Financial Analyst - Provider Compensation - SMG (HYBRID)

WVU Medicine; United States; On-site; USD 90,000 - 130,000; Full time

Job summary

WVU Medicine is seeking an experienced Provider Compensation Analyst to lead analysis of provider compensation, revenue cycle indicators, and related financial performance. The role includes coordination with hospital leadership to ensure accurate reporting and timely compensation.

The ideal candidate will have a Bachelor’s degree in business/finance, 3 years of accounting experience, CPA or Master’s degree preferred, and healthcare exposure. On-site work with cross-functional teams is expected.

Qualifications

• Bachelor’s degree in business, accounting or finance is required.
• At least three years of accounting/finance experience is required.
• Healthcare experience is preferred.
• CPA and Master’s degree are preferred qualifications.

Responsibilities

• Coordinate provider performance analysis and reporting with clinical and hospital leadership.
• Prepare monthly performance reports for provider practice entities with regional leaders.
• Maintain physician compensation and contract management data for SMG.
• Monitor total compensation payments for compliance with plans and FMV standards.
• Identify revenue cycle improvement opportunities and report to Finance leadership.
• Oversee financial analysis related to new services and long-term initiatives.
• Develop and monitor physician compensation models with leadership.
• Analyze historical data and projected impact of service changes on non-academic practices.
• Maintain physician compensation plans and incentive payments.

Skills

Provider compensation

Revenue cycle analysis

Financial reporting

Budgeting

Collaboration

Education

Bachelor’s degree in business / accounting / finance

CPA certification

Master’s degree in accounting / finance / business

Tools

Job description

Leads, coordinates, and supports provider compensation and revenue cycle analysis for assigned support group. The position will provide analytical support for the development and measurement of production, compensation, and operational targets and models, and the coordination of the development, implementation, monitoring, and updating of provider compensation plans. This role will monitor and analyze provider revenue cycle indicators, identifying opportunities for improved performance. This position will work closely with the Regional Administrators, Hospital and Physician Leadership, to ensure productivity/compensation are being reported and paid to providers accurately and in a timely manner. Ensure accurate budgeting and strong monitoring of financial results to maximize efficiency and identify opportunities for margin enhancement.

MINIMUM QUALIFICATIONS:

• 1. Bachelor’s degree in business administration, accounting, finance or other related area
• 1. Three (3) years of accounting/finance related experience

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

• 1. CPA certification
• 2. Master’s degree in accounting, finance, or business administration

EXPERIENCE:

• 1. Experience in Healthcare preferred.

CORE DUTIES AND RESPONSIBILITIES:

The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

• 1. Coordinate provider performance and compensation analysis and reporting process by working with clinical and hospital leadership who play a role in the process.
• 2. Independently analyze and complete monthly performance reports for non-academic provider practice entities. Work closely with regional accountants & practice leaders to assess performance against targets.
• 3. Maintains physician compensation and contract management software for SMG.
• 4. Monitors total compensation payments made to employed and contracted providers to ensure adherence to compensation plan and compliance with Fair Market Value standards. . Communicates directly with SMG leadership regarding negative variances and rolling projections.
• 5. Continuously monitor revenue cycle performance improvement and margin enhancement opportunities and communicate to Finance and Provider Practice leadership. Specific reporting duties include: comparing reimbursement by clinic/provider and payor to ensure consistency across all practice sites; identify potential payor enrollment issues; and monitor and act upon claims denials.
• 6. Directs the payment of Medical Directorships, Call Pay and other non-productivity contractual terms.
• 7. Coordinates the completion of financial analysis related to and in support of new services, provider compensation rates, and long term strategic initiatives of the Provider Practices. Leverage Inflow or equivalent tool to aide in assessment.
• 8. Develops & Monitors Physician compensation Models, including incentives in conjunction with Finance and Provider Practice Leadership.
• 9. Conduct analytical research of historical data as well as projected impact of new or changing services related to the non-academic practices.
• 10. Oversee the process of maintaining the physician compensation plans, incentive payment calculations, and maintaining provider productivity tools & reports.
• 11. Collaborate with Hospital Finance & Reimbursement team on the completion of larger scale financial projections related to the Provider Practices.
• 12. Key member of core SMG Administration team. Analyze and provide recommendations on compensation model upgrades.

PHYSICAL REQUIREMENTS:

• 1. May need to sit during extended periods of time.

WORKING ENVIRONMENT:

The work environment ch