Job description

Financial Systems Analyst

Location: 1575 Sherman St 2nd Floor Denver, Colorado 80203 (Remote)

Duration: 12+ Months

Client: CO CDHS

Job Description:

· This role serves as the liaison between the Behavioural Health Administration (BHA) Finance Team, the Data & Evaluation Team, and the Medicaid Management Information System (MMIS) team at the Department of Health Care Policy & Financing (HCPF) to elicit business requirements for future BHA claims and encounter processing.

· They will have experience with alternative payment models that align with the payers’ efforts to shift away from fee-for-services payments to value-based payments. They will have experience with physical and/or behavioural health data.

· This position exists to support development of payment models and business processes with a level of technical expertise of healthcare payment business processes and payment models.

· Position is essential in doing work to develop new rate setting processes. This work can include data analysis, working with actuaries on rate setting methodologies, contract management and stakeholder engagement.

Primary Duties Include

· Reimbursement Policy and Rate Model Development

· Determines what data is necessary for rate setting purposes for different types of payment methodologies.

· Helps to determine if quality measures can be executed with existing management guidance or if further clarification is necessary to do the work.

· Must decide how best to pull and analyze data.

· This position must be able to understand potentially complex rate models and be able to help providers understand their rates and the financial implications involved.

· Translating complex financial models into contractual language for our providers.

· Project Management and Operational Planning to Implement Payment Reform

· Collaborate with agency stakeholders to develop new payment models for behavioral health services.

· Decides what tasks need to be completed to develop new payment methodologies.

· Must determine what tasks are a payment reform team task or if other Department staff or outside contractors are needed to assist with implementation.

· Decides in which order, and when, to perform these structured tasks.

· Data Analysis Supporting Payment Reform

· Position escalates issues raised by stakeholders that exceed the legal and regulatory knowledge of this first working level position.

· In responding to stakeholder inquiries and concerns, position evaluates management guidance, then decides when is appropriate to ask for assistance if the stakeholder inquiry is outside of the scope of the guidance that the position relies upon.

· Decides appropriate time to ask for permission to escalate to other Departmental staff as needed to address complex stakeholder inquiries or concerns

· Under the direction of a senior analyst, position queries, analyzes, and prepares data for use in analyzing the policy merits of potential payment methodology reforms.

· Position becomes knowledgeable about a very large set of underlying data that must be queried in different ways depending on the particular extant payment methodology.

· Position tabulates and compiles data into formats that are useful and understandable to a variety of audiences of varying sophistication and skill.

Experience and Qualifications:

· Education: Graduation from an accredited college or university with a bachelor's degree.

Substitution:

· Additional, relevant, paid or unpaid experience can substitute for the required education on a year-for-year basis.

Experience:

· 3+ years of experience with behavioral health or public health payment methodologies

· Cost reimbursement and fee-for-service claim or encounter based payment methodologies

· Familiarity with 837 claims data or other behavioral health or medical financial data

· Drafting language for contracts; working with contracts

· Uniform Coding Standards (CPT/HCPCS/Revenue Codes) and Relative Value Units (RVUs)

Preferred Qualifications

· The preferred candidate will exhibit:

· Familiarity with safety net or medically indigent behavioral health programs

· Expertise in financial analysis and rate analysis

· Excellent interpersonal, verbal, and written communication and public speaking skills.

· Self-motivated and able to effectively manage time and tasks.

· Ability to solve complex problems, participate in continuous improvement, and adapt to the ideas of others.

Highly Desirable Characteristics

· Ability to work effectively with key stakeholders, speak and write authoritatively and compellingly, resolve communication problems, and negotiate and manage competing interests

Job Type: Contract

Pay: $60.00 - $70.00 per hour

Schedule:

• 8 hour shift

Work Location: Remote

www.colinoncars.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, www.colinoncars.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, www.colinoncars.com is the ideal place to find your next job.