University of Massachusetts Medical School

Medicare Data Analyst

US-MA-Charlestown
5 months ago
Requisition Number
2017-28977
# of Openings
1
Shift
Day
Exempt/Non-Exempt Status
Exempt

Overview

GENERAL SUMMARY OF POSITION:

 

Under the general direction of the Senior Associate, or designee, the Medicare Data Analyst, as part of the Medicare Eligibility Enhancement Programs (MEEP) Team, will be the lead data analyst for Medicare Identification, Medicare Buy-In and /or other federal benefit coordination projects. This position will assist in the design, development, and management of project databases, including creating reference tables, writing and executing queries, and producing reports in Microsoft Access and/or SQL environments. The Medicare Data Analyst is responsible for developing, implementing, and managing project processes including preparing and submitting project status reports, dashboard reports, and invoices. In addition, the Medicare Data Analyst will assist in managing project data, including state and federal data sets, to ensure data integrity and security. The Medicare Data analyst will participate in the daily operations of MEEP projects and assist in the project activities relating to cost savings and revenue initiatives both in- and out-of-state.

Responsibilities

MAJOR RESPONSIBILITIES:

  • Coordinate and implement new products and projects  
  • Perform complex analysis in support of projects in and out of state
  • Participate in developing proposal responses by providing documentation and analysis
  • Assist in the preparation of client and staff presentations and marketing materials 
  • Provide support to staff performing consulting services
  • Participate in project forecasting and financial analysis
  • Present the research and development findings on industry trends to support revenue initiatives
  • Assist in the development of agreements between public entities and the University
  • Communicate with client as required concerning status of their projects
  • Respond to client needs and requests
  • Prepare internal and external reports 
  • Assist in the design of and implement instruments to quantify reimbursement costs
  • Participate in the Continuous Quality Improvement program
  • Assist in the preparation of federal claims for reimbursement
  • Perform other job related duties as assigned

 

Qualifications

REQUIRED QUALIFICATIONS:

  • Bachelor’s degree or equivalent
  • 3-5 years of experience in a business related field or other related experience
  • Preferred knowledge of State and Federal regulations as they apply to public assistance programs
  • Demonstrated experience in computer based tools including spreadsheets and word processing
  • Knowledge of accounting principles, budgeting, and computer reporting preparation
  • Demonstrated project management skills

PREFERRED QUALIFICATIONS:

  • Experience with and knowledge of Third Party Liability cost savings and revenue activities as related to Medicaid, Medicare, Medicare Buy-In, and other health and human service programs
  • Knowledge of Medicare and Medicare Buy-In eligibility and enrollment activities
  • Demonstrated experience with Microsoft Access and/or SQL database environments
  • Experience formatting and importing raw data sets into spreadsheet and database applications
  • Experience automating data matching and database functions and reporting
  • Demonstrated experience preparing project status and dashboard reports, cost savings and revenue tracking reports, project invoices, and other ad hoc reports, as requested
  • Ability to work as a member of a team with diverse backgrounds, areas of expertise, and levels of experience
  • Ability to identify and analyze project requirements to create and adjust project work plans and timelines to meet defined deadlines and goals
  • Experience working with state agencies, preferably health and human services organizations
  • Experience in developing, proposing, and implementing creative solutions to complex problems
  • Experience in presenting overviews and solutions to complex issues to audiences with different levels of subject matter expertise

 

Additional Information

About the Center for Health Care Financing and Medicare Eligibility Enhancement Programs Team

 

The Center for Health Care Financing (CHCF) is a part of Commonwealth Medicine (CWM), the health care consulting division of UMass Medical School, Massachusetts’ only public medical school. As nationwide leaders in the development and implementation of health care reform, CWM and CHCF stay ahead of health care trends and help strategize and plan for changes that impact both health care delivery systems and patients on the local, state and national level.

 

Located in Charlestown, MA, CHCF helps state agencies identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs, and capitalize on all possible revenue streams. At the same time, we identify opportunities for our clients to increase health care related services, reduce the net cost of delivery, and help ensure individuals receive the health and human service benefits to which they may be entitled.

 

The Medicare Eligibility Enhancement Programs (MEEP) Team at CHCF works with state Medicaid programs to identify and coordinate federal and state benefits for program recipients, helping ensure that individuals receive all benefits to which they are entitled.  The MEEP team develops and implements benefit coordination initiatives which achieve cost savings and revenue opportunities for Medicaid agencies by ensuring federal benefits are appropriately identified and coordinated for state program recipients.

 

The Team focuses on identifying and coordinating eligibility for Social Security, Medicare, and Medicare Buy-In benefits for state Medicaid recipients.  Current activities include identification of Medicare benefits, assistance with the Medicare application and enrollment process, review of eligibility for Social Security benefits and reconciliation of state Medicare premium payments. MEEP currently works with state Medicaid agencies in four states.

 

 

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