CU Medicine is dedicated to providing healthcare and administrative support to the University Of Colorado School Of Medicine’s nearly 3,000 providers. We are seeking a highly motivated Healthcare Financial & Revenue Analyst to join our team.
The Healthcare Financial & Revenue Analyst is primarily responsible for providing analytical support for business initiatives, including acquisition revenue/expense modeling, commercial payer contract negotiations and performance analysis (physician fee for service and total cost of care ACO contracts). Practice acquisition revenue/expense modeling will include revenue forecasts for free standing physician practices, and/or surgery centers, imaging centers or other settings. Additionally, the individual in this position will identify forecast needs for the business and develop revenue data sets based on industry reimbursement standards, CU Medicine commercial contract terms, and federal/state payer fee schedules. The Analyst will work closely with the Associate Director of Network Development to coordinate and create a variety of medical, financial, statistical and operational reports from raw data obtained from company specific and external resources. Other responsibilities include but are not limited to the following:
Provide detailed, analytical support and interpretation for use in developing negotiation strategies with payers, and providing baseline financial data for new acquisitions.
Prepare timely and accurate financial modeling scenarios.
Develop proforma projections for potential contracts and acquisitions.
Create analysis to determine revenue impact for payer negotiations.
Produce post implementation reports and dashboards to evaluate accuracy.
Model total cost of care expenditures under ACO contracts and provide insight into performance opportunities.
Develop and maintain databases for commercial contract terms across commercial contract portfolio, as well as federal/state physician fee schedules.
Partner with acquisition and commercial contracting team to derive analytical requirements/parameters to develop consistently high quality revenue projections.
Work with external valuation firms as assigned.
Influence and/or support decision makers to use appropriate analytics tools and processes to perform advanced data analysis.
Perform other duties and assist with special projects as needed.
Requires a bachelor’s degree in computer science, business, economics, or mathematics combined with relevant industry experience related to revenue/health care costs analysis or physician billing, insurance, or other analogous healthcare environment.Must have experience in gathering information and understanding the context from several sources and analyzing this information in order to develop methodologies and conduct analyses. Expertise in RBRVS, site of service differentials, ASC and free standing imaging is essential. High level proficiency in analytics using Microsoft Excel, Access is required. Training will be provided on MyBI (CU Medicine data warehouse) for downloading data to be analyzed in Access or Excel. Must demonstrate exceptional spreadsheet, graphing and flow-charting technical skill sets.The ability to collaborate in a team environment working cohesively with others to achieve goals and initiatives is essential. The ideal candidate will be flexible and demonstrate the ability to maintain positive working relationships.
TO APPLY FOR THIS POSITION, please visit our website at www.cumedicine.us. Reference job number #129. All applications MUST be submitted via our website.
CU Medicine is dedicated to ensuring a safe and secure environment for our staff and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees prior to their employment. Additionally, drug and health screenings may be required for some positions. We are an equal opportunity employer.
CU Medicine supports a Tobacco Free Workplace Environment which prohibits smoking and the use of tobacco products on CU Medicine property, Anschutz Medical Campus and adjacent business locations.
University of Colorado Medicine (formerly University Physicians, Inc.) is dedicated to providing business operations and administrative support to nearly 3,000 active University of Colorado School of Medicine clinical healthcare providers.
An international authority and the leading academic medical institution in the West, the University of Colorado School of Medicine (SOM) offers cutting-edge ...research and technologies and high quality medical treatment to patients at the University of Colorado Hospital, Children's Hospital Colorado, and at sites throughout Colorado.
Located adjacent to the new Anschutz Medical Campus in Aurora, one of the largest and most advanced academic medical campuses in the country, CU Medicine offers a variety of career opportunities for healthcare support and administrative staff. In addition, CU Medicine serves as a resource for patients and physicians seeking information about the University of Colorado network.