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Data Analyst (flex-hybrid)
Data Analyst (flex-hybrid)University of California - Los Angeles Health • Los Angeles, California, United States
Data Analyst (flex-hybrid)

Data Analyst (flex-hybrid)

University of California - Los Angeles Health • Los Angeles, California, United States
Hace más de 30 días
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

Description

As a member of the Medicare Advantage Operations

team, Business Data Analyst is instrumental in independently developing the

detailed requirements specifications according to business needs.

In this role, you will :

work directly

with and serve as the liaison between business units, external trading

partners, IT teams and support teams

ensure functional and non-functional

requirements are understood and implemented consistent with the Business Data Analyst's

vision

  • perform testing, design and delivery requirements

work with the team

to identify, analyze, quantify, and mitigate business risks

collaborate with

the training / development staff to deliver and update training documentation

  • generate adhoc reports to support operations team as needed
  • This is a flex-hybrid role which will require you to be onsite as required by operational need; there are no reimbursements for travel to "home office" location. Each employee must complete a FlexWork Agreement with their manager which will outline arrangement parameters and aids both parties in fully understanding expectations. Arrangements are regularly evaluated, and are subject to termination.

    Salary offers are determined based on various factors including, but not limited to, qualifications, experience, and equity. The full salary range for this position is $78,600 - $163,600 annually. The budgeted salary or hourly range that the University reasonably expects to pay for this position is approximately between $80,000 - $113,000 annually.

    Qualifications

  • Bachelor's Degree in Business Administration, Information Systems, Health Care or other related field required
  • Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or encounters required
  • Minimum of five (5) years' experience with CMS processes in a Medicare or Managed Care environment required
  • Experience with CMS processes is a plus
  • Knowledge of SQL window based computer environment including MS Office and related programs is a plus
  • Knowledge of encounter regulatory reporting and

    compliance requirements.

    Experience

    managing vendors to contractual requirements.

    Strong ability

    to research and resolve encounter issues.

    Strong

    knowledge of the health care model, capitation

    and other managed care IPA and provider reimbursement methodologies.

    Strong knowledge of physician and facility billing

    practices, appropriate CPT coding initiatives, ICD-10 coding standards, as well

    as Revenue and HCPCS coding.

    Strong

    leadership skills, with the ability to articulate goals,

    plan and implement processes to achieve those goals, recognize and assess the

    implications of confounding variables, anticipate consequences, and meet

    deadlines.

    Demonstrated ability to analyze and organize

    complex federal and private insurance regulations.

    Working knowledge of Microsoft Office

    Suite (Excel, Word, and PowerPoint) and data visualization tools.

    Skill in prioritizing and performing a variety of

    duties within a system that has frequently changing assignments, priorities and

    deadlines.

    Reliability and compliance with scheduling

    standards.

  • Strong leadership and interpersonal skills
  • Initiative, problem identification, resolution

    and analytical skills are essential.

    Excellent oral and written communication skills

    are required.

    Ability to modify and adapt operational

    procedures to changing operational needs

    Strong critical thinking and the ability to apply

    knowledge at a broad level within a complex academic medical center is

    essential.

    Ability to develop, implement, and

    evaluate methods and systems to improve efficiency.

    Proven skills to lead and facilitate

    cross-functional workgroups and other meetings.

    Ability to work as part of a team, collaborating

    with colleagues.

    Ability to analyze and organize complex federal and

    private insurance regulations.

    Must be effective at working

    independently with minimal supervision.

    Ability to support the working hours

    of the department.

    Ability to travel / attend off-site meetings and

    conferences.

    Ability to set and

    manage priorities judiciously

    Excellent interpersonal

    skills; demonstrated ability to give and receive constructive feedback

    Ability to articulate

    ideas to both technical and non-technical staff

    Exceptionally

    self-motivated; ability to motivate and participate in a team-oriented,

    collaborative environment.

    Superior analytical and

    problem solving abilities

    Must be customer service

    oriented, be able to work well individually and as part of a team; and have a

    strong work ethic.

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    Data Analyst • Los Angeles, California, United States