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Business Analyst 3 (Finance, Quality Improvement)

Company: DaVita Medical Group
Location: El Segundo
Posted on: October 16, 2019

Job Description:

OVERVIEW: Responsible for performing routine and moderately complex activities under limited supervision in order to design, implement , maintain and support policies, processes and systems related to HCC Programs. Interacts with Web Services, Coding Department, Decision Support, Health Plan Analysis, site and regional staff to accomplish goals. ESSENTIAL FUNCTIONS: Consistently exhibits behavior and communication skills that demonstrate HealthCare Partners’ (HCP) commitment to superior customer service, including quality, care and concern with each and every internal and external customer. Assists department in tracking projects, expenditures and risks.  Assists with project communication requirements. Works with vendors and health plans to properly account for program costs and request funding reimbursement.  Assists vendors with data processing requests and site visits. Responds appropriately to reports of trouble related to HCC applications or programs to quickly resolve issue; manages customer expectations by keeping them informed of progress. Develops report specifications and writes complex reports for department or management using available reporting tools. Participates in quality assurance process for all new HCC related system changes within the PiP. Uses, protects, and discloses HCP patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards. Performs additional duties as assigned. EDUCATION: Bachelor’s degree from a four-year college and/or equivalent work experience in a related field. EXPERIENCE: Minimum: Over 5 years and up to and including 7 years of experience. 3 to 5 years background in healthcare industry and managed care. 3 to 5 years experience with MS Access, Excel, and SQL. Preferred: 3-5 years project management experience. 1 or more years CMS-HCC experience. Experience with Microsoft Project. Experience with SharePoint site development and maintenance. KNOWLEDGE, SKILLS, ABILITIES: Computer literate. Proficient in Microsoft applications (Access, Excel, Word, Project). Ability to type 40 wpm. 10-key by touch. Valid driver’s license. Strong analytical and problem-solving skills. Good English verbal and writing skills. Ability to work in a team environment with minimal amount of supervision. Ability to transfer knowledge and information to staff from a wide variety of cultural and educational backgrounds. Ability to cope with fluctuating demands of an uneven workload. Customer service-oriented. What's the first thing that happens when one of the leading independent medical groups in the country comes together with a global leader in health care? Opportunity. With  DaVita Medical Group, HealthCare Partners, The Everett Clinic, Northwest Physicians Network, MountainView Medical Group and Magan Medical Clinic joining  OptumCare  and the  UnitedHealth Group  family of companies, people like you will find increasing levels of challenge, impact and professional success. We're changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. That takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment. Are you with us? Learn more about this exciting opportunity to do your life's best work.(SM) Careers with OptumCare. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. OptumCare, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Here you’ll find incredible ideas in one incredible company and a singular opportunity to do your life's best work.(SM) Diversity creates a healthier atmosphere: OptumCare and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. OptumCare and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: DaVita Medical Group, Monterey Park , Business Analyst 3 (Finance, Quality Improvement), Other , El Segundo, California

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