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WVUH Specialty Pharmacy & Home Infusion · 4 months ago

Financial Analyst - Provider Compensation (HYBRID) SMG

United States

Full-time

Hybrid

Mid Level

3+ years exp

SMG System Medical Group is seeking a Financial Analyst for Provider Compensation to lead and support provider compensation and revenue cycle analysis. The role involves coordinating the development and monitoring of provider compensation plans, analyzing performance indicators, and ensuring accurate financial reporting.

Hospital & Health Care

Responsibilities

Coordinate provider performance and compensation analysis and reporting process by working with clinical and hospital leadership who play a role in the process

Independently analyze and complete monthly performance reports for non-academic provider practice entities. Work closely with regional accountants & practice leaders to assess performance against targets

Maintains physician compensation and contract management software for SMG

Monitors total compensation payments made to employed and contracted providers to ensure adherence to compensation plan and compliance with Fair Market Value standards. Communicates directly with SMG leadership regarding negative variances and rolling projections

Continuously monitor revenue cycle performance improvement and margin enhancement opportunities and communicate to Finance and Provider Practice leadership. Specific reporting duties include: comparing reimbursement by clinic/provider and payor to ensure consistency across all practice sites; identify potential payor enrollment issues; and monitor and act upon claims denials

Directs the payment of Medical Directorships, Call Pay and other non-productivity contractual terms

Coordinates the completion of financial analysis related to and in support of new services, provider compensation rates, and long term strategic initiatives of the Provider Practices. Leverage Inflow or equivalent tool to aide in assessment

Develops & Monitors Physician compensation Models, including incentives in conjunction with Finance and Provider Practice Leadership

Conduct analytical research of historical data as well as projected impact of new or changing services related to the non-academic practices

Oversee the process of maintaining the physician compensation plans, incentive payment calculations, and maintaining provider productivity tools & reports

Collaborate with Hospital Finance & Reimbursement team on the completion of larger scale financial projections related to the Provider Practices

Key member of core SMG Administration team. Analyze and provide recommendations on compensation model upgrades

Qualification

Financial analysisHealthcare experienceCPA certificationAccounting degreeData analysisAnalytical thinkingMulti-taskingOrganizational skillsCommunication skills