Provider Based Analyst

Overview

This role provides financial and compliance analyses to support organizational leaders across the health system, with a primary focus on outpatient services. Responsibilities include creating and compiling reports to support decision-making and advising stakeholders on CMS provider-based compliance requirements.

Responsibilities

• Perform analysis related to new department creation as it relates to CMS provider-based and RHC regulations.
• Provide ad hoc financial analysis on clinic reimbursement impact for all hospitals across the health system.
• Respond to requests and explore and resolve problems presented by Department Leadership, IT, clinical departments, and support staff.
• Interpret and advise key stakeholders on CMS provider-based compliance per 42 CFR 413.65, and alert leadership to pertinent changes.
• Identify and interpret potential changes or new legislation impacting provider-based billing.
• Coordinate and perform onsite gap assessments for provider-based clinics and RHCs across the health system as needed.
• Understand and educate hospital and/or system personnel on best practices related to provider-based requirements.
• Participate in business meetings with clinical leadership, including creating and improving reporting packages, ongoing support, and project tracking.
• Use analytical methods to ensure reported data is meaningful and accurate.
• Develop technical ability in data analytics using various systems and tools.
• Support problem identification, resolution, and solution design for a variety of business needs.
• Serve as first point of contact for the department, interfacing with hospital leadership and staff at various levels; translate and communicate business concepts into actionable and meaningful terms.

Minimum Qualifications

• Bachelor’s degree in Business Administration, Finance, Accounting or related field.

Preferred Qualifications

• 1–2 years of experience in a healthcare setting.
• Significant experience with various software platforms, including Tableau and Microsoft Office (focus on Excel, Word, & PowerPoint).

Scheduled Weekly Hours

• 40

Exempt/Non-Exempt

• Exempt

Work Location

• United States of America

Notes on Physical Requirements and Working Environment

Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Work environment and physical demands descriptions are representative of those encountered in the role.