Job Description

Healthcare Analytics Sr Analyst

Cancer care is all we do

Hope in healing

Cancer Treatment Centers of America® (CTCA), part of City of Hope, takes a unique and integrative approach to cancer care. Our patient-centered care model is founded on a commitment to personalized medicine, tailoring a combination of treatments to the needs of each individual patient. At the same time, we support patients' quality of life by offering therapies designed to help them manage the side effects of treatment, addressing their physical, spiritual and emotional needs, so they are better able to stay on their treatment regimens and get back to life. At the core of our whole-person approach is what we call the Mother Standard® of care, so named because it requires that we treat our patients, and one another, like we would want our loved ones to be treated. This innovative approach has earned our hospitals a Best Place to Work distinction and numerous accreditations. Each of us has a stake in the successful outcomes of every patient we treat.

Job Description:

Job Overview

The Sr Analyst, Healthcare Analytics will lead high impact analyses to support contract performance, reimbursement, payer negotiations, fee schedule analytics, and chargemaster strategy. The Senior Analyst will perform in-depth analytic design, execution, and interpretation of the analyses in partnership with senior leaders and executives across the organization. This involves deep dive analytics into current contract and chargemaster performance, as well as future performance to help drive decision making. This position will participate in the design and interpretation of standard reporting as well as conducting ad-hoc drilldowns for specific business issues. There will be interaction with executives from across our multiple hospital sites including revenue cycle, finance, payer relations, and other leadership teams.

Job Responsibilities

50% | Analytic Support: Provide reporting and analytical support for various chargemaster projects in support of pricing strategy, strategic imperatives, and revenue cycle activities. Ability to use data extract tools and BI such as Tableau or PowerBI. Work with manager to efficiently merge data from multiple databases and find efficient ways to complete reporting.

30% | Chargemaster and Price Transparency: Load, update, and maintain chargemaster information. Develop and maintain workflows and management processes to ensure there are no errors in monthly reporting. Model the effect of CDM updates on revenue by payer and department.

10% | Strategy and Insights: Work with payer relations team on analytic design, execution, and interpretation. Deliver and present analytics and interpretation to business leaders in a digestible format. Provide perspective on new analytics to support payer reimbursement and performance. Proactively take steps towards automation or use of new technology. Provide thoughtful perspective in meetings with management. Understand Medicare and commercial reimbursement, policies, and regulatory requirements.

10%| Leadership: Manage customer expectations and relationships and maintain alignment of deliverables with organization analytic needs. Serve as an expert on payer contract financial terms and financial modeling. Design and interpret analytics, lead training, and respond to questions across multiple departments.

Skills, Education, and Additional Information

• Minimum of bachelor's degree in Business, Healthcare, Computer Science or related field. Master's degree in Business Administration or comparable field of study preferred.
• 3 or more years' experience in a managed care/healthcare environment with exposure to chargemaster and price transparency
• Knowledge of claims processing systems and guidelines
• Experience with reimbursement methodologies for Medicare and commercial insurance; and regulatory requirements concerning payer contracts.
• Ability to produce analytics that are well-documented and easy to follow
• Analytical skills with the ability to collect, organize, analyze, and disseminate information with attention to detail and accuracy
• Strong written and verbal presentation skills including the ability to translate information to a variety of audiences
• Ability to build strong relationships with internal and external stakeholders
• Ability to be flexible and adapt to achieve initiative and organizational goals

#LI-REMOTE

We win together

Each CTCA employee is a Stakeholder, driven to make a true difference and help win the fight against cancer. Each day is a challenge, but this unique experience comes with rewards that you may never have thought possible. To ensure each team member brings his or her best self, we offer exceptional support and immersive training to encourage your personal and professional growth. If you're ready to be part of something bigger and work with a passionate, dynamic group of care professionals, we invite you to join us.

Visit: Jobs.cancercenter.com to begin your journey.