Business Analyst

Job Description

Position Summary:

Performs reporting and analytical duties in order to generate the Business Intelligence needed by the Executive Management team in its fulfillment of Regal Medical Group’s business and medical management initiatives.

Essential Duties and Responsibilities include the following:

Develops business analyses including but not limited to these subject areas:
Cost Analysis
Enrollment growth
Bed Days
Authorization Referrals

Provides ongoing technical support for library of Crystal reports, including the IDM report library.
Uses skill set specific to reporting technologies (such as Visual Basic, SQL Access expertise) to develop and maintain database solutions.
Produces periodic and ad hoc reporting in key areas of the business such as bed days utilization to provide ongoing management metrics for administrative team.
Participates in the production of reports needed to prepare PCP utilization information, including VP, Exclusivity PCP booklets.
Calculates provider incentives/bonuses based on utilization metrics, such as the P4P bonus program, VP Exclusivity.
As needed, performs the monthly capitation run, including a pre-cap run eligibility reconciliation.
Makes an effort to discern the intent of the report requestor, and uses expertise and experience to deliver a solution which satisfies that intent
Take part in process improvement of reporting development and delivery.
Notifies management of opportunities for areas of operational improvement within the organization.
Works with the Data management department to identity data integrity issues, and recommend solutions, as appropriate.
Provides training in technical expertise, such as advanced Excel functions, to users in Finance and other departments, as needed.
Assists other areas in Finance, such as payroll accounting as needed.
Ensures all processes are completed in a timely manner.
Performs random audit on reports to validate accuracy, delivery and usage.
Attends administrative meetings and provides information to staff as needed.
All other duties as directed by management.
The pay range for this position at commencement of employment is expected to be between $70,304 - $75,000 annually; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

Full Time Position Benefits:

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

Health and Wellness:

Employer-paid comprehensive medical, pharmacy, and dental for employees
Vision insurance
Zero co-payments for employed physician office visits
Flexible Spending Account (FSA)
Employer-Paid Life Insurance
Employee Assistance Program (EAP)
Behavioral Health Services
Savings and Retirement:

401k Retirement Savings Plan
Income Protection Insurance
Other Benefits:

Vacation Time
Company celebrations
Employee Assistance Program
Employee Referral Bonus
Tuition Reimbursement
License Renewal CEU Cost Reimbursement Program
Business-casual working environment
Sick days
Paid holidays
Mileage
Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

Requirements

Education and / or Experience:

A bachelor’s degree from a four-year college or appropriate industry experience.
Self managed and motivated, results driven
Ability to develop and communicate analytic results to support business questions.
Excellent written, oral and verbal communication skills.
Ability to present to large groups
In-depth knowledge of Health Care information
Experience in report technologies, such Crystal reports, SQL, VB, MS Access, Excel.
Knowledge experience in the field of relational database theory, including structures, relationships, queries and functions.
Expertise in development and delivery of data and reporting information using MS SQL 2005/2000.
Works in a collaborative manner and approach to projects. .
Experience with medical management applications, such as Access Express, or NextGen, desired.
Excellent customer service skills.
Knowledge of EZCap or other Managed care application.

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