strategy or payment strategy results.
  • Demonstrated forethought of issues before questioned; ability to research, ask questions and find solutions to potential problems.
  • Demonstrated problem-solving, quantitative and analytical skills; ability to recognize inconsistencies, analyze for reasonableness and accuracy, research and come to conclusions.
  • Comprehensive knowledge of nationally recognized provider compensation strategies.
  • Strong attention to detail (timeframes, resources, parties involved, communication, etc.) in developing and implementing action plans.
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