by Kay Tay | Jan 3, 2024 | Uncategorized
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Challenge can often be it’s own reward. But why settle for just being challenged when you can also be nurtured, mentored and supported in building an impact and fast paced career? With UnitedHealth Group you can have all of the above, everyday. Here’s your opportunity to combine expertise and compassion in new ways as you strike the balance between health care costs and resources. In this senior role, you’ll ensure that health care contracts are priced accurately and fairly for all involved. As you do, you’ll discover the impact you want and the resources, backing and opportunities that you’d expect from a Fortune 5 leader.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Support and validate provider network contracting and unit cost management
- Conduct financial and network pricing modeling, analysis and reporting
- Perform unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies
- Manage unit cost budgets, target setting, performance reporting and associated financial models
- Coach, provide feedback and guide others
- Changing Medicaid regulations means that unit cost forecasting will often be challenging and complex. You’ll also be expected to create pricing and fee schedules and conduct audits to ensure accuracy.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Years of post-high school education can be substituted/is equivalent to years of experience
Required Qualifications:
- 3+ years of analytical experience in financial analysis, healthcare pricing, network management, healthcare economics or related discipline
- 2+ years of experience with provider payment methodologies and healthcare products
- 2+ years of experience with financial modeling
- Intermediate level of proficiency in MS Excel and Word
- Intermediate ability to interpret and review financial modeling results to evaluate the financial impact of contract changes and develop forecasts
Preferred Qualifications:
- Experience in MS Access
- Reporting experience with systems such as OLR, SAS or SQL
California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $56,300 to $110,400 per year. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. APPLY HERE
by Kay Tay | Jan 3, 2024 | Uncategorized
- Department:Ascension Data Science Institute
- Schedule:Full time
- Location:Remote
Benefits
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
*Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: PRN, Short-Term Option, etc.). Actual compensation offer will vary based upon role, education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics.
Responsibilities
We are hiring a Senior Data Analyst on the Risk Adjustment Analytics team to support Ascension’s Population Health and Value Based Care Strategy. In this role, you will develop queries in BigQuery as well as reporting in both Tableau and Looker for Medicare, Commercial and ACA products. You will be expected to develop an understanding of risk score analytics as well as an understanding of the business and design analytics products that support the objectives of our stakeholders. This role serves as key resource/SME in collection and analysis of data from multiple sources for the development of reports and statistical information.
Responsibilities:
- Write advanced SQL, BigQuery, or Looker and develop complex visualizations to support advanced analytics across Ascension
- Collaborate with internal and external stakeholders on risk adjustment related analyses and audits
- Coordinate across functional and data teams to ensure consistency and optimization of the overall work product. Suggest solutions, improvements, and efficiencies in data quality and management
- Translate business requirements into actionable reports
- Compile analytical and statistical reports as needed
- Formulates, defines and recommends scope and format of reports
- Oversees provision of ad hoc management reports
- May provide leadership, orientation, training, coaching, and mentoring to staff on how to access reports and interpret the data
- Identifies data trends and makes recommendations
- Develops and maintains Tableau dashboards
- Develops and maintains reporting in Looker
- Remain curious and be willing to continue learning
Requirements
Education:
- High school diploma/GED with 2 years of experience, or Associate’s degree, or Bachelor’s degree required.
Work Experience:
- 3 years of experience preferred.
Additional Preferences
- 3 years of experience in analytics preferred
- Experience with SQL or BigQuery. Working knowledge of Google Cloud Platform (GCP) AI and ML tools a plus
- Proficiency with data extraction, manipulation, and interpretation using multiple data sources
- Intermediate Experience with Tableau
- Experience with Looker a plus
- Preferred – Experience with Risk Adjustment
Why Join Our Team
Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters.
Ascension is a leading non-profit, faith-based national health system made up of over 150,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you. APPLY HERE
by Kay Tay | Jan 3, 2024 | Uncategorized
This is a Microsoft SQL Server DBA role with Azure SQL experience desired. This role is responsible for providing operational database services to the organization. We are looking to fill a need to have a highly competent and highly motivated individual to support production databases. Some of the primary responsibilities of this role would include owning, tracking and resolving database related incidents and requests, fulfilling requests and resolving incidents within SLAs, reviewing service related reports (e.g.: database backups, maintenance, monitoring) on a daily basis to ensure service related issues are identified and resolved within established SLAs, responding to database related alerts and escalations and working with database engineering to come up with strategic solutions to recurring problems.
