How to Apply
A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.
Business Analyst Intermediate
The Contracting Office is responsible for the administration of contract agreements on behalf of the University of Michigan and a wide range of healthcare delivery options. The Finance/Business Analyst Intermediate position will provide assistance to the Contracting Office’s efforts related to negotiations, analysis and reporting of our contractual agreements, along with monitoring healthcare payer contracts. In addition, the candidate will help address and/or resolve payer contractual, and operational issues. Assignments are complex in nature, requiring very detailed work and thorough investigation. This position meets regularly with our contracted payers to address contractual, operational, and reimbursement issues, and also interfaces with clinics, departments, health centers, Revenue Cycle, Population Health, Ambulatory Care, etc. Responsibilities also include developing a wide variety of tools and resources designed to assist staff with contractual and operational issues as well as help communicate/educate payer updates and changes.
60% of the candidate’s primary responsibilities will be dedicated to providing oversight of managed care payer agreements, negotiating single case agreements related to transplants, congenital heart, community mental health, and in-state / out of state referrals to Michigan Medicine. Analyze, compare, and evaluate various financial terms, with the authority to make independent decisions on significant financial matters which impact Michigan Medicine revenue. Track medical and financial information on behalf of our transplant center and assist departments in facilitating the transplant network requirements to maintain our Center of Excellence (COE) status. Help prepare, analyze, and interpret statistical data. Utilize specific software in the creation, display, and reproduction of charts, graphs, and economic models relative to the operations of the organization, as well as develop payer report cards.
Remainder of responsibility (40%) entails providing support on behalf of all our payer contracts and help resolve operational and/or systemic issues related to payer requirements. Work closely with clinical areas and revenue cycle staff to communicate financial terms of contract agreements to ensure accuracy and compliance of payer contracts, including single case agreements and/or Transplant arrangements. Work closely with assigned payer representatives on a wide array of financial and operational issues which at time can be complex in nature, requiring very detailed work. Work closely with front and back end staff to help educate and communicate payer updates and changes. Provide assistance to clinics and health centers, Revenue Cycle, Care Management, Population Health, and other pertinent areas on payer related issues. Prepare contract updates and communicate information in various forums/presentations. Provide detailed information related to ACA Marketplace for external website. Create and maintain web-based tools and resources for department website to assist clinic and revenue cycle staff.
- At least 3-5 years working with Managed Care Plans.
- Strong analytical, organizational, and decision-making skills.
- Comprehensive understanding of Michigan Medicine infrastructure and business processes.
- Excellent oral and written communication skills.
- Good understanding of health insurance concepts, Managed Care plans, and their related functions, processes, and requirements.
- Ability to work both independently and as part of a team environment.
- Ability to handle multi-faceted tasks in a fast- paced work environment while maintaining the level of detail critical to contracts/operations.
- Experience working with Microsoft Office products, especially Excel spreadsheets.
- Solid understanding of MiChart is required.
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act.
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.
U-M EEO/AA Statement
The University of Michigan is an equal opportunity/affirmative action employer.