Performance Integrity Innovation Analyst (REMOTE)
Overview Job Summary :
The Performance Integrity Innovation Analyst (PI Innovation Analyst) is responsible for a thorough understanding of software system configuration and requirements specific to each core Revenue Cycle Management function in order to act as first line support, trouble shoot, monitor and support improved utilization of the system.
The PI Innovation Analyst will lead the development of requirements specific to changes and updates to system process and operations.
The PI Innovation analyst will be responsible for maintaining a clear outline and visuals of current system set up, proactively investigate best practices and delivering recommendations on configurations needs.
The PI Innovation analyst will draft requirements and rules for system enhancement requests, finalizing testing of system development, managing appropriate implementation into production and ultimately the follow up to confirm the rules are providing outputs.
The PI Innovation Analyst is also responsible for engaging with the Information Technology applications team to manage pre-upgrade review of enhancements and testing appropriate scripts to assure maximum system performance.
It is expected that the PI Innovation Analyst will communicate upgrade changes, engage teams in understanding impact of options, partnering with teams and IT to test, train and activate successful delivery.
Effective oral and written communication regarding system changes including defining training needs are met are essential to performing in the role effectively.
In addition to the above job responsibilities, the PI Innovation Analyst will also work without Automation Excellence team and maintain front line support for automation scripts, maintain scheduling and troubleshooting issues with robotic process automation, and assure routine processing of RPA.
Responsibilities Job Expectations:
Partner with RCM Operational leaders to define system enhancements and outline criteria for requesting system changes, test changes with IT, and finalize production process
Actively work on maintaining the integrity of assigned RCM module system by monitoring statistics and utilization metrics to identify, research and recommend improvements
Create system design documents, including systems models, specifications, diagrams, and charts as needed to inform operations of system design
Perform in-depth testing, including end-user reviews, for changes requested to the system.
Provide implementation support and post implementation analysis of performance.
Provide system support and testing to EPIC upgrades and document system changes that would require operational input
Prioritize system enhancement requests and maintain prioritization between IT and RCM Operations leaders
Partner with staff from other infrastructure and operational areas to assess best practices proactively and recommend system specific process improvements
Build and maintain strong working relationships with staff from Information Technology and operational areas, as well as staff from various outside partners, including payers, vendors, and consultants.
Monitors and remains current with system updates and capabilities to provide better service support and advisory services related to system optimization.
Conducts research as needed to investigate requirements and changes to improve workflow and outcomes.
Provide production troubleshooting support to the operations.
This includes researching issues/problems within areas of responsibility and recommend innovative solutions to prevent recurrence.
Maintain integrity of activated robotic process automation scripts including scheduling, troubleshooting issues and ensuring accuracy of script work management Organization Expectations, as applicable:
Consistently demonstrates the ability embrace and model M Health Fairview commitments
Excellent time management and organizational skills with demonstrated ability to balance multiple priorities
Ability to create strong collaborative partnerships and influence others across teams, groups and business boundaries to achieve real world problem solving
Demonstrated ability to translate user requirements into system specifications
Strong analytical and critical thinking skills
Initiate judgment, make decisions and work autonomously undera minimal amount of supervision, to balance multiple tasks, be detail oriented, set priorities and complete assignments in a timely manner
Knowledge of government and commercial payer requirements for accurate and compliant healthcare charging and billing
Ability to access and interpret regulatory publications
Knowledge and understanding of hospital revenue cycle operations (registration, charge capture, health information management, claims, payment posting)
Ability to present to small and large groups
Consistent demonstration of excellent written and verbal communication skills
Proficiency in Microsoft Office:
Word, Excel, Power-Point, Visio, Teams, SharePoint and Outlook.
Qualifications Required Education Associates (2 year) or bachelors (4 year) degree in Statistics, Finance, Data Science, Business Administration, Health Care Administration or related areaPLUS 3 years of experience in health care reimbursement, financial management or codingORan approved equivalent combination of education and experience, minimum 6 years.
