The Healthcare Finance (HCF) department exists to monitor and improve the financial performance of Kelsey-Seybold’s product lines and health plans. The HCF Analytics team is a customer service-focused team 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 Analyst I provides financial data, reporting and other actionable information to the HCF Management Team and other departments regarding the business units, process, products and/or service lines as directed by the manager. Responsibilities related to this position include:
Creating/producing financial reports, analysis and financial reconciliations required to understand the key drivers of the relevant
business unit or service line.
Helping to develop the systems and processes that are the foundation for reporting and analysis.
Providing 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.
Job Title: Healthcare Information & Data Analyst I
Clinic Location: Pearland Administrative Office
Department: KS Plan Advantage – Healthcare Finance
Job Type: Full Time
Salary Range: $68,827 – $85,030 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)
Required: Bachelor’s Degree in Finance, Economics, Mathematics, Healthcare Administration, or
related field; or Associate Degree with equivalent work experience
Required: 0-3 years of experience in data analysis, decision support, medical economics, healthcare informatics, or managed healthcare or equivalent combination of education and experience to demonstrate ability to succeed in healthcare analytics
Demonstrated initiative and problem solving skills
Preferred: Demonstrated ability to analyze and report on business units, products or service lines
Experience in the healthcare industry with understanding of data in healthcare organizations (including claims data, ICD10, Medicare Advantage, Health Insurance
Marketplace, capitated payment models)
Demonstrated analytical/modeling skills with ability to convert raw data into actionable business insights
Required: Proficient in Microsoft Excel
Basic knowledge of Microsoft Power Point and Microsoft Word
Preferred: Experience writing, debugging and documenting complex queries against relational databases
Experience with SQL or other programming tools (including Visual Basic and Excel macros)
Experience with Statistical Software (including SAS, R, Minitab, SPSS)
Familiarity with EPIC and Clarity reporting data warehouse
Knowledge of Crystal Reports, Microsoft Access, or SSRS
Required: Fluent in English both verbal and written, effective communicator
High level of accuracy with excellent attention to detail
Strong organizational and time management skills
Proven ability to work in a dynamic setting and balance multiple priorities while meeting deadlines
Preferred: Ability to communicate complex information in a clear and concise manner
Working Environment: Office
Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.
Why Kelsey-Seybold Clinic?
- Medical, Vision, and Dental
- Tuition Reimbursement
- Company Matching 401K
- Employee Reward and Recognition Program
- Paid time off for vacation, sick, and holidays
- Employee Assistance Program
- Continuing Medical Education allowance