Overview Quartz is seeking a healthcare reimbursement expert to join our organization as a Senior Healthcare Informatics Analyst. This critical role will bring a deep understanding of the interdependencies between health plan and provider reimbursement strategies develop data models and financial analyses to advise upon appropriate contractual terms that support both financial performance and high-quality patient care. This role is ideal for a subject matter expert who can influence and advise at an enterprise-wide level using a financial, data-driven approach. Benefits: • Drive impact through data and storytelling – develop informative data models and financial analyses that identify actionable, strategic opportunities to improve provider reimbursement strategies, optimize revenue cycle practices, and enhance mutually beneficial provider relationships • Influence key decisions with enterprise-wide impact by sharing findings and the “why” behind the numbers through a financial and analytical lens • Starting salary based upon skills and experience: $86,000 to $107,000 annually plus robust total rewards package Responsibilities • Consult with provider contracting teams and stakeholders to understand data needs, gather requirements, and design actionable data solutions and models • Monitor financial and operational contract performance, delivering data-driven recommendations to leadership to align contracting priorities with organizational goals • Leverage knowledge and skill with a variety of query tools (Power BI, Business Objects, SAS, SQL, Python), analytic techniques and platforms to synthesize and analyze large quantities of data from a variety of multi-source healthcare datasets (including WHA, hospital price transparency disclosures, CMS, internal claims data) to support strategic decision making • Develop effective data models, alternative fee schedule proposals, financial analyses, and visual presentations that convey results or trends clearly and effectively to drive business outcomes and decisions • Test and validate reports and data structures with other analysts or technical experts to address issues and refine • Produce actionable financial models and analyses to drive improvements and decisions across a wide range of provider contracts, including value-based contracts and alternate payment methodologies analyses • Collaborate with stakeholders and leadership to identify and recommend new ways data can add value and improve processes • Collect, manipulate, and analyze data, draw accurate inferences, and present findings • Collaborate with internal stakeholders to identify and resolve provider reimbursement concerns and uphold contractual rights, obligations, risks and opportunities, with a focus on driving continuous improvement and ensuring alignment with company policies and compliance requirements Qualifications • Bachelor’s degree in finance, accounting, informatics, healthcare administration, statistics, mathematics, or business-related field with 4+ years of experience with business intelligence / analytic tools Or • Associate’s degree in finance, accounting, informatics, healthcare administration, statistics, mathematics, or business-related field with 7+ years of experience with business intelligence / analytic tools Or • High School equivalency with 10+ years of experience with business intelligence / analytic tools • Healthcare analytics experience – specifically in the areas of provider reimbursement methodologies, provider contractual terms, healthcare claims or related field • Provider reimbursement expertise across a variety of providers, including academic medical centers, acute care hospitals, community hospitals, ambulatory surgery centers, and / or critical access hospitals • Thorough understanding of fully insured and commercial payment methodologies • Intermediate knowledge of accessing, acquiring and analyzing healthcare data sources, such as WHA, hospital price transparency disclosures, CMS, internal claims data • Advanced analytical capabilities, with proficiency and demonstrated skill with query tools such Power BI, Business Objects, SAS, SQL Developer, Aginity, Impact Intelligence, etc. to deliver and support data-driven recommendations • Skilled at understanding cross-departmental needs and challenges, with the ability to influence decisions and problem solve toward a common goal • Intellectual curiosity to stay informed of the latest reimbursement trends, compliance concerns, provider contracting practices, healthcare claims trends and ability to recommend action based on their level of appropriateness for Quartz. • Preferred licenses: Certified Billing and Coding Specialist (CBCS), Certified Coding Specialist (CCS), Certified Professional Coder (CPC) Quartz offers an excellent benefit and compensation package, opportunity for career advancement and a professional culture built on the foundations of Respect, Responsibility, Resourcefulness and Relationships. To support a safe work environment, all employment offers are contingent upon successful completion of a pre-employment criminal background check. Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified person with disability.