Revenue Cycle Data Analyst III

May fill at a different level
Supports department's goals and accountabilities by partnering with customers and colleagues to translate strategic plans into actionable decision support, including retrieval of a variety of healthcare information, e.g. membership, patient visits, claims, referrals, staffing, etc., and designing and managing statistical measurement and reporting processes related to operational and/or financial improvement activities. Maintains knowledge of and performs in accordance with Kaiser Permanente's Principles of Responsibility, policies and procedures, and applicable regulatory requirements and accreditation standards. Responds appropriately to observed fraud or abuse. Maintains and supports a culture of compliance, ethics and integrity.
Essential Functions:
Grows expertise in knowledge of KP data systems; actively shares knowledge within and outside the department. Builds queries using one or more tools (e.g. Business Objects, SAS, FOCUS, Crystal, etc.) to extract data from mainframe and server-based data repositories per specifications based on client requests.
Performs intermediate to advanced spreadsheet analyses and database solutions using tools such as Excel and MS Access; develops accurate scorecard and other reporting processes; provides detailed statistical measurement and interpretation; creates cost-benefit/profitability analyses; financial forecasts; and other analyses as required.
Develops financial outcome measurement techniques and suggests appropriate tools for measuring process improvement.
Collects, audits and compiles confidential data, determines statistical significance/variances according to standard criteria.
Develops and maintains indicators of department performance.
Utilizes critical thinking skills with regard to measurement and data; makes recommendations to management based on interpretation of data.
Coordinates data extraction and develops forecast proposals for the annual operating forecast of professional and technical outside expenses, other benefits and hospitalization and tests data validity.
Provides training and direction to other revenue cycle staff as necessary.
Performs other duties as assigned.
Maintains and supports a culture of compliance, ethics and integrity.
Maintains knowledge of policies and procedures and performs in accordance with the Principles of Responsibilities and applicable regulatory requirements, external laws and accreditation standards.
Reports appropriately observed fraud or abuse.
Basic Qualifications:
Minimum three (3) years of experience with Epic software.
Minimum four (4) years of experience performing sophisticated data retrieval and analyses.
Demonstrated experience in data extracting, manipulation and/or data management, and interpreting and communicating results/recommendations.
Bachelor's degree in mathematics, computer science, statistics, hard science, business or health care administration or related field OR four (4) years of experience in a directly related field.
High School Diploma or General Education Development (GED) required.
License, Certification, Registration
Epic Certification or proficiency within six (6) months of attending EPIC training.
Additional Requirements:
Advanced proficiency with Microsoft Excel, Microsoft Word, and Microsoft Access; proficiency with Business Objects, SAS, SQL, and/or Crystal Reports.
Preferred Qualifications:
Experience with Epic's Clarity data model is preferred.

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