Medical Economics Analyst I

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

1051 WINDERLEY PL

City:

MAITLAND

State:

Florida

Postal Code:

32751

Job Description:

Collaborates with the Senior Medical Economics Analyst to extract, collect, analyze, and interpret health utilization and financial data. Assists in researching and analyzing managed care data from various financial systems and interface tools. Supports the analysis of complex and varied healthcare data, including financial modeling and risk forecasting. Identifies and implements improvements in quality control and timeliness of reporting. Interprets analyzed data using knowledge of healthcare managed care contracts and healthcare administrative claims data. Identifies risk and exposure associated with various reimbursement structures. Produces prospective analyses on new ventures, products, and service offerings. Evaluates and understands contract language as it relates to reimbursement methodologies. Demonstrates proficiency with various reimbursement methodologies, including Per Diem, DRG, fee schedules, and percent of charge. Accumulates data in a logical format, interprets results, and prepares well-organized project-specific documentation. Communicates findings and insights to support executive decision-making. Collaborates with various teams and represents managed care to payers across multiple markets. Other duties as assigned.Knowledge, Skills, and Abilities:
• Working knowledge of value-based arrangements, including shared savings, bundled payments, pay-for-performance, and capitation, [Preferred]• Working knowledge of population health, utilization measurement, and claims analytics [Preferred]• Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical economics [Preferred]• Proficiency in understanding professional and facility claims and managed care concepts such as risk adjustment, capitation, FFS, DRG, APG, APCs and other payment mechanisms [Required]• Strong ability to handle multiple projects including problem solving, research, analysis, and communication in a fast-paced environment [Required]• Beginner/Intermediate level of proficiency working with MS Excel including Formulas, calculations, charts, and graphs [Preferred]

Education:
• Bachelor’s [Preferred]

Field of Study:
• in Finance, Health Care Administration, Accounting, Mathematics, or Health and Informatics or related field

Work Experience:
• 2+ experience performing data, financial and/or risk analytics in a healthcare environment [Required]• Epic experience [Preferred]

Additional Information:
• N/A

Licenses and Certifications:
• N/A

Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements – https://tinyurl.com/23km2677

Pay Range:

$54,680.66 – $101,717.57

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.