Montgomery College

Collaborates with Managed Care Contracting department to identify cost savings initiatives and monitor contract performance.. Has experience in extracting from data warehouse applications [such as Oracle, Azure Databricks, and Epic] and will help enhance the data warehouse.. We invite you to explore careers at Vanderbilt University Medical Center.. We employ more than 28,000 people who work in inpatient and outpatient clinical care, research, and graduate medical education as well as critical supporting roles in administration, information technology and informatics, finance, legal and community affairs, communications and marketing, fund-raising, groundskeeping and facilities, and many more.. Vanderbilt University Hospital

healthcare

Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of diverse individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and where your diversity of culture, thinking, learning, and leading is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilts mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: Enterprise Analytics Job Summary: JOB SUMMARY Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of diverse individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and where your diversity of culture, thinking, learning, and leading is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilts mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: Enterprise Analytics Job Summary: JOB SUMMARY Supports managed care contracting through the development of contract models and analysis of existing and new agreements. Analyzes large data sets to identify incorrect payer trends by reviewing the performance of current contracts for VUMC hospitals, clinics, and physicians. Collaborates with Managed Care Contracting department to identify cost savings initiatives and monitor contract performance. Responsible for all aspects of analytics to meet customers' needs. Interprets and researches managed care contract language and methodologies. Provides a single point of contact to partner with customers in defining scope and objectives. Follows the analytics problem-solving methodology. Develops work plans to ensure analytics are completed accurately and on time. Gathers and integrates appropriate data, conducts analyses, chooses appropriate output/visualization for the end customer, and communicates findings effectively. Ensures adherence to the highest of quality standards and maintains appropriate documentation. . KEY RESPONSIBILITIES Build and maintain analytical models to evaluate impact to facility and professional reimbursement for new and existing insurance plans. Provide ad hoc analysis and deep dives into data as appropriate to support negotiations and assess payor behavior through research, statistical analyses and mathematical calculations Performs functions related to problem definition, data collection, interpretation and analysis, visualization, and presentation/communication of results and recommendations. Ensures timely completion of all analytics projects. Ensures documentation of processes, analytics design, measure definitions, data integration, and development. The responsibilities listed are a general overview of the position and additional duties may be assigned. May work in a team providing support to other team members DATA ACQUISITION (ADVANCED): Can successfully determine which data are needed, identify the correct tables and elements, write the SQL code to pull the data, and extract the data for analysis. Performs quality control on the data. Has experience in extracting from data warehouse applications [such as Oracle, Azure Databricks, and Epic] and will help enhance the data warehouse. DATA ANALYTICS (ADVANCED): Can analyze, model and interpret large data sets to derive insight. Applies the appropriate approach to provide creative solutions for the given problem. Has working knowledge in business intelligence and analytics software [such as Tableau, Business Objects, EPSi, Excel, Python, and R]. Applying knowledge of existing and emerging data science principles, theories, and techniques to inform business decisions COMMUNICATION OF RESULTS (INTERMEDIATE): Communicates results and recommendations to customers in a concise and non-technical format. Clearly states implications and potential next steps. Presents analysis, ideas, and findings using the appropriate data visualization and presentation tools [such as Word, Excel, Tableau, and PowerPoint]. PLANNING (INTERMEDIATE): Plans work to complete projects on time. Competently handles multiple assignments simultaneously. Able to be flexible to meet changing customer needs with minimal disruption and loss of productivity. Uses time efficiently. STAKEHOLDER ENGAGEMENT (INTERMEDIATE): identifies relevant customers and gains their commitment on the final deliverable and timeline. Takes initiative to turn business concepts into meaningful objectives using the problem-solving methodology. Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more. At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose. Core Accountabilities: Organizational Impact: Independently delivers on objectives with understanding of how they impact the results of own area/team and other related teams. Problem Solving/ Complexity of work: Utilizes multiple sources of data to analyze and resolve complex problems; may take a new perspective on existing solution. Breadth of Knowledge: Has advanced knowledge within a professional area and basic knowledge across related areas. Team Interaction: Acts as a "go-to" resource for colleagues with less experience; may lead small project teams. Core Capabilities : Supporting Colleagues: - Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas. - Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships. - Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services: - Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them. - Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions. - Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly. - Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure. - Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area. - Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation: - Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches. - Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges. - Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements. Position Qualifications: Responsibilities: Certifications: Work Experience: Relevant Work Experience Experience Level: 5 years Education: Bachelor's (Required) Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and to the principles of equal opportunity and affirmative action. EOE/AA/Women/Minority/Vets/Disabled About Us PEOPLE ARE AT THE HEART OF ALL WE DO. Our vision: The world leader in advancing personalized health. Our mission: personalizing the patient experience through our caring spirit and distinctive capabilities. Making Health Care Personal. Were looking for like-minded individuals driven to make a difference. We invite you to explore careers at Vanderbilt University Medical Center. At VUMC, we place a priority on designing with and for our patients and families. We value collaboration, embrace continuous learning and discovery, and intentionally pursue diversity and inclusion. These are our guiding Strategic Directions . Were the largest private employer in Middle Tennessee, with a growing team and expanding footprint in towns and communities across the region. We employ more than 28,000 people who work in inpatient and outpatient clinical care, research, and graduate medical education as well as critical supporting roles in administration, information technology and informatics, finance, legal and community affairs, communications and marketing, fund-raising, groundskeeping and facilities, and many more. Our growing health system has a total of 1,615 licensed hospital beds at: Vanderbilt University Hospital Monroe Carell Jr. Childrens Hospital at Vanderbilt Vanderbilt Psychiatric Hospital Vanderbilt Wilson County Hospital Its also home to hundreds of outpatient clinic and surgical locations throughout the region. We serve our community with many unique and specialized services including the Level 1 Trauma Center, a highly experienced Transplant Center that does the most heart transplants in the world, a National Cancer Institute-designated Comprehensive Cancer Center, Lung Institute, Burn Center and many more. World-leading academic departments and centers make scientific discoveries, advance clinical care and train the next generation of health care professionals. Our robust research enterprise ranks No. 9 in the country as measured by peer-reviewed grant funding from the National Institutes of Health. Were honored to be consistently considered among the nations best hospitals, including being nationally ranked in multiple medical specialties for treating the most complex conditions in adults and children by US News and World Report . The Childrens Hospital ranked as the No. 1 childrens hospital in the southeast in 2021. We support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at VUMC for professional growth, appreciation of benefits, and a sense of community and purpose never stronger than during the challenging COVID pandemic. #J-18808-Ljbffr

START NEW SEARCH