Provider Financial Analyst

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MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor’s degree in business administration, accounting, finance or other related area

EXPERIENCE:

1. Three (3) years of accounting/finance related experience

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. CPA certification

2. Master’s degree in accounting, finance, or business administration

EXPERIENCE:

1. Experience in Healthcare preferred.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Coordinate provider performance and compensation analysis and reporting process by working with clinical and hospital leadership who play a role in the process.

2. Independently analyze and complete monthly performance reports for non-academic provider practice entities.  Work closely with regional accountants & practice leaders to assess performance against targets.

3. Maintains physician compensation and contract management software for SMG.

4. Monitors total compensation payments made to employed and contracted providers to ensure adherence to compensation plan and compliance with Fair Market Value standards. . Communicates directly with SMG leadership regarding negative variances and rolling projections.

5. Continuously monitor revenue cycle performance improvement and margin enhancement opportunities and communicate to Finance and Provider Practice leadership. Specific reporting duties include: comparing reimbursement by clinic/provider and payor to ensure consistency across all practice sites; identify potential payor enrollment issues; and monitor and act upon claims denials.

6. Directs the payment of Medical Directorships, Call Pay and other non-productivity contractual terms.

7. Coordinates the completion of financial analysis related to and in support of new services, provider compensation rates, and long term strategic initiatives of the Provider Practices. Leverage Inflow or equivalent tool to aide in assessment.

8. Develops & Monitors Physician compensation Models, including incentives in conjunction with Finance and Provider Practice Leadership.

9. Conduct analytical research of historical data as well as projected impact of new or changing services related to the non-academic practices.

10. Oversee the process of maintaining the physician compensation plans, incentive payment calculations, and maintaining provider productivity tools & reports.

11. Collaborate with Hospital Finance & Reimbursement team on the completion of larger scale financial projections related to the Provider Practices.

12. Key member of core SMG Administration team. Analyze and provide recommendations on compensation model upgrades.

PHYSICAL REQUIREMENTS: 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.

1. May need to sit during extended periods of time.

WORKING ENVIRONMENT: 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.

1. Standard office environment.

SKILLS AND ABILITIES:

1. Ability to work with computer databases and spreadsheet software

2. Strong organizational skills and attention to detail

3. Ability to multi-task and work in a challenging fast paced environment

4. Excellent written and verbal communication skills

5. Independent worker and analytical thinker with ability to conduct research, data analysis and resolve complex problems

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

Company:

Cost Center:

Address:

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.