Mercy Medical Center Clinton Senior Revenue Management Analyst in Livonia, Michigan

Department:

IN308_69028 Uro - Finance & Dss

Expected Weekly Hours:

40

Shift:

Position Purpose:

Job Description Details:

POSITION PURPOSE

Provides specialized technical and analytical support for an operational area of revenue management for the Unified Revenue Organization (URO) in Trinity Health. Work assignments are complex and responsible requiring a depth of knowledge in an area of specialization or field of concentration; strong analytical, investigative, interpolative and evaluative skills and the ability to contribute to and provide primary accountability for managing/leading small projects or portions of projects. Responsibilities include, but are not limited to, accessing databases and utilizing reporting tools to extract data, generate reports, perform data analysis and draft system/process improvement recommendations. Assignments may require interfacing with, gathering information from and making presentations to various levels of management and internal executive leaders. Serves as a subject matter expert and resource by providing guidance and problem/issue resolution to internal associates on matters impacting projects and day-to-day assignments.

ESSENTIAL FUNCTIONS (Generic)

Knows, understands, incorporates and demonstrates the Trinity Health Mission, Vision and Values in leadership behavior, practices and decisions.

Analyzes, evaluates and interprets data, processes, systems, policies, regulations and internal controls. Conducts impact analyses and modeling, assesses trends, identifies risks, develops projections, determines opportunities and prepares detailed written summaries for management review and decision-making.

Utilizes integrated financial systems, relational databases, business intelligence and desktop analytical reporting tools to access data, develop detailed standard and ad-hoc reports and summaries in order to support department and URO projects and initiatives.

Participates in and serves as a subject matter resource in the development of process improvement initiatives which support business needs and enhance the performance of an operational area of revenue management.

Participates in defining project plans and goals; manages and/or leads small projects or portions of projects with limited impact. Performs business case ROI, conducts business workflow mapping, impact analysis, applies actions steps, provides routine status reports and keeps management apprised ensuring project plans and deliverables are met.

Assists in identifying operational and financial metrics and provides appropriate interpretation and application of data. Designs, develops, implements and maintains systems that provide financial, statistical and operational information.

Supports the standardization of financial information systems, reporting tools, policies and procedures across the URO. Participates in the development and maintenance of URO standard data definitions and reporting methodologies. Develops, manipulates and utilizes large data sets; conducts system/data integrity and quality checks/audits; accesses applications and utilizes relational database management or systems administration methods and practices.

Interfaces with internal management, leaders, MO staff and stakeholders. Serves as a Subject Matter Expert (SME) and resource possessing the latitude to gather and exchange information and providing guidance and problem resolution on complex, challenging and variable situations that demand deep analytical, interpretive and evaluative thinking.

Other duties as assigned.

Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health Corporate Integrity Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

MINIMUM QUALIFICATIONS

Bachelor’s degree in Business Administration, Finance, Accounting, Informatics or related field or an equivalent combination of education and related experience.

Five (5) to seven (7) years of progressively responsible operational or consulting experience in revenue management (e.g., reimbursement, payer contracting, decision support, health information management).

Some knowledge and experience of the healthcare industry or hospital financial operations.

Advanced proficiency with Microsoft product suite (MS Word, Excel, Power Point, Access and Visio), financial systems/software, relational database management and business intelligence reporting tools. Ability to utilize PC-based financial tools (i.e., spreadsheets, databases, graphics, etc.).

Must possess a high degree of analytical, quantitative, evaluative and problem solving skills.

Considerable knowledge and experience supporting and developing reporting and analytics for research, process improvement support and specific revenue management function. Ability to develop appropriate methods to collect, analyze and report data.

Strong attention to detail and organizational skills. Demonstrated ability to manage multiple, concurrently running projects and adapt to changing deadlines, competing priorities and unexpected assignments.

Ability to work independently and with minimal supervision. Ability to work in a team environment providing support to multiple positions. Ability to resolve problems and complete assignments accurately and promptly.

Excellent oral and written communication skills.

Ability to manage/lead small projects or portions of projects.

Demonstrated ability to respect confidential and sensitive information, understanding and honoring lines of accountability and communication is essential.

Some knowledge of organization policies, procedures and processes.

Ability to operate in an ambiguous and matrix organizational structure. Ability to operate in a highly autonomous self-directed manner under frequently changing structures, requirements and priorities.

Must be comfortable operating in a collaborative, shared leadership environment.

Must possess a personal presence that is characterized by a sense of honesty, Integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS

Must be able to set and organize own work priorities, and adapt to them as they change frequently.

Must be able to travel to the various Trinity Health sites as needed.

Must possess the ability to comply with Trinity Health policies and procedures.

ESSENTIAL FUNCTIONS AND/OR MINIMUM QUALIFICATIONS ALSO INCLUDE THE BELOW AS STATED FOR EACH FUNCTIONAL AREA. (PREFERRED)

PATIENT FINANCIAL SERVICES

  • 5 to 7 years working in the field or operations experience (e.g., insurance verification, Medicaid transfers, etc.)

  • Ability to assist with infrastructure performance tracking

  • Some knowledge of project plan development, workflow analysis and change management/process improvement methodologies

REIMBURSEMENT AND REVENUE MANAGEMENT

  • 5 to 7 years relevant experience (i.e., auditing, consulting, accounting, reimbursement systems in healthcare)

  • Some knowledge of project plan development, workflow analysis and change management/process improvement methodologies

COMPLIANCE

  • 5 to 7 years relevant experience (i.e., auditing, consulting, reimbursement systems or chargemaster in healthcare)

  • Certification, i.e., coding

  • Clinical experience helpful

PAYER CONTRACTING

  • 5 to 7 years experience payer contracting

  • Ability to handle low level contracting (e.g., signed agreements with small hospitals)

  • Ability to build relationships with executive leaders

  • Some healthcare systems administration experience

DECISION SUPPORT

  • 5 to 7 years experience in healthcare industry required; experience in revenue management related function(s)

  • Considerable reporting and analyses experience including design and delivery, performing analytical and data mining activities and reporting in at least one healthcare discipline. Working knowledge of complex relational databases. Advanced reporting skills utilizing Business Objects or COGNOS

Knowledge of HealthQuest and/or Trinity Health Revenue Solutions Warehouse (RSW) data structures.

QUALITY HEALTH RECORD AND CODING

  • Certification, i.e., Health Information Technology

  • 5 to 7 years experience in Health Information Management (HIM)

  • Some knowledge of project plan development, workflow analysis and change management/process improvement methodologies

  • Some knowledge of LEAN, Six Sigma

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs more than 120,000 colleagues at dozens of hospitals and hundreds of health centers in 21 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

Trinity Health offers rewarding careers in a community environment with all the advantages of working at one of the nation's largest health systems. We provide high-quality, people-centered care in 22 states through our network of hospitals, facilities, community-based services, and continuing care locations - including home care, hospice, Program of All Inclusive Care for the Elderly (PACE), and senior living facilities. If you are looking for a rewarding clinical or administrative position, you'll find exceptional career possibilities, opportunities for advancement and a job with meaning at Trinity Health.

Trinity Health employs more than 131,000 colleagues across 22 states. We honor and embrace a diverse representation of people, ideas and backgrounds. Our dedication to diversity is evident in our commitment to training, education, recruitment, retention and development, as well as community partnerships and supplier diversity.

Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences and health practices of the communities we serve and to apply that knowledge to produce positive outcomes. We recognize that each of us has a different way of thinking and perceiving our world, and that our differences not only serve to unite us, but also lead to innovative solutions.