Health Data Operations Specialist (On-site)

UMC Health System; United States; On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Resilience program

On-Site Professional Counselors (EAP)

Retirement Benefits w/Employer Match

PTO & Extended Illness

Medical

Job summary

UMC Health System is seeking a Health Data Analyst to support the Managed Care Director in developing strategies to improve net revenue, payer relations, and cash collections for the health system and affiliates. The analyst will extract, analyze and report data to optimize contracts, reimbursement trends, and overall financial performance across inpatient and outpatient services.

The role requires collaboration with departments and leadership to create actionable insights and dashboards for

Qualifications

• Requires a Bachelor's degree preferred; two years data analytics/healthcare experience recommended.
• Proficient in data extraction, analysis, and reporting for managed care.
• Strong communication and presentation skills for internal/external stakeholders.

Responsibilities

• Assist with new and current contracts to increase inpatient and outpatient net revenue.
• Assist in negotiating and renegotiating managed care agreements and payment issues.
• Create standard and ad-hoc data extracts/reports from multiple data sources.
• Assist with Provider credentialing and enrollment.
• Analyze contract performance, reimbursement trends, and payment variances.
• Maintain data and generate insights to inform business decisions.

Skills

Excel

Data analysis

Communication

PowerPoint

Education

Bachelor's degree in Healthcare Administration or related field

High School Diploma or GED

Tools

EHR systems

Job description

We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®.

The Health Data Analyst is responsible for assisting the Managed Care Director in developing and implementing strategies to improve managed care net revenue, payor and business relations, and cash collections for University Medical Center and its affiliates.

Reports to Director, Managed Care.

Job Specific Responsibilities

• Assist with new and current contracts to increase inpatient and outpatient net revenue.


• Assist in negotiating, renegotiating managed care agreements, interacting with payors on contract compliance, and payment issues.


• Responsible for standard and ad-hoc extracts/reports across multiple data sources.


• Assist with Provider credentialing and enrollment.


• Analysis of managed care contract performance, reimbursement trends, and payment variances.


• Maintain data, extract, analyze data and trends to provide business insights based on findings.


• Create relevant and user-friendly reports and presentations for internal and external customers.


• Provide suggestions on ways to improve payer contracts, quality, and cost effectiveness for the Hospital System.


• All other assigned duties as requested by assigned department.

Education and Experience

• High School Diploma or GED


• Bachelor’s degree in Healthcare Administration, Finance, Accounting, Economics, Data Analytics, or a related field preferred.


• Two (2) years of experience in healthcare data analytics, managed care, payor operations, healthcare finance/revenue cycle, healthcare operations, or a related field.


• Experience working with healthcare payers and reimbursement data preferred.

Required Licensures/Certifications/Registrations

• Certification by the Healthcare Financial Management Association (HFMA) preferred or expected within 24 months of employment.

Knowledge, Skills and Abilities

• Proficient in use of Microsoft Office Suite applications, including Access and Excel.


• Demonstrated ability to present to small and large audience and explain analytical findings.


• Demonstrated ability with data analytics with ability to generate graphs/reports from analytical results.


• Analytical mindset with good problem-solving skills in using data.


• Good interpersonal skills.

Interaction with Other Departments and Other Relationships

Interacts internally with Patient Financial Services (Patient Accounting), marketing, Financial Counseling, Information Systems (IT), Compliance, Case Management, Medical Director(s) and UMC Physicians (UMCP). Also interacts externally with Texas Tech Health Sciences Center, TeamChoice, various payors, health plan, and other providers.

Physical Capabilities

Occasionally exerts up to 25 lbs. of force and/or frequently exerts a small amount of force to lift, carry, push, pull, and move objects. Work involves sitting most of the time but may involve walking or standing for brief periods of time. This position requires frequent typing/keyboarding and some reaching in all directions.

Must be available to work 8:00 am to 5:00 pm Monday through Friday plus after hours as needed. Be available by pager or cellphone as needed.

Environmental/Working Conditions

This position is subject to inside environmental conditions; protection from weather, but not necessarily temperature changes.

UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. *Request for accommodations in the hire process should be directed to UMC Human Resources.*

Benefits:

• Resilience program


• Emotional


• Physical


• Spiritual


• Financial


• Career


• Community


• On-Site Professional Counselors (EAP)


• Discounted Pharmacy Cost


• Cash Retention Bonus (only one in our region)


• Retirement Benefits w/Employer Match


• PTO & Extended Illness


• Medical


• Dental


• & Vision Insurance


• And more at: https://apps.umchealthsystem.com/documents/wellness.pdf

UMC Vision, Mission and Standards:

Vision: To Serve Our Patients in the Best Teaching Hospital in the Country

Mission Statement: Service is our passion. We serve by providing safe, high quality care to all, achieving excellent financial performance, and training tomorrow’s healthcare professionals.

Standards of Excellence: Attitude, Communication, Responsiveness, Compassion, Teamwork, Ownership, Safety and Respect

About UMC Magnet Designated 501 licensed beds 62 Site locations Regions only Level I Trauma Center Regions only BICU DNV accredited Primary teaching hospital for the Texas Tech University Health Sciences Center (TTUHSC) Ranked as one of the Best Places to Work in Texas by Texas Monthly UMC Physicians Culture, Vision, Mission, and Standards: Culture: Service is Our Passion Vision: The best place to work and the best place to receive healthcare. Mission Statement: To improve the quality of life for our community by providing the best patient experience for every patient. Standards: Teamwork, Respect, Accountability, Compassion, Kindness About UMCP 35 Practice Locations – private practices and urgent care centers Over 125 physicians and advanced practice providers Ranked as “One of the Best Places to Work in Texas” by Texas Monthly Employee Engagement Score of 96% measured by Press Ganey Associates