Experience
3 years experience working within the EPIC Revenue Cycle Management modules (Prelude, Cadence, Resolute or HIM)ORsimilar RCM software configuration and design.
3 years experience working with Revenue Cycle Management operations processing.
Demonstrated logical, analytical, and creative problem-solving skills.
Demonstrated written and oral communication skills, including the ability to communicate ideas in both technical and business terms.
Ability to conduct research into systems issues and products as required.
Advanced PC skills in Excel, Word, Access, and EPIC.
Preferred Education
Advanced Degree (Quality, Business/Finance, Data Analysis or Healthcare related fields preferred) Experience
Five or more years of experience in Health System Revenue Cycle, Information Technology, or Analytics professional level role.
Advanced PC skills in Microsoft Power BI
Experience leading work-groups
Experience presenting to leaders Need help finding the right job? We can recommend jobs specifically for you!_Fairview Health Services (fairview.
org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services.
Fairview is one of the most comprehensive and geographically accessible systems in the state, with 12 hospitalsincluding an academic medical center and long-term care hospitalserving the greater Twin Cities metro area and north-central Minnesota.
__Its broad continuum also includes 56 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne.
In partnership with the University of Minnesota, Fairviews 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.
_ _Vaccination Update_ _As part of our ongoing efforts to protect the wellbeing of our teams and to provide a safe and healthy environment for the patients and communities we serve, all Fairview employees will be required to receive both an annual flu vaccination and the COVID-19 vaccination series.
Current employees must have completed both vaccination schedules on or before October 31, 2021.
Beginning August 9, 2021, any new hires who are not fully vaccinated against COVID-19 are required to receive their first dose prior to their start date and their second dose (if receiving Moderna or Pfizer vaccines) within 4 weeks of their start date.
Annual flu vaccinations are also required before the employment start date for employees who begin employment during the flu season.
Accommodations requests will be reviewed on an individual basis.
__EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status.
_ Job Locations _US-MN-Saint Paul_ Estimated Salary: $20 to $28 per hour based on qualifications.
The Performance Integrity Innovation Analyst (PI Innovation Analyst) is responsible for a thorough understanding of software system configuration and requirements specific to each core Revenue Cycle Management function in order to act as first line support, trouble shoot, monitor and support improved utilization of the system.
The PI Innovation Analyst will lead the development of requirements specific to changes and updates to system process and operations.
The PI Innovation analyst will be responsible for maintaining a clear outline and visuals of current system set up, proactively investigate best practices and delivering recommendations on configurations needs.
The PI Innovation analyst will draft requirements and rules for system enhancement requests, finalizing testing of system development, managing appropriate implementation into production and ultimately the follow up to confirm the rules are providing outputs.
The PI Innovation Analyst is also responsible for engaging with the Information Technology applications team to manage pre-upgrade review of enhancements and testing appropriate scripts to assure maximum system performance.
It is expected that the PI Innovation Analyst will communicate upgrade changes, engage teams in understanding impact of options, partnering with teams and IT to test, train and activate successful delivery.
Effective oral and written communication regarding system changes including defining training needs are met are essential to performing in the role effectively.
In addition to the above job responsibilities, the PI Innovation Analyst will also work without Automation Excellence team and maintain front line support for automation scripts, maintain scheduling and troubleshooting issues with robotic process automation, and assure routine processing of RPA.
Responsibilities Job Expectations:
Partner with RCM Operational leaders to define system enhancements and outline criteria for requesting system changes, test changes with IT, and finalize production process
Actively work on maintaining the integrity of assigned RCM module system by monitoring statistics and utilization metrics to identify, research and recommend improvements
Create system design documents, including systems models, specifications, diagrams, and charts as needed to inform operations of system design
Perform in-depth testing, including end-user reviews, for changes requested to the system.
Provide implementation support and post implementation analysis of performance.
