Job Information

Providence Manager Government Revenue Analytics in Portland, Oregon

Description

This position is remote and we are open to candidates in the footprint of Providence in the states of WA, OR, CA, MT, and TX.

The Manager, Government Revenue Analytics manages staff, sets priorities for the department, and provides advanced analytical support to the organization. Provides project management and requires the use of advanced analytical and reporting skills and process improvement methodologies to design and review evaluation plans, coordinate data collection across groups, guide and develop analysts for reporting support, leading team meetings, and mentor junior staff.

The Manager, Government Revenue Analytics will lead a team of analysts to:

  • Support the complete and accurate capture of conditions for members enrolled in government programs

  • Maintain compliance with CMS standards

  • Implement data systems for the analysis of Medicare and ACA Risk Adjustment diagnoses

  • Model financial impacts of changes in risk adjustment data and methodologies

  • Leverage industry resources to increase knowledge and improve ROI of risk adjustment activities

  • Analyze the impact of Risk Adjustment Programs and identify process improvements and opportunities to achieve efficiency and effectiveness.

The Government Revenue Analytics Manager functions as a technical resource and as a mentor to all within the Financial Analytics and the larger Informatics department. The Manager must maintain an understanding of the changing health care trends and the impact of such changes on the Plan. The Manager must remain current on analytic techniques and methodologies, data sources, data available within the Providence Health System and other public and proprietary sources. The Manager of Government Programs Analytics must also build and maintain relationships with other leaders across the organization including Accounting, Provider Contracting, QMM, Finance, IS, Pharmacy, and outside the organization (the State, CMS).

Required qualifications:

  • Bachelor's Degree in Social Science, Computer Science, Biological Science, Mathematics, or a related field

  • 7 years healthcare experience; 5 years of which should be a combination of progressive leadership experience and analytical roles working with multiple data systems and multiple data reporting tools, programming in T-SQL and SQL Reporting Services

  • Experience in revenue risk adjustment methodologies - specifically the CMS-HCC and/or HHS-HCC Risk Adjustment Models

  • Experience working with accountants and actuaries in preparing monthly accruals

  • Experience with Medicare and Medicaid revenue methodologies

  • Demonstrated experience with managing professional staff who work independently on tasks and projects

  • Experience creating and manipulating databases for provider contracting and requests for financial analysis

  • Demonstrated experience applying project management skills in data-related and financial analysis projects

Preferred qualifications:

  • Master's Degree in Public Health, Statistics, Health Administration, Mathematics, Computer Science, or a related field

  • Experience with commercial methods

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.

We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.

We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.

Requsition ID: 134790
Company: Providence Jobs
Job Category: Analytics/Business Intelligence
Job Function: Information Technology
Job Schedule: Full time
Job Shift: Day
Career Track: Leadership
Department: 5018 FINAN FINANCIAL ANALYTICS OR REGION
Address: OR Portland 4400 NE Halsey St

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.