Health Data Operations Specialist: Revenue & Payor Analytics

UMC Health System; Northern (KY); Hybrid; USD 65,000 - 90,000; Full time

Job summary

UMC Health System is seeking a Health Data Operations Specialist to support managed care revenues, payer relations, and cash collections on-site. You will analyze data, negotiate contracts, and prepare reports to inform leadership and external partners.

The role requires strong Excel/Access skills, experience with healthcare data analytics, and the ability to present findings to diverse audiences. Collaboration across departments is essential for success.

Qualifications

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

Responsibilities

• Assist with contracts to increase inpatient and outpatient net revenue.
• Assist in negotiating 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.

Skills

Data analytics

Excel

Access

Presentation

Interpersonal skills

Education

High school diploma

Bachelor's degree preferred

Tools

Microsoft Access

Microsoft Excel

Job description

UMC Health System is seeking a Health Data Operations Specialist to support managed care revenues, payer relations, and cash collections on-site. You will analyze data, negotiate contracts, and prepare reports to inform leadership and external partners.

The role requires strong Excel/Access skills, experience with healthcare data analytics, and the ability to present findings to diverse audiences. Collaboration across departments is essential for success.