Dignity Health

Senior Financial Analyst

Job ID
2017-33884
Employment Type
Full Time
Department
Managed Care Contracting
Hours / Pay Period
80
Facility
Glendale Memorial Hospital and Health Center
Shift
Day
Location
PASADENA
CA
Standard Hours
varies

Overview

Dignity Health, one of the nation’s largest health care systems, is a 21-state network of 9,000 physicians, 59,000 employees, and more than 400 care centers, including hospitals, urgent and occupational care, imaging centers, home health, and primary care clinics. Headquartered in San Francisco, Dignity Health is dedicated to providing compassionate, high-quality, and affordable patient-centered care with special attention to the poor and underserved.  In FY15, Dignity Health provided $1.7 billion in charitable care and services. For more information, please visit our website at www.dignityhealth.org. You can also follow us on Twitter and Facebook.

Responsibilities

Position Summary:

 
The Senior Financial Analyst is responsible for providing analytical support for the Managed Care department that involves synthesizing data from multiple sources into clear, meaningful negotiation and decision making tools. Responsibilities include developing a local managed care utilization database, producing contract performance reports, modeling reimbursement rates, evaluating and quantifying financial contract modifications and compiling and monitoring key managed care statistics. This position will serve as a managed care resource for internal departments (i.e. patient financial services and decision support).
 
Mission:
Dignity Health and Sponsoring congregations are committed to furthering the healing ministry of Jesus.  Resources are dedicated to: delivering compassionate, high-quality, affordable heath services; serving and advocating for our sisters and brothers who are poor and disenfranchised; and collaborating with others in the community to improve the quality of life. 
 
Accountabilities:
  • Access, extract, analyze and maintain utilization data from various managed care information systems for the purposes of modeling and reporting financial statistics to drive managed care strategy and decision making
  • Model contract reimbursement terms to determine expected financial impact of contract modifications and charge master effects, with a high degree of accuracy and speed
  • Develop and generate reporting templates for monitoring managed care contract performance (both capitation and FFS) including, but not limited to:
    • P&L statements
    • Comparisons of expected yield to actual yield
    • Comparison of actual yield to cost
  • Evaluate and respond to data/statistical reporting requests from hospitals, division and system offices and working closely with Manager, Managed Care Analytics to coordinate local market efforts in support of statewide payer negotiations
  • Create, establish and ensure maintenance of ongoing tracking and reporting systems and methodologies in order to measure and document results of contract negotiations
  • Monitor and ensure that sound financial modeling practices are utilized and tools developed by the Managed Care Department are consistently applied to accurately calculate Dignity Health’s managed care expected revenues
 
Reporting Relationships:
  • Direct report to Manager, Managed Care Analytics
  • Corresponds with Hospital Managed Care Field Representatives, Directors and Managers
  • Corresponds with Hospital Level Decision Support Teams and Business Office Teams
  • Corresponds with Third Party Payors and Managed Care entities (HMOs, PPOs, et al), governmental agencies involved in contracting and managed care
 
 

Qualifications

Minimum Qualifications:
  • Five (5) years of experience in a healthcare financial setting (provider or health plan-based) with progressive responsibility or comparable combination of education and experience
  • Bachelor’s degree from an accredited university with an emphasis in healthcare, finance or a related field
  • Special Knowledge, Skills, Abilities:
    • Healthcare reimbursement methodologies
    • Healthcare coding methodologies (DRG, APC, RBRVS, ICD-9 and HCPCS)
    • Proficient in database management
    • Healthcare industry trends
    • Financial analysis techniques
    • Effective management and communication skills
    • Knowledge of hospital based information systems and programs
    • Advanced knowledge of Excel, Access and WORD or equivalents

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