
Provider Based Analyst
Posted 9 hours ago

Posted 9 hours ago
This is a fully remote position, open to applicants in United States.
• Deliver financial and compliance analyses to assist organizational leaders throughout WVU Medicine.
• Generate and compile reports that facilitate decision-making for outpatient services across the health system.
• Evaluate the establishment of new departments in relation to CMS provider-based and RHC regulations.
• Conduct ad hoc financial analyses regarding the impact of clinic reimbursements on hospitals within the health system.
• Address requests and resolve issues raised by departmental leadership, IT, clinical teams, and support staff.
• Interpret and provide guidance to stakeholders on CMS provider-based compliance according to 42 CFR 413.65.
• Identify and analyze legislation that affects provider-based billing.
• Coordinate and execute onsite gap assessments for provider-based clinics and RHCs as necessary.
• Educate hospital and system personnel on best practices related to provider-based requirements at WVU Medicine.
• Facilitate and engage in business meetings with clinical leadership.
• Develop and enhance reporting packages, offer continuous support, and monitor projects.
• Act as the primary point of contact for the department, interfacing with hospital leadership and staff.
• Aid in identifying problems, resolving issues, and designing solutions for business requirements.
• Bachelor’s degree in Business Administration, Finance, Accounting, or a related discipline.
• 1-2 years of experience in a healthcare environment.
• Extensive experience with various software platforms, including Tableau and Microsoft Office, with an emphasis on Excel, Word, & PowerPoint.
• Capability to analyze information pertaining to CMS provider-based and RHC regulations.
• Understanding of CMS provider-based compliance as outlined in 42 CFR 413.65.
• Proficient in identifying and interpreting legislation that influences provider-based billing.
• Ability to utilize analytical methods to ensure that reported data is both meaningful and precise.
• Competence in developing technical skills in data analytics using diverse systems and tools.
• Strong communication skills to translate business concepts into actionable and relevant terms.
• Competitive salary and comprehensive benefits package.
• Opportunities for professional development and career advancement.
• Collaborative and supportive work environment.
• Access to cutting-edge technology and resources.
CVS Health
GeneDx
Center for Health Care Strategies
Providence
Get handpicked remote jobs straight to your inbox weekly.