Data Analyst (flex-hybrid)

Job Posting

Work Location: Los Angeles, CA, USA

Onsite or Remote

Flexible Hybrid

Work Schedule: Monday-Friday, 8am-5pm PST

Salary Range: $76200 - 158800 Annually

Employment Type: 2 - Staff: Career

Duration: Full time Employee

Job #: 17160

Primary Duties and Responsibilities

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Job Qualifications

Bachelor's Degree in Business Administration, Information Systems, Health Care or other related field required

Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or encounters required

Minimum of five (5) years' experience with CMS processes in a Medicare or Managed Care environment required

Experience with CMS processes is a plus

Knowledge of SQL window based computer environment including MS Office and related programs is a plus

Knowledge of encounter regulatory reporting and compliance requirements

Experience managing vendors to contractual requirements

Strong ability to research and resolve encounter issues

Strong knowledge of the health care model, capitation and other managed care IPA and provider reimbursement methodologies

Strong knowledge of physician and facility billing practices, appropriate CPT coding initiatives, ICD-10 coding standards, as well as Revenue and HCPCS coding

Strong leadership skills, with the ability to articulate goals, plan and implement processes to achieve those goals, recognize and assess the implications of confounding variables, anticipate consequences, and meet deadlines

Demonstrated ability to analyze and organize complex federal and private insurance regulations

Working knowledge of Microsoft Office Suite (Excel, Word, and PowerPoint) and data visualization tools

Skill in prioritizing and performing a variety of duties within a system that has frequently changing assignments, priorities and deadlines

Reliability and compliance with scheduling standards

Strong leadership and interpersonal skills

Initiative, problem identification, resolution and analytical skills are essential

Excellent oral and written communication skills are required

Ability to modify and adapt operational procedures to changing operational needs

Strong critical thinking and the ability to apply knowledge at a broad level within a complex academic medical center is essential

Ability to develop, implement, and evaluate methods and systems to improve efficiency

Proven skills to lead and facilitate cross-functional workgroups and other meetings

Ability to work as part of a team, collaborating with colleagues

Ability to analyze and organize complex federal and private insurance regulations

Must be effective at working independently with minimal supervision

Ability to support the working hours of the department

Ability to travel/attend off-site meetings and conferences

Ability to set and manage priorities judiciously

Excellent interpersonal skills; demonstrated ability to give and receive constructive feedback

Ability to articulate ideas to both technical and non-technical staff

Exceptionally self-motivated; ability to motivate and participate in a team-oriented, collaborative environment

Superior analytical and problem solving abilities

Must be customer service oriented, be able to work well individually and as part of a team; and have a strong work ethic