Provider Financial Analyst

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Leads, coordinates, and supports provider compensation and revenue cycle analysis for assigned support group. The position will provide analytical support for the development and measurement of production, compensation, and operational targets and models, and the coordination of the development, implementation, monitoring, and updating of provider compensation plans. This role will monitor and analyze provider revenue cycle indicators, identifying opportunities for improved performance. This position will work closely with the Regional Administrators, Hospital and Physician Leadership, to ensure productivity/compensation are being reported and paid to providers accurately and in a timely manner. Ensure accurate budgeting and strong monitoring of financial results to maximize efficiency and identify opportunities for margin enhancement.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor’s degree in business administration, accounting, finance or other related area

EXPERIENCE:

1. Three (3) years of accounting/finance related experience

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. CPA certification

2. Master’s degree in accounting, finance, or business administration

EXPERIENCE:

1. Experience in Healthcare preferred.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Coordinate provider performance and compensation analysis and reporting process by working with clinical and hospital leadership who play a role in the process.

2. Independently analyze and complete monthly performance reports for non-academic provider practice entities. Work closely with regional accountants & practice leaders to assess performance against targets.

3. Maintains physician compensation and contract management software for SMG.

4. Monitors total compensation payments made to employed and contracted providers to ensure adherence to compensation plan and compliance with Fair Market Value standards. . Communicates directly with SMG leadership regarding negative variances and rolling projections.

5. Continuously monitor revenue cycle performance improvement and margin enhancement opportunities and communicate to Finance and Provider Practice leadership. Specific reporting duties include: comparing reimbursement by clinic/provider and payor to ensure consistency across all practice sites; identify potential payor enrollment issues; and monitor and act upon claims denials.

6. Directs the payment of Medical Directorships, Call Pay and other non-productivity contractual terms.

7. Coordinates the completion of financial analysis related to and in support of new services, provider compensation rates, and long term strategic initiatives of the Provider Practices. Leverage Inflow or equivalent tool to aide in assessment.

8. Develops & Monitors Physician compensation Models, including incentives in conjunction with Finance and Provider Practice Leadership.

9. Conduct analytical research of historical data as well as projected impact of new or changing services related to the non-academic practices.

10. Oversee the process of maintaining the physician compensation plans, incentive payment calculations, and maintaining provider productivity tools & reports.

11. Collaborate with Hospital Finance & Reimbursement team on the completion of larger scale financial projections related to the Provider Practices.

12. Key member of core SMG Administration team. Analyze and provide recommendations on compensation model upgrades.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. May need to sit during extended periods of time.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Standard office environment.

SKILLS AND ABILITIES:

1. Ability to work with computer databases and spreadsheet software

2. Strong organizational skills and attention to detail

3. Ability to multi-task and work in a challenging fast paced environment

4. Excellent written and verbal communication skills

5. Independent worker and analytical thinker with ability to conduct research, data analysis and resolve complex problems

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Exempt)

Company:

SMG System Medical Group

Cost Center:

500 SMG Administration

Address:

3040 University Ave

Morgantown

West Virginia

WVU Medicine is proud to be an Equal Opportunity employer. We value diversity among our workforce and invite applications from all qualified applicants regardless of race, ethnicity, culture, gender, sexual orientation, sexual identity, gender identity and expression, socioeconomic status, language, national origin, religious affiliation, spiritual practice, age, mental and physical ability/disability or Veteran status.