CHARLESTON, WV Intermountain Health
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Job Description:
This role will work directly with the Provider Development department, with the team focused on compliance and audit with CMS, HIPAA, ACA, CAA, NCQA, legal, federal and state regulations, network adequacy and expansion, and delegated credentialing.
Essential Functions:
· Regularly interprets and monitors departmental contractual compliance of government requirements including determining the business impact and managing the collection and submission of required performance metrics and data reporting requirements. Actively participates on national and local standards committees.
· Provides project guidance and training to less experienced users/analysts to increase department and systems knowledge and understanding.
· Provides support as projects and applications move through the process and post implementation.
· Oversees accuracy of department processes and policies.
· Gathers/develops and documents business requirements and functional mapping documents to support system enhancements.
· Evaluates and provides assistance and guidance to process owners and internal stakeholders in the planning and execution of process improvement activities including identifying suitable strategies, methodologies, and interventions necessary to achieve desired outcomes.
· Develops, publishes, and maintains reports for daily, weekly, monthly, and quarterly use by extracting data from multiple sources regarding provider to member access and network adequacy.
· Provides business intelligence solutions by turning data into useful and meaningful information so stakeholders can make timely and informed decisions.
· Collects, manipulates, and analyzes data from system to system, assessing trends to be used for performance improvement initiatives and to solve business related problems.
· Presents to large groups regarding results of data analytics reports and functions.
· Support internal and external compliance and audit support
· May represent manager in absence for meetings, tasks, and deliverables.
Skills:
· Analytical Thinking
· Business Acumen
· Communication
· Continuous Improvement
· Data Analytics
· Detail Oriented
· Documentation
· Organization
· Problem Solving
· Project Management
· Reliability
· Report Building
· Quality Assurance
· Strategic Planning
· Time Management
· Work Prioritization
Minimum Qualifications:
· Bachelor’s degree and four years of experience in health care, health insurance, business analysis or information systems. Degree must be obtained through an accredited institution. Education is verified. -or-
· Eight years of experience in health care, health insurance, business analysis or information systems.
· Demonstrated advanced skills with spreadsheets, word processing, and database applications.
· Demonstrated ability to design and run complex queries and reports.
Preferred Qualifications:
· Excel, Tableau, Salesforce experience
· Lean Six Sigma (Green Belt or Black Belt), Certified Associate in Project Management (CAPM) or Project Management Professional (PMP) certification.
· MBA or MHA
· Experience working in a health care related industry, understanding compliance and audit requirements.
· Understands most types of information used in a healthcare environment and how data is produced, consumed and transformed.
· Demonstrated analytical, organizational, and communication skills.
· Proficient at solving complex problems.
· Skilled at bringing order to ideas and processes as well as communicating business concepts to technical and non-technical personnel.
· Knowledge of health care related products and services.
· Knowledge of market dynamics, legal contracts and health insurance regulations.
Physical Requirements:
Interact with others requiring the employee to communicate information.
Operate computers and other IT equipment requiring the ability to move fingers and hands.
See and read computer monitors and documents.
Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
Location:
SelectHealth – Murray
Work City:
Murray
Work State:
Utah
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$39.18 – $61.67
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) , and for our Colorado and Montana based caregivers (http://www.sclhealthbenefits.org) .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
All positions subject to close without notice.
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Intermountain Health
Job Hiring / CHARLESTON, WV / Business Analyst Technical Senior / Intermountain Health >> APPLY/LEARN MORE >> https://de.jobsyn.org/1887d0018dd1499ea1a55d8cb1b6905b8003 >> #job #jobs #hiring #BGJobs
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US Work-eligible
CHARLESTON, WV
