Payor Strategy and Network Development Analyst, Senior - Managed Care Contracting - Full Time 8 Hour Days (Exempt) (Non-Union)
$95.68k - $158.23kThe University of Southern California
The Senior Payor Strategy and Network Development Analyst performs data analyses and interprets results using a variety of techniques to support business practices. Responsibilities include but are not limited to creating/developing reports, evaluating contract performance, compiling and monitoring key managed care statistics, and assisting with key projects for the managed care team. Uses a variety of data sources and analysis techniques to support operations, reporting and planning. The Senior Analyst provides recommendations and conclusions gained from analyzing data using statistical methods and tools. Researches best practices, develops benchmarks, and provides dashboard metrics to management leadership. Develops a variety of reporting tools for distribution. Provides input into decisions affecting business operations and strategic initiatives.Essential Duties:Identify new sources of data and methods to improve data collection, analysis, and reporting.Provides business data trend information to support recommendations for action.Collaborates with management on matters of best practices, appropriate statistical measures and benchmarking.Provides recommendations to management as appropriate.Evaluate and refresh bundle payment pricing.Oversees or performs maintenance and development of databases for collecting data and reporting purposes.Analyze and evaluate payor contract performance to identify opportunities for strategic alignment.Ensures data errors are addressed. Provides technical support and design enhancements.Creates status reports on project plans, progress and results of activities.Ensure compliance with deliverable reporting requirements by performing quality data audits and analysisDemonstrate clear, effective communication, team building, and interpersonal, strong organizational, problem solving decision-making skills.Assures data systems are functioning properly for easy data entry and data retrieval by analyzing data for duplicates, missing info., or other errors (i.e. validate and correct)Produces trend reports and identifies variances to target metricsCreate and present payor and provider dashboards.Measure and monitor referral trends for various providers and payors to help inform discussions around provider/payor engagement.Demonstrate self directed learning and participates in continuing education to meet own professional developmentDemonstrate ability to prioritize and maintained a level-headed approached when faced with unforeseen occurrences.Performs other duties as assigned.Required Qualifications:Req Bachelor’s Degree Degree in a related fieldReq 4 years Experience with data analytics in healthcare or managed care.Req Proficient PC skills and ability to work proficiently with Microsoft Excel, and Word.Req Working knowledge of databases, spreadsheets, word processing and statistical software programs.Req Working knowledge of business statistics and data analyses techniques.Req Previous healthcare experience in HIM/Clinical Revenue Integrity/Revenue cycle.Req Ability to manage and analyze data.Req Strong analytical thinking and problem solving skills.Req Exceptional time management skills with ability to meet tight deadlines.Req Outstanding organizational and problem-solving aptitude.Req Excellent verbal and written communication skills.Req Ability to analyze information and develop comprehensive solutions to address practical work related issues.Req Ability to be organized and simultaneously manage multiple projects.Req Ability to perform well in a team environment, including all levels of staff, to achieve business goals.Req Ability to work independently to meet objectives.Req Exhibits technical and operational proficiency solving problems of moderate complexity.Req Contributes to completion of projects and programs in area of expertise.Preferred Qualifications:Pref Master’s degree Degree in a related fieldRequired Licenses/Certifications: Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)The annual base salary range for this position is $95,680.00 - $158,230.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying. We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at View phone number on click.appcast.io, or by email at View email address on click.appcast.io. Inquiries will be treated as confidential to the extent permitted by law.Notice of Non-discriminationEmployment EquityRead USC’s Clery Act Annual Security ReportUSC is a smoke-free environmentDigital AccessibilityIf you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser: Los Angeles, CA - Health Sciences CampusType: Full time
$81.12k - $133.01k
The Senior Analyst of Clinical Operations... ...knowledge management efforts to redesign care processes... ...for the development and governance... ...strategy Implements... ...deliverables are on time, within budget... ...to a non-technical audiences... ...within 30 days of hire and... ...CampusType: Full timeFull timeUnionSeniorWork experience placementWork at officeLocal area$138.45k - $228.43k
...Ambulatory Care Management and... ...ensures full compliance... ...professional development. This... ...with senior leaders... ...centered strategy. The role... ...ensures timely and effective... ...to network and out-... ...wage and hour laws,... ...Medicare contracts and benefit... ...30 days of hire... ...Notice of Non-discrimination...Full timeUnionWork experience placementWork at officeLocal area$84.37k - $138.33k
