DaVita Medical Economics Analyst - St. Petersburg FL in ST. PETERSBURG, Florida
Medical Economics Analyst - St. Petersburg FL
DaVita Medical Group manages and operates medical groups andaffiliated physician networks in California, Nevada, New Mexico, Florida,Colorado and Washington in its pursuit to deliver excellent-quality health carein a dignified and compassionate manner. As of June 30, 2016 DaVita MedicalGroup (formerly HealthCare Partners) provided integrated care management forapproximately 760,000 patients. DaVita Medical Group’s leadership developmentinitiatives and social responsibility efforts have been recognized by Fortune,Modern Healthcare, Newsweek and WorldBlu.
We are committed to bringing the benefits of coordinatedcare to our patients and to taking a leading role in the transformation of thenational healthcare delivery system to assure quality, access, and affordablecare for all.
If you're looking to make a difference with a large,financially stable, well-recognized medical group, DaVita HealthCare Partnersmay be the employer for you!
We are seeking a MedicalEconomics Analyst to join our talented team!
The Medical Economics Analyst provides value-addedanalytical support to key leadership as well as various departments within thecompany. The position will utilize thecandidate’s highly technical skills in order to create analyses, generatereports and build processes that will add actionable value to ourorganization. The position will reportdirectly to the Senior Manager of Medical Economics while also taking directionfrom the CFO, senior management and medical directors.
* Essential Functions: *
The analyst will be responsible fortranslating complex data into constructive information and will assistend-users to support decision making.He or she will research, manipulateand prepare complex data and be able to report on its results.He/she develops and maintains reporting datawarehouses using SQL Server, MS Access and/or other relevant businessintelligence software.He/she will be tasked with identifyingopportunities for improved savings and/or accuracy in reimbursement of premium
* Education: *
Minimum: Bachelor’s degree or equivalent required
Preferred: Master degree
* Experience: *
3 years business decision support or financial analyticalsupport using SQL, SAS, MS Access and frontend reporting tools (SSRS, Excel, MSAccess, Tableau, etc.)
Advanced Excel skills (complex formulas, pivot tables, dynamic visualizations,VBA, macros) required.
Strong knowledge of Medicare/Medicaid programs or financialreporting in the health insurance industry.
Knowledge, Skills, and Abilities:
Ability to effectively interpret data and communicatefindings/recommendations both orally and in writing appropriate to the audience
Ability to utilize database technology to effectively querydata and generate reporting analyses for senior management and medicaldirectors
Ability to read and interpret financial statements andunderstand the economic drivers relevant to the managed care industry
Understanding of medical terminology as it pertains tomanaged care data environment including but not limited to: ICD-9, ICD-10,CPT-4, DRGs and risk adjustment
Understanding of the managed care industry as it pertains toinsurance, physician groups, risk contracting and incentive arrangements
Understanding of medical claims and the components andvariables that affect the nature of payment reimbursement
Understanding of premium and funding as it pertains tophysician group contracts
Understanding of the variables and/or components thatcomprise Medicare Advantage and Medicaid premiums
Ability to take direction from and communicate effectivelywith senior management and medical directors on a daily basis
A strong focus on process improvement and a proven trackrecord of prior improvements
In-depth knowledge and understanding of the various types ofcontractual relationships payors may have with providers, including globalrisk, capitation and risk-sharing arrangements
Organizational and project management skills to manageprojects effectively; ability to manage multiple projects simultaneously
Exercises self-awareness; monitors impact on others
Receptive to and seeks out feedback; uses self-discipline toadjust to feedback
Ability to conduct analytic work in an efficient manner withminimal re-work including effective use of the peer review process
Excellent verbal and written communication skills;outstanding interpersonal skills; the ability to relate positively withindividuals at all levels both internally and externally .
Primary Location FL-ST. PETERSBURG - 33702
Req ID: 301120