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Revenue Analyst II - Finance

Department:  Business Services
Status:  Full Time
Shift:  1st

The Revenue Analyst II is a technical expert with strong analytical experience in a healthcare environment with an emphasis on managed care and government reimbursement. This role serves as a financial resource for both clinical and administrative areas and will act as a lead analyst on projects.

As part of the Finance Revenue team, this position will support Managed Care Contracting for contract modeling and revenue impact analysis in support of negotiations, helping to identify underpayments, and tracking profitability within our managed care contracts. This position will also prepare analyses related to the financial impact of Medicare and Medi-Cal changes in reimbursement in order to identify financial and or operational impacts on revenue.

As part of other on-going responsibilities, the position will support the Revenue Finance Team with Adhoc revenue impact analysis related to items such as payer mix, acuity, reimbursement, and volume. The incumbent will also own and maintain specific recurring reporting related to month-end close and provide support in the development of each years Operating Revenue Budget.

The individual projects an image of professionalism in communication, appearance, and conduct and supports the department and the organization’s mission and vision. Willing and capable to work independently and in a team environment is essential. Task lists management; accomplishing quality results on time in a high demand environment is required. The position will act as a financial resource for leadership across all business units.

 

Essential Functions: 

 

  • Support Managed Care Contracting negotiations by modeling of all top payor contracts in an effort to identify effective rate proposals.
  • Prepares analysis related to the financial performance of existing payer contracts to identify the financial performance of those agreements. Recommends areas of improvement.
  • Prepares analysis related to the financial impact of Medicare and Medi-Cal changes in government reimbursement and regulation to identify the financial and/or operational impacts on revenue.
  • Assist Revenue Manager in projecting hospital net patient revenue for the operating budget, and month-end close, as applicable.
  • Possess expert analytical skills necessary to evaluate material variances, trends, and correlations in revenues, reimbursement, and volumes.
  • Perform other duties as assigned

 

Education, Training, and Experience:

 

Required:

  • Bachelor’s degree in business administration, finance, accounting, or healthcare administration.
  • 3-5 years’ experience as an analyst in a healthcare environment with an emphasis on managed care reporting and reimbursement

 

Skills or Other Qualifications:

 

Required:

  • General understanding of DRG and CPT/HCPC Medical Coding and Medical Terminology.
  • Strong understanding of Managed Care and Government reimbursement methodologies.
  • General knowledge of hospital operations (Revenue Cycle: Registration, Patient Accounting/Billing, data processing).
  • Proven excellent communication and customer service skills, including the ability to progressively investigate, analyze and identify sources of problems, provide practical solutions, and negotiate resolutions.
  • Strong computer technical skills required, including proficiency with Microsoft Office products (Word, Excel, Access, and PowerPoint).
  • Ability to make independent business decisions, considering both the impact on client satisfaction and overall financial impact for the department and organization.
  • Ability to streamline processes for efficiency.
  • Strong analytical aptitude and experience creating financial models. Possesses a good sense of general business acumen.

 

Preferred:

  • Understanding of Accounting Principles and Hospital Financial Reporting

 

Position reports to Revenue Manager

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