In this role, the Contracts Analyst, Sr actively manages the process of contract review and... ...contractual matters; ensuring timely review, approval, and... ...must be obtained within 30 days of hire and maintained by... ...Hospital of USC, a 343-bed acute care hospital, provides...Full timeUnionSeniorContract workWork experience placementLocal area$110.24k - $181.9k
The Senior Operations Manager is responsible for... ...of care processes... ...Assists in the timely and accurate... ...in the development and implementation... ...to day-to-day crisis... ...to builds strategies in... ...billing, contracting, and financial... ...Notice of Non-discriminationEmployment... ..., CAType: Full timeFull timeUnionSeniorWork experience placementWork at officeLocal area$114.65k - $189.17k
## Project Manager, Facilities - Plant Maintenance - Full Time 8 Hour Days (Exempt) (Non-Union)Applylocations: Los Angeles, CA - Health Sciences... ...and recommends award of contracts.* Serves as key resource for... ...Hospital of USC, a 343-bed acute care hospital, provides...Full timeUnionFor contractorsFor subcontractorRelocation$53 - $87.45 per hour
...team, the Case Manager provides care coordination services... ...within 24 hours of admission;... ...throughput and timely discharges throughout... ...nurse. 8. Assesses ongoing... ...Completes Medicare One Day Stay forms... .../Medicare contracts and benefit systems... ...or out of network services. 10. Completes...Full timeUnionHourly payContract workWork experience placementWork at office$174.72k - $288.29k
...Assistant II - Orthopedic Clinic - Full Time 8 Hour Days (Exempt) (Non-Union) page is loaded## Physician Assistant... ...be involved in coordination of care, participates in education, and is... ...clinical practice and patient care management. The PA will function as a leader within...Full timeUnionWork experience placementWork at officeLocal area$39 - $63.95 per hour
...Transplant Social Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union) Los Angeles, CA. The... ...with Case Managers on discharge planning issues... ...facilitation and program development. Triage/ Management of... ...admissions and ongoing patient care, requesting assistance from...Full timeUnionHourly pay$21 - $29.77 per hour
Physical Therapy Aide I - Torrance BCO PT & OT Clinic - Full Time 8 Hour Days (Non-Exempt) (Non-Union) Keck Medicine of USC Posted Mar 9 Full-time... ...in all aspects of the direct and indirect delivery of care to patients, under the direction of the Director of the...Full timeUnionHourly payShift workWeekend work$81.12k - $133.01k
The Senior Media Relations Specialist... ...communications strategies for key health... ...before normal work hours and weekend... ...for inclusion.Manage awards calendar... ...obtained within 30 days of hire and... ...law.Notice of Non-discriminationEmployment... ...browser: Los Angeles, CAType: Full timeFull timeUnionSeniorWork experience placementLocal areaWeekend work$138.45k - $228.43k
...ensures the development,... ...patient care standards... ..., cost management, and... ...regularly with senior... ...clinical strategy, research... ...networks, and positions... ...Ensure timely and... ...wage and hour laws, federal... ...union contracts. • Work... ...within 30 days of hire... ...of Non-discriminationEmployment... ...: Full timeFull timeUnionWork experience placementLocal area$84.37k - $138.33k
The Program Manager is... ...programming, development, for services... ...transitions of care between... ...effective strategies for... ...against budgets.8.... ...effective and timely.12. Responsible... ..., payer contracting, managed care... ...within 30 days of hire... ...Notice of Non-discriminationEmployment... ...CampusType: Full timeFull timeUnionWork experience placementWork at officeLocal area$114.65k - $189.17k
...Services - Clinical Lab - Full Time 8 Hour Days (Exempt) (Non-Union) The Laboratory... ..., administrative management of the section and... ...professional growth and development by attending... ...years in an Acute Care Facility setting. Req... ...Req 0 - 2 years in a senior or supervising...Full timeUnionWork experience placementLocal area$99.51k - $164.56k
...Engineer, Senior serves as a... ..., ensuring timely resolution... ...IT teams to manage dependencies... ...Provides after-hours and weekend... ...within 30 days of hire and... ...only)USC Care Medical... ...including billing, contracting, and... ....Notice of Non-discriminationEmployment... ...Park CampusType: Full timeFull timeUnionSeniorWork experience placementLocal areaWeekend work$44 - $95 per hour
...therapeutic care to patients... ...advocate. Manages restraint use... ...non‑restraint measures... ...new employee/contract employee updates... ...: Manages time effectively... ...DEVELOPMENT: Participates... ...more than 8 non‑mandatory... ...within 30 days of hire and... ...sooner. The hourly rate range...Full timeUnionHourly payContract workShift work$58.5 - $96.53 per hour
...provides nursing care as an RN to... ...families who are managed with, or being considered... .... Provides off hours coverage to the... ...Responsible for development and revision of... ...in efficient time management. Development... ...Assumes day-to-day responsibility... .... Notice of Non-discrimination...Full timeUnionHourly payWork experience placementLocal areaShift workNight shiftWeekend work$22.88 - $35.55 per hour
