Payer and Financial Analytics Manager - HCA Healthcare

Description

Introduction

Do you have the career opportunities as a Payer and Financial Analytics Manager you want with your current employer? We have an exciting opportunity for you to join HCA Healthcare which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Benefits

HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Our teams are a committed, caring group of colleagues. Do you want to work as a Payer and Financial Analytics Manager where your passion for creating positive patient interactions are valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!

Job Summary and Qualifications

The Manager, Payer & Financial Analytics is responsible for managing and organizing all existing analytical processes and needs across multiple business units for the company, including but not limited to the PCA Commercial contracting portfolio, the PCA Managed Government portfolio, the PCA Physician Services Group (PSG) portfolio, the Employer Broker Strategy (EBS) portfolio and PCA Behavioral health team; HCA’s participation in health insurance exchanges and other federal/state remedies for insurability. The Manager will also explore ways to gain efficiencies via process improvements and utilize thought leadership to implement beneficial strategic initiatives for the company.

The position requires a hands-on, tactical leader who will work closely with the team, customers, and corporate stakeholders. The Manager will be able to understand complex ideas and ensure the implementation with minimal disruption. The Manager will motivate others to perform all duties with a focus on quality, accuracy, and timeliness. The person in this role will have respect and use good judgment with access to highly confidential hospital financial metrics, including but not limited to volumes, revenues, contracted rates.

• Responsible for department’s operational excellence by ensuring delivery of quality services in accordance with applicable policies, procedures, and professional standards
• Develops and builds strategic internal and external networks
• Develop & maintain analytical reporting related to PCA Pricing Initiatives as well as advise on strategy.
• Provide Behavioral health service line specific reporting and analytical support for PCA Behavioral health team.
• Provide analytical, financial, report development and advisory support associated with service line analysis, identifying and analyzing services lines potential to shift in sites of care and the impact on reimbursement.
• Provide analytical, financial, and advisory support related to PCA’s Employer Broker Strategy (EBS) department
• Identify areas for process improvement and consult with the necessary cross-functional teams for resolution
• Prepare Contract Strategy Presentations to assist PCA negotiators with developing contracting strategies
• Prepare and distribute Negotiation Support Packets with information related to pricing opportunities for facility and ASC, beneficial quality metrics, and relevant denial metrics
• Coordinate with PCA on ad hoc financial requests as necessary
• Manage multiple projects related to a wide variety of business settings and organizational needs
• Collaborate with key internal and external stakeholders to define work requests and set delivery expectations
• Present data or analytic findings in a variety of formats (reports, PPT, graphs, figures and tables)
• Keep management advised on project progress, potential issues, obstacles, conflicts or challenges
• Perform other duties as assigned or requested including ad-hoc analysis to determine methods to optimize pricing through market and pricing strategies
• Perform other analytical support and operational duties as assigned by leadership to support department initiatives and priorities

Must Have: 

• 7+ Years of relevant experience
• Bachelor's Degree (Master's preferred) 
• Must have extensive PC skills including spreadsheets, word processing, and presentation applications
• Results-oriented, ability to utilize and manage the organization’s resources to achieve results
• Must have strong analytical, written, verbal, meeting facilitation and presentation skills
• Experience developing Microsoft Power BI Applications
• Strong commitment to accuracy and a high level of attention to detail
• Minimum travel required
• Ability to modify and/or create SQL queries and have an understanding of relational databases

HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities, every person has a solid foundation for success. Nashville is also home to our Executive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Payer and Financial Analytics Manager opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.