Business Analyst, Operations FT

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Job Summary
The Business Analyst, Operations will provide analytical support and strategic planning for UMC Health Plan Operations

Reports to: Director, Health Plan Operations

Job Specific Responsibilities
• Perform budgeting, predictive modeling, forecasting, financial reporting, and analysis to support
business decisions
• Communicates with project partners, vendors, providers, and others to ensure adherence to
company policies, procedures, and compliance of health informatic records
• Closely monitor and track plan expenditures and performance metrics to provide detailed reports
• Make recommendations based on analysis of plan performance, claims experience, and overall
vision and direction of UMC Health Plan
• Prepare, analyze, and interpret statistical data on health plan performance and utilization data
• Prepares and monitors accounts payable activities, trend data, and plan design shifts
• Provides cost justification and/ or return on investment (ROI) for potential plan improvements
• All other assigned duties related to analytics within the assigned department

Education and Experience
• High School Diploma or GED, Preference for Bachelors degree
• +2 years analyst experience with health plans or in a healthcare provider environment
• +2 years working knowledge of Hospital Accounting and/or Provider Network financial
management

Knowledge, Skills and Abilities
• Knowledge of Managed Care principles and health plan industry standards regarding funding and
reimbursement methodologies
• Practice of Cost Accounting standards and principles and practice management analysis
• Proficient in mining data and manipulating spreadsheets to perform detailed analytics
• Excellent communication skills, both written and verbal
• Knowledge of medical terminology and diagnosis coding is helpful

Physical Capabilities
This position requires sitting for extended periods of time during the day. Talking and hearing is essential to be successful in this role

Environmental/Working Conditions
This position is subject to inside environmental conditions, protection from weather conditions, not
necessarily from temperature changes.

UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

*Request for accommodations in the hire process should be directed to UMC Human Resources.​*