Requirements
- 7+ years of experience in MSSQL Server Database Administration
- 2+ years of experience in Azure SQL Server / Managed Instances / Elastic pools
- Experience in troubleshooting and resolving database problems
- Experience in Performance Tuning and Optimization (PTO), using native monitoring and troubleshooting tools
- Experience with backups, restores and recovery models
- Knowledge of High Availability (HA) and Disaster Recovery (DR) options for MSSQL Server
- Experience in implementing operational automation using scripts
- Knowledge of indexes, index management, and statistics
- Experience working with Windows server, including Active Directory and proper disk configurations
- Excellent SQL architecture and design skills with proven experience partnering with application development teams to design overall system architecture
- Excellent knowledge of database structures, theories, principles and practices with proven Microsoft SQL Server experience, including reporting services and analysis services
- Proven experience in standard database administration responsibilities (replication, backups/restores, SSIS jobs and scheduling, security administration, partitioning, index maintenance, software maintenance)
- Experience with web-based applications and relational database environments
- Experience designing and supporting data warehouses and business intelligence platforms
- Azure migration a plus
- Good communication and documentation skills
- Snowflake is a MUST ALSO
Preferred candidates would also meet the following criteria:
- Certification is a plus; MCTS, MCITP, MVP
Benefits
- Supportive, progressive, fast-paced environment
- Competitive pay structure
- Matching 401(k) with immediate vesting
- Medical, dental, vision, life, & short-term disability insurance. APPLY HERE
by Kay Tay | Jan 3, 2024 | Uncategorized
Blavity, Inc. is a venture-funded media and technology company, founded in 2014 around a simple idea: enable Black millennials to tell their own stories. Today, we are home to the largest network of platforms and lifestyle brands serving the multifaceted lives of Black millennials & Gen Z through original content, video, unique experiences, and product solutions. Blavity Inc. has evolved into a market leader for Black media, reaching 250 million users per month through our growing brand portfolio, including Blavity, Blavity360º, Shadow & Act, AfroTech & Talent Infusion, 21Ninety, Travel Noire, and Home & Texture. Our Blavity, Inc. employee community is composed of passionate, energetic, and culturally conscious individuals working together to deliver value to each other, the company, and our clients. We are always searching for new additions to our community that will help us continue to scale, contribute meaningfully to our culture, and advance our strategic direction.
Job Summary:
Blavity, Inc. is seeking a highly motivated and career-focused Senior Accountant to join our company’s Finance team. The Senior Accountant will manage the month-end close process, conduct financial analysis, and collaborate with other members of the Finance team to complete tasks as needed. This role requires an individual with exceptional analytical skills, strong business acumen, and a willingness to take on challenges with a positive mindset.
This role will report directly to our Senior Accounting Manager..
Responsibilities:
- Participate in the month-end close process including but not limited to the booking of journal entries
- Prepare divisional-level financial analysis and reports. This includes analysis of revenues and cost of sales by product line and operating expenses.
- Prepare monthly balance sheet reconciliations and workpapers.
- Prepare consolidated and divisional financial statements
- Assist with financial budget preparation and preparation of the monthly budget variance analysis.
- Partner with Accounts Receivable Specialist and Accounts Payable Manager to complete tasks, as needed.
- Collaborate with FP&A to retrieve and analyze data, as needed.
- Assist finance team with yearly financial audit and gathering of information for year end tax return preparation
- Ad Hoc projects as assigned by management.
Qualifications:
- Education: Bachelor’s degree in Accounting
- Required Experience:
- 3+ years of experience in Accounting. Experience working in a media or publishing company is strongly preferred.
- Additional Qualifications:
- Strong analytical skills, with the ability to analyze complex financial data and identify trends and insights.
- Strong business acumen and the ability to understand and communicate financial information to non-financial stakeholders.
