Wellmarkinc

Sr Financial & Data Analyst – Healthcare Economics

Des Moines, IA, United States · Senior

Work authorization requiredDetected 20 days ago

Data AnalysisData VisualizationFinancial AnalysisAccountingExcelSASResearchLeadershipCommunicationCollaborationProblem SolvingMentoringFinancial ReportingClaims Management

About the role

This includes leading provider reimbursement initiatives by applying your thorough understanding of contracting, claims payment procedures and payment policy.
As a Senior-level team member, you will mentor team members and serve as the subject matter expert on the team, as well as be responsible for making recommendations to leadership on strategic and payment policy decisions.
About you: You are a critical and strategic thinker, detail-oriented and analytical to your core.

Responsibilities

Collaborate with testing and system implementations and enhancements.
Collaborate, interface and manage all service level agreements and management of the relationship with all provider payment vendors.
You enjoy using your advanced data analysis experience and consultative nature to make recommendations and partner with internal business leaders.

Requirements

Bachelor's degree in accounting, finance, business, economics or related field or direct and applicable work experience.
Solid knowledge of and demonstrated ability in Microsoft Excel along with technical proficiency with tools such as Power BI, Tableau, SAS EG and/or SQL.
Knowledge of hospital, physician and other provider payment and contracting strategies.
Experience interpreting claims data, trends and provider utilization in order to determine payment strategy or payment strategy results.
ability to research, ask questions and find solutions to potential problems.
ability to recognize inconsistencies, analyze for reasonableness and accuracy, research and come to conclusions.
Comprehensive knowledge of nationally recognized provider compensation strategies.
Ability to serve as subject matter expert to mentor team members.
Strong presentation skills and the ability to clearly articulate recommendations to business leadership to achieve business results.

Nice to have

Candidates currently residing in the Des Moines, IA metro area preferred.
Proficiency in HROR highly preferred.

Skills

F1-OPT, F1-CPT, H-1B, TN, L-1, J-1, etc.

Benefits

You are skilled at thinking conceptually, anticipating long-term outcomes, and identifying and implementing continuous improvement opportunities around provider reimbursement.
Hospital and/or health care facility reimbursement experience preferred.
Collaboration is key, so building and maintaining strong business relationships with other Health Network team members at Wellmark will be important to enhance the support we deliver to our providers.
Lead, design, implement and maintain provider reimbursement strategies, including financial reporting for all providers.
Research, document, monitor and implement provider reimbursement related activity and initiatives.
Perform advanced data analysis and insight in support provider reimbursement initiatives.
Serve as consultant in collaboration with Network Engagement to provide reimbursement guidance/expertise and payment policies to providers and applicable stakeholders.

Company info

We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we've built our reputation on over 80 years' worth of trust.
We are not motivated by profits.
We are motivated by the well-being of our friends, family, and neighbors-our members.
If you're passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today!
Learn more about our unique benefit offerings here.

Equal opportunity

An Equal Opportunity Employer
Applicants requiring a reasonable accommodation due to a disability at any stage of the employment

Visa & Work Authorization

At this time, Wellmark is not considering applicants for this position that require any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the

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This listing is sourced directly from Wellmarkinc's careers page and normalized into a canonical job model.