Senior Analyst, Hospital Financial Operations

The Senior Analyst, reporting to the VP of Hospital Financial Operations, provides analytical support to the Revenue Integrity and Health Plan Contracting functions through project management, data and financial analyses, health plan contract process management, and assistance with chargemaster, charge capture and pricing projects. Will support both the Vice President of Revenue Integrity, Vice President of Health Plan Contracting, and other assignments as directed by the VP Hospital Financial Operations.

Community Hospital Corporation (CHC) is a DFW Top 100 Employer and Top 150 Great Places to Work in Healthcare by Becker’s Hospital Review. This is an exciting onsite role at our beautiful corporate offices located in Plano between Legacy West and the Grandscape. At CHC we enjoy an outstanding work environment, covered parking, comprehensive health and welfare benefits including paid fitness facility membership, tuition reimbursement, a generous PTO allowance, and a great company culture.

Major Responsibilities

• Health Plan Contracting:
  • Serve as a resource on managed care matters to hospital personnel
  • Model the impact of proposed rates and terms and present to hospital and corporate management prior to contract finalization
  • Assist in negotiations with payers regarding terms and rates and preparec ontracts for final signature
  • Periodically review hospitals monthly contractual adjustment computations for accuracy and compliance with policies
  • Audit payments received from managed care companies to ensure accuracy at each hospital against contract terms
  • Complete credentialing and re-credentialing applications for client hospitals
  • Assist in the maintenance of various databases of contract information
• Revenue Integrity
  • Serve as a resource to research charge compliance related from hospital personnel.
  • Assist on chargemaster code compliance review projects by preparing and analyzing data, conducting meetings with hospital department managers and creating final work products.
  • Perform data analyses and manipulation related to strategic pricing projects.
  • Assist in conducting current state charge capture assessments and documenting accordingly.
  • Perform the research and functions necessary to assist hospitals in maintaining compliance with quarterly and annual code updates.
• Financial Analysis
  • Support for monthly operating report preparation using the Cognos Tool.
  • Support for maintenance and ad hoc analysis using the CHC Productivity Tool.
  • Periodic support for CHC client hospitals with financial analytical needs.
  • Other data and analytical tasks as assigned by the VP of Hospital Financial Operations.
• General Duties
  • Upholds and supports the company’s mission, vision, and values
  • Participate in seminars and conferences to stay current on technical and legal developments
  • Perform other miscellaneous job-related duties as assigned by the Vice President of Revenue Integrity and the Vice President of Health Plan Contracting.

Requirements

Experience/Education

• BBA or BS Degree
• Five or more years experience in healthcare financial operations.
• Health plan contracting and chargemaster and/or coding experience preferred.
• Experience in completing moderately complex data analyses required.

Skills and Knowledge

• Ability to define and prioritize specific realistic, goals and objectives
• Ability to identify, analyze and effectively resolve operational and administrative problems
• Ability to work independently and manage multiple projects simultaneously
• Ability to be trustworthy
• Ability to professionally and successfully interact with a variety of internal and external parties
• Communicates openly and in a timely way
• Shares information appropriately
• Keeps others well informed
• Encourages others to share contrary views
• Responds in a timely manner to messages/requests
• Possesses a core set of ethical values
• Negotiation skills
• Knowledge of hospital revenue cycle and the impact of such operations on hospital reimbursement
• Knowledge of hospital and physician health plan contracts, and the impact of such contracts on hospital operations
• Knowledge of all types of healthcare payer sources such as commercial, governmental, workers compensation and others.

• Proficient understanding and application of the concepts and terminology unique to the healthcare industry.
• Proficient PC sk