Healthcare Reporting Analyst I

This is a fully remote position, open to applicants in Florida, +2 more states.

📋 Description

• Prepare, analyze, and report essential financial and revenue cycle management data through standard and ad hoc reports.

• Conduct audits and validate provider roster information from contracted commercial health plans.

• Compare health plan data with internal provider databases to identify discrepancies in provider demographics, credentialing, enrollment status, practice locations, and provider assignments.

• Collaborate with health plans to address data quality issues.

• Monitor and track roster errors.

• Validate provider attribution for value-based care and risk contracts.

• Assist with new health plan implementations via roster audits and quality assurance reviews.

• Analyze large datasets utilizing advanced Excel skills.

• Develop reporting requirements and validate the outputs of those reports.

• Work in conjunction with database developers and the Network Data & Reporting team on data quality initiatives.

• Employ AI tools such as Copilot and ChatGPT to enhance reporting efficiency and documentation.

• Investigate provider data issues that impact claims processing, reimbursement, authorizations, network participation, and patient access to care.

• Prepare and communicate critical financial information while supporting management and staff regarding financial reporting.

• Assist in budget preparation, financial planning, and budget compliance reviews.

• Provide decision support and consultation to management at all levels.

• Complete special projects, conduct research, perform forecasting, and resolve conflicts.

• Undertake other duties as assigned.

⛳️ Requirements

• Bachelor’s Degree in Accounting, Finance, Business, or a related field OR an Associate’s Degree with two years of experience OR a High School Diploma/GED with four years of experience.

• Ability to conduct basic analytical, consultative, and information support through analysis and report preparation.

• Knowledge of key performance indicators, cash flow analysis, product line analysis, and proposal development.

• Candidates must reside in Ohio, Florida, or Nevada.

• Ability to communicate and exchange accurate information effectively.

• Capability to perform work in a stationary position for extended periods.

• Proficient in working with physical records or operating a computer and other office equipment.

• In some locations, the ability to travel throughout the hospital system may be required.

• In certain locations, the ability to lift up to 25 lbs. may be necessary.

• Adhere to Standard Precautions by using personal protective equipment as required for procedures.

🏝️ Benefits

• Endless support and appreciation.

• Rewarding career opportunities with Cleveland Clinic Health System.

• Flexible remote work arrangements.

• Annual influenza vaccination or participation in an approved exemption program.

• Drug-free workplace with post-offer controlled-substance testing.