...USC Care Medical Group Serves as... ...communications using a call management system.... ...in mind timing, demand, peak season... ...within 30 days of hire and maintained... ...billing, contracting, and financial... ...boundaries. The hourly rate range for... .... Notice of Non-discrimination...Full timeUnionHourly payWork experience placementSeasonal workWork at officeLocal areaFlexible hours$126.55k - $208.8k
The Manager, Ambulatory Transformation... ...strategy, maximize return... ...for the full lifecycle of... ...business case development through... ...optimization—ensuring timely and... ...within 30 days of hire and... ...Care Medical Group... ...including billing, contracting, and financial... ....Notice of Non-...Full timeUnionWork experience placementLocal area$126.55k - $208.8k
...organizational strategy and long-... ...-based care acumen,... ..., managing data rooms... ...ensuring timely resolution... ...recommendations for senior... ...and payer contracting needs, and... ...ongoing development of the Transformation... ...30 days of hire... ...of Non-discriminationEmployment... ..., CAType: Full timeFull timeUnionWork experience placementWork at officeLocal area$99.51k - $164.56k
...Administrative Manager is responsible... ...including day-to-day operations... ...requires continued development of strategies to improve... ...follow up and contract load... ...knowledge of health care and hospital AR... ...law.Notice of Non-discriminationEmployment... ...Health Sciences CampusType: Full timeFull timeUnionContract workWork experience placementWork at officeLocal area$45.43k - $76.48k
...and referrals management. Departmental... ...referrals in a timely manner; this includes... ...throughout the day. Retrieves and... ...of patient care. This includes... ...including billing, contracting, and financial... .... The hourly rate range for... .... Notice of Non-discrimination...Full timeUnionHourly payWork experience placementWork at officeLocal areaFlexible hours$138.45k - $228.43k
The Manager of Molecular Imaging... ...and timely performance... ...professional development. The... ...all patient care within radiology... ...24-hour responsibility... ...services. Networks with peers... ...Program strategy/tactics for... ...within 30 days of hire and... ...Notice of Non-... ...Sciences CampusType: Full timeFull timeUnionWork experience placementLocal areaImmediate startNight shift- HIM Coding Manager - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union) page is loaded## HIM Coding Manager - HIM Financial... ...provides leadership in the development and implementation of coding... ..., and maintain coding audit strategies aligned with CMS, OIG, and...Full timeUnionRemote work
$22 - $34.18 per hour
...all aspects of patient care. Coordinate clinic schedules... ...team in managing the care of the patient... ...Process new referrals in a timely manner; this includes obtaining... ...be obtained within 30 days of hire and maintained... ...LA City only) The hourly rate range for this position...Full timeUnionHourly payWork experience placementWork at officeLocal area$44 - $95 per hour
...6S Telemetry - Full Time 12 Hour Days (Non-Exempt) (Union) Apply for the RN... ...provide therapeutic care to patients. The... ...advocate; manages restraint use per... ...Student/New employee/Contract employee.... .... Professional development: Participates in... ...(5); More than 8 Non-mandatory CEH...Full timeUnionHourly payContract workWork experience placementLocal areaShift work$55.12 - $90.95 per hour
The Senior Clinical Laboratory Scientist... ...management of the section... ...professional growth and development.Participates... ...in an Acute Care Facility... ...Organization/time management skills... ...within 30 days of hire and maintained... ...trials.The hourly rate range... ....Notice of Non-...Full timeUnionSeniorHourly payWork experience placementWork at officeLocal area$84.37k - $138.33k
...The Project Manager provides a wide range... .... Oversees the timely and accurate... ...Medicine provider network Develop and... ...obtained within 30 days of hire and... ...only) USC Care Medical Group serves... ...billing, contracting, and financial... .... Notice of Non-discrimination...Full timeUnionTemporary workWork experience placementLocal area$174.72k - $288.29k
The Pharmacy Manager of Operations will oversee the day-to-day operation of the Pharmacy and... ...assist the Director in the development and implementation of the... ...the department to ensure timely, quality services within... ...a Pharmacist in an Acute Care Hospital Pharmacy Environment...Full timeUnion- ...provide therapeutic care to patients. As an... ...also responsible to manage those patients who... ...ORGANIZATION Manages time effectively. Able... ...patient identifiers (Full name and date of... ...improvements PROFESSIONAL DEVELOPMENT Participates in... ...obtained within 30 days of hire and...Full timeUnion
$95.68k - $158.23k
The Senior Financial Analyst assists in all decision... ...implementation and development of cost... ...difficult and varied management needs. He/She... ...of their time and workload.Essential... ...within 30 days of hire and... ...law.Notice of Non-discriminationEmployment... ...Sciences CampusType: Full timeFull timeUnionSeniorWork experience placementLocal area
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