UCLA Health
UCLA Health is hiring: Data Analyst (flex-hybrid) in Los Angeles
UCLA Health, Los Angeles, CA, US
As a member of the Medicare Advantage Operations
team, Business Data Analyst is instrumental in independently developing the
detailed requirements specifications according to business needs.
work directly with and serve as the liaison between business units, external trading partners, IT teams and support teams
ensure functional and non-functional requirements are understood and implemented consistent with the Business Data Analysts vision
perform testing, design and delivery requirements
work with the team to identify, analyze, quantify, and mitigate business risks
collaborate with the training/development staff to deliver and update training documentation
generate adhoc reports to support operations team as needed
This is a flex-hybrid role which will require you to be onsite as required by operational need; there are no reimbursements for travel to "home office" location. Salary offers are determined based on various factors including, but not limited to, qualifications, experience, and equity. The budgeted salary or hourly range that the University reasonably expects to pay for this position is approximately between $80,000 - $113,000 annually.
Bachelors Degree in Business Administration, Information Systems, Health Care or other related field required
Minimum of five (5) years experience in a Medicare or Managed Care environment managing enrollment, claims or encounters required
Minimum of five (5) years experience with CMS processes in a Medicare or Managed Care environment required
Experience with CMS processes is a plus
Knowledge of SQL window based computer environment including MS Office and related programs is a plus
Knowledge of encounter regulatory reporting and compliance requirements.
Strong knowledge of the health care model, capitation and other managed care IPA and provider reimbursement methodologies.
Strong knowledge of physician and facility billing practices, appropriate CPT coding initiatives, ICD-10 coding standards, as well as Revenue and HCPCS coding.
Demonstrated ability to analyze and organize complex federal and private insurance regulations.
Working knowledge of Microsoft Office Suite (Excel, Word, and PowerPoint) and data visualization tools.
Reliability and compliance with scheduling standards.
Strong critical thinking and the ability to apply knowledge at a broad level within a complex academic medical center is essential.
Ability to analyze and organize complex federal and private insurance regulations.
Must be effective at working independently with minimal supervision.
Ability to travel/attend off-site meetings and conferences.
Must be customer service oriented, be able to work well individually and as part of a team;