Center for Elders' Independence · 2 months ago
Decision Support Manager
Oakland, CA
Contract
Onsite
Senior Level
$144K/yr - $230K/yr
5+ years expThe Center for Elders' Independence is a PACE organization that provides integrated health care services to the elderly. The Decision Support Manager is responsible for overseeing financial and operational analysis, project management, and the maintenance of Decision Support systems to provide operational insights and strategic planning.
Health CareHospital
Responsibilities
Develop annual budget, review and analyze monthly budget variance and trends, identify opportunities to realign departments to budget
Obtain, validate and analyze data for resource, expenditure, capital, strategic planning requests, and present analysis results
Maintain position control, review cost center labor metrics, and assist cost centers with maintaining resources within metrics
Work with departments to identify opportunities for efficiencies, utilize project management skills to prioritize and implement system, tool, process and other initiative, establish metrics and benchmark to measure progress and success
Build relationships with departments and become their trusted financial advisor
Develops, manages, and maintains various reports including profitability, service level, volume, financial and other ad hoc reports
Identifies improvement opportunities through benchmarking of goals and trend analysis
Maintains optimal functionality and enhancement of Decision Support systems including data integrity through audits and workflow documentation to ensure optimal platform performance
Developed and guided the Capitation Rate Development staff, familiar with including prospective and historic program changes not fully reflected in the base data. Experience in observed changes in population case-mix and underlying risk of plans form the base data. Familiar with trend factors to forecast the expenditures and utilization to the contract period
Familiar with the Medicare Part D bid process. Have experience in collaborating with Actuaries and provide guidance to the team
Responsible for the annual budget process and familiar with Budgeting software such as Workday Adaptive
Oversee IBNR, RDT, Part D, and regulatory report preparation and submissions
Maintaining an understanding of PACE Hierarchical Condition Category (HCC) Coding as well as paying careful attention to the PACE HCC reimbursement model
Responsible for overseeing the Encounter data analyst’s submission as well as auditing all monthly and ad-hoc outbound encounters/HCC reporting. Also responsible for analyzing along with the Encounter Data Analyst the inbound reports
Establish and maintain strong relationships with Encounter Clearing Houses, external auditors/vendors, and internal stakeholders to fix, prevent, and to obtain extra support in resolving encounter and HCC coding errors
Qualification
Required
Masters's in business related field or equivalent finance experience
5 years' Experience in finance or decision support experience in a healthcare similar environment
3 years' experience in a supervisory role
Proficient in MS Office (Word, Excel, PowerPoint, and Outlook)
Ability to work with any data sources such as Workday Adaptive, eClinicalWorks and future systems as needed to accomplish objectives
Proficiency in financial reporting systems, enterprise resource planning (ERP) software, and healthcare financial analytics tools. In-depth knowledge of financial elements in healthcare delivery
Strong understanding of GAAP, regulatory requirements, and financial compliance in healthcare
Ability to continuously elevate quality, customer service, and productivity
Ability to develop advanced data queries
Experience preparing budgets, forecasts, long-range plans, and detailed variance analysis
Ability to work under time constraints; meeting deadlines and schedules; setting priorities; and working with detailed information
Understanding of large-scale, integrated client-server/ERP/budgeting and financial planning systems
Must have advanced analytical and critical thinking skills
Communicates effectively with peers, management, CEI staff, leadership, and external customers
Ability to drive process improvements and develop analytical/reporting tools
Capable of anticipating questions and addressing information needs through comprehensive analysis
Ability to deal with complex problems and present recommendations and findings in a clear, concise format
Provides excellent customer service; establishes and maintains effective working relationships across CEI
Company
Center for Elders' Independence
Center for Elders’ Independence PACE offers comprehensive community-based medical and social care all in one bundle.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Ericka Holmon
Sr. Executive Administrator to CEO
Maria E. Zamora, MBA
Chief Executive Officer
Recent News
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