PFS Performance Data Analyst, Denials Analysis

Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc., a subsidiary corporation of Hennepin County.

Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization.

SUMMARY

We are currently seeking a PFS Performance Data Analyst to join our Denials Analysis team. This full-time role will work remotely (Days, M- F).

Purpose of this position: The PFS Performance Data Analyst position plays an analytic support role in investigating, understanding, and addressing data issues that arise in delivering data integration and analytic services for internal and external customers. The position is responsible for: performing data extraction and analyses and routine quality review activities; serving as a resource and supporting process improvement efforts to address root cause and/or efficiency issues.

RESPONSIBILITIES

• Supports Revenue Cycle on organization-wide process improvement initiatives focused on improved data quality and workflow efficiency (ie. Vendor Management, Metrics and Denial Taskforces
• Responds to ad-hoc audit / data analyses as requested by internal and external stakeholders
• Compile, analyze, and interpret data and information from various sources
• Generate reports supporting performance improvement and research activities for Revenue Cycle
• Works in data quality investigation role, utilizing dashboards, reporting workbench, vendor reports
• Explores reconciliation files and process to identify causes of unusual findings.
• Works collaboratively with internal and external stakeholders in the investigation and assists in making recommendations for solutions
• Ensures continuous quality improvement in maintaining, recommending additions/revisions to data quality edits, and other QA activities
• Develop graphs, reports, and presentations of results, trends, data mining and perform basic statistical analyses for projects and reports
• Promotes effective working relations and works effectively as part of a department/unit team interdepartmentally to facilitate the department's ability to meet its goals and objectives
• Perform other related duties as assigned

QUALIFICATIONS:

Minimum Qualifications:

• Bachelor's degree in health administration, business, health informatics,
• One year of experience in a healthcare revenue cycle environment
• Previous experience with data analysis
  -OR-
• An approved equivalent combination of education and experience

Preferred Qualifications:

• 5 years of experience with data analysis strongly preferred

Knowledge/ Skills/ Abilities:

• Proficiency in Microsoft Word, Excel, Access, and PowerPoint
• Strong problem-solving and analytical skills
• Possess ability to communicate in any medium
• Possess organizational and interpersonal skills
• Function independently with minimum guidance
• Epic experience strongly preferred

License/Certifications:

• Certification in Epic SQL within 12 months of hire

You've made the right choice in considering Hennepin Healthcare for your employment. We offer a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both current and prospective employees. We are driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for considering Hennepin Healthcare as a future employer.

Please Note: Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements.

• We offer a competitive pay rate based on your skills, licensure/certifications, education, experience related to this position, and internal equity.
• We provide an extensive benefits program that includes Medical; Dental; Vision; Life, Short and Long-term Term Disability Insurance; Retirement Funds; Paid Time Off; Tuition reimbursement; and license and Certification reimbursement (Available ONLY for benefit eligible positions).
• For a complete list of our benefits, please visit our career site on why you should work for us.