Provide system support and testing to EPIC upgrades and document system changes that would require operational input
Prioritize system enhancement requests and maintain prioritization between IT and RCM Operations leaders
Partner with staff from other infrastructure and operational areas to assess best practices proactively and recommend system specific process improvements
Build and maintain strong working relationships with staff from Information Technology and operational areas, as well as staff from various outside partners, including payers, vendors, and consultants.
Monitors and remains current with system updates and capabilities to provide better service support and advisory services related to system optimization.
Conducts research as needed to investigate requirements and changes to improve workflow and outcomes.
Provide production troubleshooting support to the operations.
This includes researching issues/problems within areas of responsibility and recommend innovative solutions to prevent recurrence.
Maintain integrity of activated robotic process automation scripts including scheduling, troubleshooting issues and ensuring accuracy of script work management Organization Expectations, as applicable:
Consistently demonstrates the ability embrace and model M Health Fairview commitments
Excellent time management and organizational skills with demonstrated ability to balance multiple priorities
Ability to create strong collaborative partnerships and influence others across teams, groups and business boundaries to achieve real world problem solving
Demonstrated ability to translate user requirements into system specifications
Strong analytical and critical thinking skills
Initiate judgment, make decisions and work autonomously undera minimal amount of supervision, to balance multiple tasks, be detail oriented, set priorities and complete assignments in a timely manner
Knowledge of government and commercial payer requirements for accurate and compliant healthcare charging and billing
Ability to access and interpret regulatory publications
Knowledge and understanding of hospital revenue cycle operations (registration, charge capture, health information management, claims, payment posting)
Ability to present to small and large groups
Consistent demonstration of excellent written and verbal communication skills
Proficiency in Microsoft Office:
Word, Excel, Power-Point, Visio, Teams, SharePoint and Outlook.
Qualifications Required Education Associates (2 year) or bachelors (4 year) degree in Statistics, Finance, Data Science, Business Administration, Health Care Administration or related areaPLUS 3 years of experience in health care reimbursement, financial management or codingORan approved equivalent combination of education and experience, minimum 6 years.
Experience
3 years experience working within the EPIC Revenue Cycle Management modules (Prelude, Cadence, Resolute or HIM)ORsimilar RCM software configuration and design.
3 years experience working with Revenue Cycle Management operations processing.
Demonstrated logical, analytical, and creative problem-solving skills.
Demonstrated written and oral communication skills, including the ability to communicate ideas in both technical and business terms.
Ability to conduct research into systems issues and products as required.
Advanced PC skills in Excel, Word, Access, and EPIC.
Preferred Education
Advanced Degree (Quality, Business/Finance, Data Analysis or Healthcare related fields preferred) Experience
Five or more years of experience in Health System Revenue Cycle, Information Technology, or Analytics professional level role.
Advanced PC skills in Microsoft Power BI
Experience leading work-groups
Experience presenting to leaders Need help finding the right job? We can recommend jobs specifically for you!_Fairview Health Services (fairview.
org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services.
Fairview is one of the most comprehensive and geographically accessible systems in the state, with 12 hospitalsincluding an academic medical center and long-term care hospitalserving the greater Twin Cities metro area and north-central Minnesota.
__Its broad continuum also includes 56 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne.
In partnership with the University of Minnesota, Fairviews 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.
_ _Vaccination Update_ _As part of our ongoing efforts to protect the wellbeing of our teams and to provide a safe and healthy environment for the patients and communities we serve, all Fairview employees will be required to receive both an annual flu vaccination and the COVID-19 vaccination series.
Current employees must have completed both vaccination schedules on or before October 31, 2021.
Beginning August 9, 2021, any new hires who are not fully vaccinated against COVID-19 are required to receive their first dose prior to their start date and their second dose (if receiving Moderna or Pfizer vaccines) within 4 weeks of their start date.
Annual flu vaccinations are also required before the employment start date for employees who begin employment during the flu season.
Accommodations requests will be reviewed on an individual basis.
__EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status.
_ Job Locations _US-MN-Saint Paul_ Estimated Salary: $20 to $28 per hour based on qualifications.
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