Data Analytics Manager Healthcare Finance
Location: Pearland Administrative Office
Job Type: Full-Time
Department: KS Plan Advantage-Healthcare Finance
Kelsey-Seybold Clinic. Your Doctors for Life.
Since 1949, Kelsey-Seybold Clinic has served its patients with one goal in mind – combine the expertise of physicians in a variety of medical specialties, with the close personal care of a family doctor. Kelsey-Seybold is Houston’s largest community-based physician group, caring for more than 400,000 patients. With 21 clinic locations, we are growing to meet the health care needs of our diverse patient population. Our mission is to provide our team members with exceptional opportunities for professional and personal growth.
Reviews and analyzes all financial aspects of KS Plan Administrator's (KelseyCare Advantage) contracts with the Center for Medicare and Medicaid (CMS) and contracted providers utilizing underwriting skills, general health plan and managed care principals along with knowledge of government insurance programs and Medicare Advantage. Analyze risk, identify cost containment and revenue enhancement opportunities. Provides underwriting analysis, tracking and management of renewal and quote activity for the KSPA Direct Network sales office.
EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS
(A = basics; B = preferred)