As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management, patient communications, and value-based care solutions, we empower healthcare decision makersï¿½hospitals, health systems, physicians, self-insured employers, and payersï¿½to better connect every point of care and wellness management. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Partner with Payer Strategy leaders in order to provide data driven input that will optimize payer recovery. Proactively data mine accounts and enable action before trends impact client performance. Create and maintain data pipelines, dashboards and models that will help HRCM focus resources and attention and make objective decisions and focus energies. Identify improvement opportunities in order to assist with business performance advancement.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned
Development of reports obtaining data from multiple systems in order to track underpayments and denials. Perform ad hoc reporting as needed.
Apply moderately complex quantitative methods to proactively data mine / interpret data and present the key trends and recommendations to leaders within Payer Strategy.
Design and develop visual dashboards to be utilized across clients to track and manage the issues by Payer.
Create and manage a centralized issue tracking mechanism across all payers
Audit data using appropriate sampling techniques, data analysis tools and models to ensure accuracy and promote credibility.
Overseeing the design and implementation of SharePoint site structures for Payer Strategy
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Strong problem solving and analytical skills, business acumen, and judgment, ability to identify and address issues proactively in a timely manner
Possess a learning mindset with strong intellectual curiosity
Ability to interpret and analyze complex data and project results
Talent of creating structure from ambiguity
Capability to multi-task, be organized, and meet critical deadlines
Effective planning and organizational skills including the proven ability to work complex objectives
Collaborative - Role models a supportive and empathetic approach to working together. Seeks to understand others' contrasting perspectives in order to overcome resistance and find common ground. Works through formal and informal channels to achieve outcomes.
Excellent written and verbal communication skills with the ability to present strategic recommendations and driving discussions effectively to Senior Leaders
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
Bachelorï¿½s degree required
Strong qualitative and quantitative analytical skills with the aptitude to interpret analyze complex data and financials results
Healthcare and/or revenue cycle experience in a provider, servicer or a large physician-practice experience a plus.
Proficient in Microsoft excel, word, PowerPoint, Visio, SharePoint and project
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to work in sitting position, use computer and answer telephone
Ability to travel
Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Office Work Environment
Hospital Work Environment
May require travel - approximately 25%
Job: Conifer Health Solutions
Primary Location: Frisco, Texas
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 2005004233
About Conifer Health Solutions
“Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.