- Excellent communication skills and ability to present financial information to senior management in a clear and concise manner
- Advanced proficiency in Excel and financial modeling.
- Experience with advanced ERPs such as Oracle/Netsuite.
- Ability to work collaboratively with cross-functional teams and business partners
- A healthy appreciation of GIFs and Black culture
Details:
- This is a fully remote role, occasional travel may be required.
- Candidates must be available to work 100% in alignment with the Eastern Time Zone.
- The annual salary range for this role is $85,000 – $95,000. APPLY HERE
by Kay Tay | Jan 3, 2024 | Uncategorized
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Position in this function is responsible for the oversight of charge description master, billing, and reimbursement analysis within Revenue Integrity. Carries out aggressive program of assessing and improving charging practices across the organization.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Supervision and coordination of chargemaster and charge capture processes in researching coding and billing guidelines, researching insurance contracts, and updating hospital and professional chargemaster and charge capture processes
- Represents Owensboro Health with external vendors (e.g. EPIC)
- Works diligently with department heads, supervisors, staff, coders, and patient accounting personnel to continuously improve the goals of enhancing reimbursement, speeding up cash flow, and maximizing fiscal compliance
- Works with the revenue producing departments to ensure ongoing coordinated and consistency with the chargemaster and charge capture processes, including accurate descriptions, coding, additions, deletions, pricing, revenue code, and any other changes
- Maintains a working knowledge of revenue cycle processes to aid in the implementation of regulatory standards that assists the health system in cash collection while accurately complying with billing guidelines
- Works with Finance, Revenue Integrity and Decision Support to perform applicable analyses to understand budget, net revenue change, and labor impact of proposed chargemaster changes
- Performs analysis, identifies trends, validates compliance as related to fiscal activities generating additional revenue, reducing bad debt expense and charity write-offs, and overall expense reductions
- Distributes Centers for Medicare and Medicaid Services (CMS) updates to health care providers as they relate to billing for drugs and implantable and/or other pass-through eligible items and ensuring the necessary changes are made to the entity specific chargemaster and charge capture updates within the time frame for accurate and compliant billing
- Advises and collaborates with the Compliance Officer, Internal Audit, Regulatory Review and Analysis, legal counsel, and outside consultants to analyze, review, and assess identified billing, coding, charging and compliance issues
- Revenue codes and coding assignments for all new items or services throughout Owensboro Health
- Oversees the overall maintenance and use of the chargemaster tool utilized by Revenue Integrity
- Recommends policies and procedures which impacts charge capture and pricing practices
Organizational Responsibility
- Adheres to all organizational policies and procedures. Executes all tasks and behaves in a manner consistent with a culture of compliance, safety and a high reliability organization; behavior supports the organization’s core commitments of Integrity, Service, Respect, Teamwork, Excellence, and Innovation
Additional Job Information
- This job description describes the general nature and level of work required by the position. It is not intended to be an all-inclusive list of qualifications, skills, duties, responsibilities or working conditions of the job. Specific duties and responsibilities consistent with the general nature and level of work described may vary by department and additional related duties may be assigned as needed. Some duties listed may not apply to all employees with this job description. The job description is subject to change with or without notice, and Management reserves the right to add, modify or remove any qualification or duty
- Nothing in this job description changes the existing at-will employment relationship between the Organization and the employee occupying the position
- Training is provided relevant to the population served, based on scope of care of the service assignment
- Owensboro Health is committed to providing a safe working environment including training and access to person protective equipment necessary to this position. While performing duties of this position, occupational exposure to bloodborne pathogens is present for all employees
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Years of post-high school education can be substituted/is equivalent to years of experience
Required Qualifications:
- 2 + years of relevant experience required in any of the following: billing, charging, Charge Master, coding or health care revenue cycle
- 2 + years of experience working with CPT/HCPCS, UB-92 Revenue Coding, modifiers, billing regulations, and APCs
Preferred Qualifications:
- Proven critical thinking skills and decisive judgment
- Proven works under minimal supervision
- Demonstrated ability to work in a stressful environment and take appropriate action
California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $67,800 to $133,100 per year. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. APPLY HERE
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