Manager, Revenue Cycle Operations Analysis

Job Summary:

The Manager, Revenue Cycle Operations Analysis is responsible for leading the technical and analytical support for key production-related activities and projects within the Revenue Cycle Operations team.

Essential Functions:

• Lead the development of data driven production and quality reporting
• Support production-related business processes and drive operational improvements through root cause analysis and effective use of technology solutions
• Identify and implement mechanisms or processes to increase throughput and efficiencies within the Department and develop key performance indicators to validate improved efficiency
• Maintains positive and strategic relations with internal and external customers, support vendors and stakeholders including the State governments
• Maintain compliance with reporting requirements to state department of insurance, Medicaid administrator and other regulators
• Establishes, monitors and enforces financial policies and procedures and internal controls
• Research existing and new legislation changes in member eligibility and billing requirements and ensure CareSource is compliant with these changes
• Collaborate with business owners and vendors to facilitate production processes and issue resolution
• Ensure adherence to corporate change management documentation and communication for new and modifications of existing technology and processes 
• Develop professional staff such that appropriate backup and contingency plans exist in the event of turnover
• Responsible for management of departmental staff
• Perform any other job duties as requested

Education and Experience:

• Bachelor of Science/Arts Degree in accounting, finance, economics, computer sciences or related field or equivalent relevant work experience is required
• Minimum of six (6) years of experience in data analysis, mapping or equivalent analytic experience is required
• Minimum of three (3) years of health care operations experience in insurance, managed care, or related industry is preferred
• Minimum of two (2) years of management experience is preferred

Competencies, Knowledge and Skills:

• Expert proficiency level with Microsoft Excel
• Familiar with a variety of analysis concepts, practices and procedures
• Relies on extensive experience and judgment to plan and accomplish goals
• Ability to lead and direct the work of others including the development, motivation and rewarding of staff
• Wide degree of creativity and latitude (independent judgment) is required
• Demonstrates decision making and analytical/problem solving skills to perform a variety of complicated tasks
• Possess critical thinking/listening skills
• Ability to interact with all levels of management as well as external stakeholders
• Knowledge of SQL, SAS or other relational database software and/or business intelligence (BI) tools is preferred
• Skill documenting business requirements for IT systems or applications
• Exceptional attention to detail

Licensure and Certification:

• Lean Six Sigma or other continuous improvement experience is preferred

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time
• May be required to travel up to 10% of the time

Compensation Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Create an Inclusive Environment

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.