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Supervisor, Healthcare Informatics

Company: Kelsey Seybold Clinic
Location: Pearland
Posted on: September 6, 2020

Job Description:

OverviewSupervisor, Healthcare Informatics--Location:--Pearland Administrative Office Department:Health Care FinanceJob Type:--COMPANY PROFILEKelsey-Seybold Clinic. Changing the way health cares.Kelsey-Seybold Clinic is Houston's premier multispecialty group practice, founded in 1949 by Dr. Mavis Kelsey.-- With 19 clinic locations and more than 400 physicians, Kelsey-Seybold provides medical care in 55 medical specialties and is home to a nationally accredited Breast Diagnostic Center, Endoscopy Center, Infusion Center and Cancer Center.-- Our mission is to provide our team members with exceptional opportunities for professional and personal growth.JOB SUMMARYThe Healthcare Finance (HCF) department exists to monitor and improve the financial performance of Kelsey-Seybold's (KS) product lines and health plans. The HCF Analytics team is a customer service-focused department providing consultation to the KS executive team as well as to select operational and functional departments. The HCF Analytics team works closely with internal and external partners to identify revenue and cost savings opportunities, support new product and business development, ensure regulatory compliance, inform contract negotiations and complete reconciliation of incentive arrangements, claims, capitation, and premium payments with other payers, vendors and/or government entities.--The HCF department is adequately staffed by highly skilled, motivated and inquisitive individuals that deliver complex analysis of financial and utilization data to support revenue enhancement and identify cost savings opportunities. The Supervisor will oversee the work of a team of 1-3 analysts and closely collaborate with the Manager and Director of Healthcare Finance to oversee and provide financial data, reporting and other actionable information to the HCF Management Team and other departments regarding relevant business units, process, products and/or service lines. The Supervisor is responsible for ensuring timely receipt and load of external data required for the team's analysis and reporting. Responsibilities related to this position include:---- ----- Oversight and production of recurring financial reports, financial reconciliations, and analysis required to understand the key drivers of the relevant-- -- -- -- --business unit or service line.------ ----- Helping to develop and implement the systems and processes that are the foundation for reporting and analysis.-- ----- Coordinating the delivery of analytical support to internal customers including the Central Business Office, Pharmacy Services, Business Planning,-- -- -- -- -- --Accounting, Managed Care Contracting, Claims, Marketing, and Utilization Management departments and partnering with the Business Intelligence-- -- -- -- -- --team to automate and improve reporting.-- ----- Presenting findings and recommending solutions to internal and external customers and KS Executive team.-- ----- Providing subject matter and technical guidance to analysts.----EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS--(A = basics; B = preferred)EducationA.Bachelor's Degree in Finance, Economics, Mathematics, Healthcare Administration, or related field--B.MBA or MHA preferred----ExperienceA.--- 5+ years of experience in data analysis, decision support, medical economics, healthcare informatics, or managed healthcare--- 2 + years of experience supervising or managing teams and/or projects--- Demonstrated initiative and problem-solving skills--- Demonstrated ability to create and implement analysis/modeling that converts raw data into actionable business insights--- Demonstrated ability to analyze and report on business units, products or service lines with minimal supervision/direction--B.--- Experience in the healthcare industry and familiarity with healthcare systems (e.g., enrollment/eligibility, capitation, claims payment, etc.) with a Managed Care Organization (MCO)--- Knowledge of medical insurance products and basic underwriting concepts--- Experience with Medicare Part C or Health Insurance Marketplaces highly desirable, particularly with CMS risk adjustment models--- Experience in the healthcare industry with understanding of data in healthcare organizations (including claims data, ANSI 5010 837 data specifications, ICD10, Medicare Advantage, Health Insurance Marketplace, capitated payment models)----LicensesA.B.Special SkillsA.--- Advanced proficiency in Microsoft Excel--- Basic knowledge of Microsoft Power Point and Microsoft Word--- 3+ years of programming experience in SQL, SAS or similar application language--- Experience writing, debugging and documenting complex queries against relational databases--- Experience participating in/leading system design and implementation initiatives--B.--- Experience with Statistical Software (including SAS, R, Minitab, SPSS)--- Experience with reporting tools (including Crystal Reports and Microsoft Access)--- Familiarity with EPIC and Clarity reporting data warehouseOtherA.--- Fluent in English both verbal and written, effective communicator--- High level of accuracy with excellent attention detail--- Strong organizational and time management skills--- Proven ability to work in a dynamic setting and balance multiple priorities while meeting deadlines--- Superior analytical skills--- Ability to communicate complex information in a clear and concise manner--- Ability to motivate others and function as a working managerB.--WORKING ENVIRONMENTOfficeJob SummaryJob ID: 2020-22476

Keywords: Kelsey Seybold Clinic, Pearland , Supervisor, Healthcare Informatics, Healthcare , Pearland, Texas

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