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Title: Data Analyst: Location: SACRAMENTO, CA Duration: 3 to 6 Months Interview: NON-LOCALS OKAY BUT LOCALS WILL BE PREFERRED. Please review thoroughly and let me know if you are able to assist. This order is fully approved and a top priority for the client. Report preparation and analysis could include any/all of the areas of managed care, billing, accounts receivable, reimbursement, and scheduling. The Reporting Analyst II will also be responsible for generating both recurring and ad hoc reports per the direction of Supervisor, Analytical Reporting Services and integrating information from those analyses into written management reports. They will be expected to perform various special projects as assigned, as well as meet appropriate accuracy standards and deadlines. III. Reporting Relationships The Reporting Analyst II reports directly to the Supervisor, Analytical Reporting Services. IV. Principle Accountabilities A. Analyze data from Epic, IDX MCA, BAR and/or SCHED applications, in a data warehouse environment, and develop client reports related to managed care, billing/accounts receivable, provider productivity, and/or reimbursement. 1. Summarize financial, statistical, and clinical information to be used by the Client to make related business decisions. 2. Develop/Maintain standard report set for Client to use in tracking key reporting areas. 3. Investigate and explain recent trends or abnormalities in the data and suggest corrective action as appropriate. Reviews findings with client representative \ requestor as well as Sutter Physician Services’ Client Services Manager and assist them in interpreting recent trends / abnormalities. B. Educates internal staff (Finance, Analysts, Client Services Managers, PBS) regarding the content and purpose of the reports. Prepares a variety of special projects and ad hoc reports at the request of the Client, in conjunction with prioritization and input from Client and Manager, Analytical Reporting Services. 1. Work with client and/ or designated representative with special information requests designed to meet specific business needs or provide decision support which may include: a) In-depth analysis of Epic, IDX MCA, BAR and/or SCHED data i) Analysis of data to answer specific business questions centered in the billing and accounts receivable process ii) Analysis of medical group/IPA/individual physician performance by payor, medical specialty, or geographic region. iii) Analysis of managed care cost/utilization data to support physician/specialty profiling, provider contracting, capitation agreements, etc. iv) Production of inpatient data reports surrounding bed days, admits, length of stay, readmission rates, etc. v) Reimbursement analysis in areas of underpaid claims and/or underbilled invoices for revenue recovery opportunities. b) Develop or assist in developing new reports to track/measure provider performance and productivity. 2. Provides knowledge/support and collaborates with the other analysts in the department. 3. Participate on interdepartmental teams for the purpose of improving efficiency, solving operational problems and developing or implementing new procedures and reports. C. Works collectively in a professional manner D. Adheres to Sutter Physician Services’ organizational policies and procedures and supports Sutter Health’s philosophies and initiatives. E. Other duties as required. V. Sutter Physician Services Standards A. Demonstrates commitment to Sutter Physician Services values • Accountability - takes responsibility for all actions • Honesty/Integrity - is truthful and ethical • Innovation - is creative and resourceful • Teamwork - works together in a spirit of collaboration • Excellence – contributes to distinguishing Sutter Physician Services as the best in our industry • Service – works to continuously improve services and exceed client expectations B. Compliance with Sutter Physician Services policies and procedures • Demonstrates a clear understanding of, and consistently adheres to all department and company policies and procedures • Follows safety procedures, operates equipment and performs job-related duties in a safe manner which prevents accidents from occurring • Observes dress and grooming code standards C. Compliance with Health Insurance Portability and Accountability Act (HIPAA) • Demonstrates a clear understanding of, and consistently adheres to all applicable regulations • Ensures Protected Health Information (PHI) information is used in an appropriate manner, in compliance with Sutter Physician Services’ HIPAA policy • Acknowledges responsibility to protect Protected Health Information (PHI) • This position may permit the incumbent access to clinical, financial, demographic or billing Protected Health Information (PHI) as defined in the Health Insurance Portability and Accountability Act (HIPAA). D. Planning and Time Utilization • Performs duties in a self-directed manner, with minimal supervision or direction • Ensures tasks are completed within established timeframes • Maintains regular attendance, minimizing unplanned time off • Provides proper notification of absence or tardiness VI. Minimum Position Requirements A. Education 1. Bachelor’s Degree, preferably in Business Administration, Information Technology, Finance or Healthcare, or equivalent combination of education and pertinent experience in healthcare field. B. Experience/Knowledge/Skills: 1. At least three years experience analyzing data/producing reports in a healthcare environment required. Managed care, billing and accounts receivable, and/or reimbursement preferred. 2. Experience in all 3 functional areas a definite plus but not required, as scope of services by Client may vary. Prior Experience with reporting in an Epic or an IDX environment preferred. 3. Advanced computer proficiency in the areas of spreadsheets, graphics, database, and word-processing software (MS Office products) in a Windows environment required. Prior experience reporting in a data warehouse environment preferred. 4. Experience with direct data warehouse reporting. 5. Ability to structure queries to pull data from data warehouse, then comprehend business question to roll data together in a logical, meaningful and efficient manner, and then interpret results. 6. Familiarity/Experience in SQL, Microsoft Reporting Services, OLAP reporting, data cubes, and web based reporting/deployment a plus. 7. Knowledge of Medicare, Medi-Cal and private insurance billing and related data elements of HCFA 1500 and/or UB92 forms (CPT, ICD-9, etc). Prior clinical or coding experience a plus. 8. Must have exceptional critical thinking, analytical skills and attention to detail. 9. Ability to understand existing processes and legacy databases. 10. Ability to maintain patient confidentiality. 11. Ability to independently structure client and individual physician performance reports with limited direction and supervision. 12. Ability to demonstrate creativity in the development and enhancement of performance reports. 13. Ability to manage multiple projects with varying priorities while meeting deadlines. 14. Ability to effectively interact with internal staff & clients. Establish and maintain effective working relationships. 15. Superior verbal and written communication skills are required. At least three years experience analyzing data/producing reports in a healthcare environment required. Required 3 Years Working knowledge of managed care, billing and accounts receivable, and/or reimbursement. Required Advanced computer proviciency in the areas of spreadsheets, graphics, database and word-processing software (MS Office) in Windows envrionment. Required Prior experience reporting in a data warehouse environment. Highly desired Experience with direct data warehouse reporting. Required Ability to structure queries to pull data from data warehouse, then comprehend business question to roll data together and interpret results. Required Familiarity with SQL, Microsoft Reporting Services, OLAP reporting, data cubes and web based reporting/deployment. Highly desired Experience with "Episode of Care" reporting. Highly desired Ability to independently structure client and individual physician performance reports with limited direction and supervision. Required Ability to manage multiple projects with varying priorities while meeting deadlines. Required Superior verbal and written communication skills are required. Required *Thanks & Regards* *Chris | Technical Recruiter* <http://svsintegration.com/index.php> *Email: **[email protected]* <[email protected]> <https://www.linkedin.com/in/chris-yadav-5a720889?trk=nav_responsive_tab_profile> *Ph: 408-722-9100 Ext: 105* *www.svsIntegration.com* <http://www.svsintegration.com/>
