Overview
The purview of Novant Health’s Payor Intelligence team is the performance strategy for approximately $6B of annual net patient service revenue, as well as upside/downside VBC revenue risk. Payor Intelligence manages a unified payor dataset to develop population-level and program-specific performance insights and creates negotiation analytics and strategy for revenue from commercial and government contracts including performance and value-based care incentives. The Payor Intelligence team provides thought leadership and financial analysis for various existing and emerging payment arrangements including population risk models, episodic contracts and other strategic projects.
Payor Intelligence’s responsibilities are constantly evolving and currently represent key components of Novant Health’s strategic goals. The Senior Analyst, Payor Financials reports to the Manager, Payor Financials, and supports financial analysis and strategy for Novant Health’s payor negotiations.
This position requires a wide range of expertise and experience in health insurance payment mechanisms, as well as a high degree of familiarity with existing and emerging healthcare economic trends.
Come join a remarkable team where quality care meets quality service, in every dimension, every time.
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At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.
Qualifications
- Education: Bachelor's degree, required. Master's degree, preferred.
- Experience: Minimum 5 years of healthcare experience, with a specific focus on healthcare payment mechanisms, required.
- Additional Skills (required):
- Excellent analytical skills and ability to manipulate large data sets from multiple systems using MS Office, SQL, SAS, or other database management tool.
- Familiarity with current common coding practices including CPT4, ICD10CM, and DRGs as well as current Medicare reimbursement methodologies.
- Demonstrated project and/or process management skills. Ability to manage multiple projects, prioritizing to meet critical deadlines.
- Knowledge of pricing, healthcare finance, managed care, provider incentives, and risk contracting required.
- Understanding of healthcare expense risk for populations, its components (unit price and frequency), and drivers.
- Familiarity with provider billing and collections processes.
- Considerable knowledge of local markets served by Novant Health.
- Ability to distill data to salient information and recommendations and present findings of all analyses in a logical, concise manner and format.
- Excellent communication skills and ability to interact with all levels of management at Novant Health required.
- Ability to manage, prioritize, and take ownership of a variety of projects and demonstrate progress, meet deadlines, and bring items to closure.
- Maintains flexibility in an environment with changing and competing priorities, at times on a daily basis.
- Comply with and proactively support departmental and organizational vision, strategic imperatives, and policies and procedures.
- Ability to work independently; Self-motivated, innovative, shows initiative, creative in overcoming obstacles, can-do spirit, results focused.
- Communicate effectively with internal and external business partners translating complex ideas into compelling, actionable recommendations.
- Confident with systems, data, and analysis, and able to identify trends to take advantage of opportunities to drive continual improvement.
- Advanced Excel and PowerPoint proficiency required (PivotTable, VLOOKUP, writing formulas).
- Strong analytical and problem-solving skills, gained within a customer focused environment.
Responsibilities
It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.
- Our team members are part of an environment that fosters team work, team member engagement and community involvement.
- The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
- All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".
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