Description

Job Title: Medical Economics Analyst

Description

Employment Status:

Full time

Shift:

Day (United States of America)

Facility:

213 S Jefferson St - Roanoke CP07 Carilion Medical Center.

Requisition Number:

R156853 Medical Economics Analyst (Open)

How You'll Help Transform Healthcare:

The Medical Economics Analyst II is responsible for reporting and analysis in monitoring payer performance. Using a variety of data sets, you will identify, analyze, and monitor payer utilization trends or patterns. You will assist the Medical Economics Director or takes lead in routine and ad-hoc reporting and analytics in support of organization's financial operations and service line teams. Ensure timely, accurate updates of SPR Dashboards. Provide material financial impact analysis and considerations resulting from contract fee schedule updates. Assist in fee schedule updates and troubleshoots variance root cause.

Onsite is preferred, hybrid or remote work option is available. Candidates residing in the following states can be considered for remote work: Alabama, Florida, Georgia, Arkansas, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, West Virginia, and Virginia.

• Performs research, data mining and reporting for various customers inside and outside Strategic Payment Relationships.
• Leads development and updates of SPR Dashboards.
• Demonstrates advanced understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10, CPT, HCPCS II, DRG and revenue codes.
• Applies knowledge of commercial and government payer trends to assist with modeling and analyzing contract proposals.
• Applies fundamental knowledge of various reimbursement methodologies including, Per Diem, DRG, fee schedules, and percent of charge to modeling and analytic initiatives.
• Performs material financial impact analysis resulting from contracting, payer, government and market forces.
• Identifies, analyzes, and monitors trends or patterns from multiple data sources.
• Produces routine and ad hoc reports and analysis to meet customer needs.

What We Require:

Education: Bachelor's degree required or 4 years of relevant experience maybe considered in lieu of degree.

Experience: Minimum 3 years of experience.

Licensure, certification, and/or registration: Department may require certification specific to area.

Other Minimum Qualifications: Good organizational skills, analytical, dependable, detail oriented, interpersonal skills. Advanced Microsoft office skills. Clear, effective communication skills.

This job description is only meant to be a representative summary of the major responsibilities and accountabilities performed by the incumbents of this job.  The incumbents may be requested to perform job-related tasks other than those stated in this description. 

Recruiter:

MARK MISKOVIC

Recruiter Email:

mamiskovic@carilionclinic.org

For more information, contact the HR Service Center at 1-800-599-2537.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color,  religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.

For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies

Benefits, Pay and Well-being at Carilion Clinic

Carilion understands the importance of prioritizing your well-being to help you develop and thrive.  That's why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life at work and when you're away.

When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:

• Comprehensive Medical, Dental, & Vision Benefits
• Employer Funded Pension Plan, vested after five years (Voluntary 403B)
• Paid Time Off (accrued from day one)
• Onsite fitness studios and discounts to our Carilion Wellness centers
• Access to our health and wellness app, Virgin Pulse
• Discounts on childcare
• Continued education and training

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