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Posted: Tuesday, February 6, 2018 1:36 AM

Posting Title Clnically Integrated Network (CIN) Business Analyst Location YRMC - Other Job Location Address 2400 S. Avenue A Position Summary Performs a variety of the day-to-day activities required throughout the clinically integrated network (CIN) as well as the delivery of financial, clinical, provider utilization, and beneficiary utilization data to CIN leaders, Providers, the Care Coordination team, and Practice Managers. Leads work to standardize monthly reporting of provider and patient utilization including usage of claims, EMR, and quality data. This position works under the direction of the CIN Operations Manager and supports all analytical, business, and other requests. Strong communication skills, critical analysis, and the ability to interact with people at all levels is required. The role works in close collaboration with internal and external practice leaders, staff members, payors, and physicians to evaluate programs, services and processes to improve the CINA cents € (TM) s overall operational, clinical and efficient performance. The position utilizes an understanding of clinically integrated networks (CIN) and Accountable Care Organizations (ACO) and works in a fast paced dynamic environment. The CIN Business Analyst must possess the ability to work independently with strong organizational, communication and interpersonal skills to support the management of multiple priorities, with significant attention to detail for completion of both verbal and written external communications. Posting Department Planning/Business Development Posting Department Description YRMC is a 406-bed, Medicare-certified acute care hospital staffed by skilled healthcare professionals who are committed to providing the highest level of patient-family focused care. In additional to serving the community's general medical and surgical needs, YRMC offers many specialized services, including: Women and Children Services Center Level 3 Neonatal ICU Heart Center Cancer Resource Center Cardiopulmonary Care Unit Outpatient Surgery Center Diabetes Education Center Wound Care Center Bariatric (Weight Loss) Surgery Program YRMC also serves as the base for the area's Emergency Medical System and operates one of the busiest Emergency Departments in the state. Our Mission The mission of Yuma Regional Medical Center is to improve the health and well-being of individuals, families, and the communities we serve through excellence, innovation, and prudent use of resources. Area of Interest Management Start Date Immediately Work Week M-F Daily Hours 8 Bi-Weekly Hours 80 External Education Education Required: Bachelors degree in Business, Statistics, Economics, health services research, or other business, healthcare, or quantitative science related field of study WITH 2 years experience in statistical analysis including exceptional analytical abilities in synthesizing data, insurance claims, quality data, and project management. ~ OR ~ Masters degree in Business, Statistics, Actuarial Science, or Health Care Administration. Education Preferred: Masters degree in Business, Statistics, Actuarial Science, or Health Care Administration. External Experience Experience Required: Experience working with large data sets, preferably working with healthcare data, either from educational study or professional experience; Familiarity with population health (CIN/ACO/Insurance/similar entity) operations, insurance marketing concepts and support databases; Must be able to pass computer proficiency assessments and proficient in computerized database management systems, statistical/analytics software (SAS, SQL, Alteryx, etc.) and Microsoft Office products (Access, Excel, PowerPoint, Word). Experience Preferred: Knowledgeable of ICD-10-CM diagnosis, procedure (CPT) coding, and DRG payment system. 1 year of Health Network/Insurance Experience Understanding of provider capitation contracts, development of capitation rates, contract carve outs, and performed comparative analysis to Fee for Service. 1 year of experience with Medicare Risk Adjusted Factor (RAF) Scoring, coding, and auditing Formal process improvement training (Lean, Six-Sigma, TQL, etc.) Requires Call No Relocation Yes Job Status SALARY-FT Apply

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• Location: Yuma

• Post ID: 69900012 yuma
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