Senior Revenue Analysis Analyst, Market & Payor Relations, Southwestern Health Resources, SWHR

Qualifications

Education

Bachelor's Degree Required

Experience

3 Years Finance or experience to include managed care, physician billing or compensation experience Required and

1 Year Decision support experience Preferred

Skills

Strong PC literacy with full suite of Microsoft Office applications, including Access, Excel and SQL

Prefer experience with relational databases

Supervision

Individual Contributor

Position Responsibilities 

Physician Managed Care Analytics:

• Perform data modeling and data analysis using statistical techniques.
• Analyze variances reported in order to identify the causes and implications (utilization) of said variances.
• Participate in operational and clinical benchmarking efforts that will be used to measure and set goals for improving performance.
• Prepare and deliver decision support reports (managed care) to internal customers.
• Perform ad hoc analysis related to SWHR professional utilization and fee schedules.
• Development and maintenance of physician fee schedules.

Data Management/Computer Proficiency:

• Establish data accuracy and validity derived from a variety of systems.
• Work with UTSW, CAPs, and THPG physician groups to ensure proper utilization of the managed care data.
• Maintain data repositories that are free of data errors and up to date to be used in analysis reports.
• Interface with end-users of the decision support system to determine requirements for data, reports, and analysis.
• Advanced to Expert level Microsoft Access and Excel. Some SQL experience preferred.
• Strong understanding of physician CPT codes, rvu, and reimbursement for physician services.

Why Southwestern Health Resources 
As a Southwestern Health Resources you’ll enjoy: comprehensive benefits, including a 401(k) with match; paid time off; competitive health insurance choices; healthcare and dependent care spending account options; wellness programs to keep you and your family healthy; tuition reimbursement; a student loan repayment program; and more.

Moving healthcare forward
At the heart of SWHR are people who help people. We care about those we serve and each other.  To be the national leader in providing population-based healthcare, our more than 850 employees use their knowledge, data insights and clinical experience to deliver care to the right patient, at the right time and in the right setting. By connecting physicians to patients and clinical insights to better outcomes, SWHR lowers costs, optimizes value, and builds a better healthcare system for all.

We invite you to learn more about us at www.southwesternhealth.org.

Let’s move healthcare forward – together.

Highlights:

• Combining the strengths of UT Southwestern Medical Center, Texas Health Resources and more than 2,500 community physicians, we offer the largest provider network in North Texas. SWHR covers approximately 700,000 patient members across 16 counties in North Texas.
• SWHR is the parent organization of Care N’ Care Insurance Co., a leading regional Medicare Advantage health plan organization that serves approximately 17,000 patients in North Texas.

Additional perks of being a SWHR employee:

• Gain a sense of accomplishment by contributing in a teamwork environment
• Positively impact patients’ quality of life
• Receive excellent mentorship, comprehensive training and dedicated clinical leadership resources
• Enjoy opportunities for growth

Explore Southwestern Health Resources Careers for more information and to search all career opportunities.

Our Recruitment team invites you to contact us with any questions at recruitment@texashealth.org.