Sr. Financial Analyst - Chargemaster
Sr. Financial Analyst - Chargemaster
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Salary Not Disclosed
1 Vacancy
Job Description
The Senior Financial Analyst serves as the subject matter expert responsible for the strategic management oversight and optimization of the hospitals Chargemaster (CDM). Ensures accurate charge capture regulatory compliance and revenue optimization across all hospital departments. Supports the organization with revenue and charging related questions as well as proper research and setup of charge processes and pricing to ensure accurate & timely charging. Coordinates and implements the enterprise chargemaster and audit initiatives and processes to ensure revenue management integrity. The Senior Financial Analyst fosters collaboration across functions to improve financial processes and align financial strategies with departmental and organizational goals.
This is a remote opportunity; however the selected candidate must reside in Minnesota or Wisconsin and have the ability to work onsite in St. Paul MN as needed.
Compensation & Benefits
The annual salary range for this opportunity is $86257/annually to $129396/annually with a median salary of $107827/annually. Pay is dependent on several factors including relevant work experience and internal equity. Salary is just one component of the compensation package for employees. Gillette supports career progression and offers a competitive benefits package including a retirement saving match tuition and certification reimbursement paid time off and health and wellness benefits for .5 FTE and above.
Primary Job Responsibilities
- Pricing
- Develop and implement pricing strategies in partnership with internal business partners
- Create revenue forecasting to support pricing transparency initiatives.
- Charge Integrity
- Develop and implement policies procedures and charge protocols including interpretation of regulatory guidelines.
- Implement and coordinate process improvements to achieve greater efficiencies.
- Perform in-depth analyses of charges billing practices and reimbursement outcomes to identify opportunities for revenue enhancement and compliance improvement.
- Audit and monitor charge capture processes and implement process improvements as needed.
- Charge Master Maintenance
- Maintain and update the Charge Description Master (CDM) across multiple service lines in accordance with internal policies payer requirements and governmental regulations (e.g. CMS HIPAA).
- Coordinate site chargemaster implementations to ensure accuracy and relevance of chargeable items and services in collaboration with enterprise-wide departments (i.e. Information technology supply chain pharmacy ancillary and operational departments). Partner with IT and EHR teams (e.g. Epic Cerner) to ensure proper CDM integration and data flow.
- Review and analyze annual coding changes (i.e. CPT and HCPCS) and summarize recommend updates to enterprise chargemaster.
- Work directly with customers and site-specific leads to provide support for on-going chargemaster projects.
- Maintain documentation of CDM changes audit results and compliance reports.
- Business Partnership
- Build strong partnerships across assigned functions and departments fostering collaboration to align financial strategies with organizational objectives. Serve as a liaison between clinical departments billing compliance and finance teams to resolve charge capture issues.
- Collaborate cross-functionally to identify opportunities for improvement streamline charge processes and implement solutions that support the organizations strategic goals and operational efficiency.
- Actively plan and manage project progress and communicate status and observed bottlenecks. Monitor operational outcomes relative to expectations and communicate opportunities to enhance outcomes.
- Provide education & training to business partners on the effective use of financial systems and tools as well as how to read and interpret financial information and reports.
- Other Duties
- Ensuring accurate information to support Medicare cost reports cost accounting monthly KPIs and year-end audits.
- Collaborate with FP&A team during dynamic and annual budgeting processes ensuring accuracy alignment with organizational goals and timely completion.
Qualifications
Required
- Bachelors degree in accounting Finance or related field OR equivalent hospital experience
- 4 years of experience in healthcare environment including a minimum of 1 year experience with healthcare billing charge development denials and/or reimbursement models.
Knowledge Skills and Abilities
- Human relations skills and the ability to work with all levels of management including explaining and obtaining cooperation for implementation of necessary internal controls.
- A willingness to learn new and different subjects independently initiate research analyze and resolve issues and creatively problem solve are key attributes to be successful.
- Must be an organized detail oriented self-directed motivated and collaborative. contributor with ability to function autonomously.
- Evolved Emotional Intelligence.
- Ability to function under pressure conflicting priorities and deadlines.
- Analytical problem-solving skills.
- Excellent verbal and written communications and presentation skills.
- Understanding of healthcare billing charge development and reimbursement processes as well as healthcare financial management and reporting.
- Knowledge of healthcare operating metrics and business principles and practices.
- Proficiency in databases and Excel (e.g. pivot tables conditional formatting data tables formulas etc.).
Preferred
- Masters degree or equivalent experience
- CPA/CMA/MBA
- Proficient understanding of healthcare financial analysis creating complex gross and net revenue modeling.
- Certifications and licenses such as CPC CCS CIC MT or other Medical certifications.
- Experience and knowledge of Infor Financial & Supply Management and Oracle Health (Cerner)
Gillette Childrens is committed to recruiting and retaining a diverse team as we know that the diverse experiences of our employees make Gillette a stronger and better organization. We are committed to creating an equitable and inclusive environment where all patients families and staff are welcomed and valued. We believe diverse perspectives and identities foster excellence improve patient care and are essential for Gillette to fulfill its mission. Our team members collaborate to help patients of all backgrounds and abilities reach their full potential.
Gillette Childrens is an equal opportunity employer and will not discriminate against any employee or applicant for employment because of an individuals race color creed sex religion national origin age disability marital status familial status genetic information status with regard to public assistance sexual orientation or gender identity military status or any other class protected by federal state or local laws.
Gillette Childrens is a global beacon of care for patients with brain bone and movement conditions that start in childhood. Our research treatment and supportive technologies enable every child to lead a full life defined by their dreams not their diagnoses.
To learn more about working at Gillette Childrens please visit Childrens participates in the U.S. Department of Homeland Security (DHS) E-Verify program which is an internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services. If E-Verify cannot confirm that you are authorized to work Gillette will give you written instructions and an opportunity to contact DHS or the Social Security Administration (SSA) to resolve the issue before Gillette takes any further action. Please visit further details regarding e-verify.
Required Experience:
Senior IC
Employment Type
Full-Time
