Healthcare Reporting Analyst I

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🔥 0 minutes ago

🐊 Florida, Nevada, +1 more states – Remote

🐊 Florida – Remote 🎰 Nevada – Remote 🏈 Ohio – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📚 Business Intelligence Analyst

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Cleveland Clinic

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Cleveland Clinic is a not-for-profit, multispecialty academic medical center located in Cleveland, Ohio. Founded in 1921, it integrates clinical and hospital care with research and education, earning a reputation as one of the largest and most respected hospitals in the country. The health system includes multiple facilities across Northeast Ohio and other locations globally, providing a wide range of specialized services such as cancer care, women's health, dermatology, and cardiovascular care. Cleveland Clinic is accredited by The Joint Commission, which underscores its commitment to high standards in healthcare delivery.

📋 Description

• Prepare, analyze, and report key financial and revenue cycle management information through standard and ad hoc reports • Audit and validate provider roster data from contracted commercial health plans • Compare health plan data against internal provider databases and identify discrepancies in provider demographics, credentialing, enrollment status, practice locations, and provider assignments • Collaborate with health plans to resolve data quality issues • Monitor and trend roster errors • Validate provider attribution for value-based care and risk contracts • Support new health plan implementations through roster audits and quality assurance reviews • Analyze large datasets using advanced Excel skills • Develop reporting requirements and validate reporting outputs • Partner with database developers and the Network Data & Reporting team on data quality initiatives • Use AI tools such as Copilot and ChatGPT to improve reporting efficiency and documentation • Investigate provider data issues affecting claims processing, reimbursement, authorizations, network participation, and patient access to care • Prepare and communicate key financial information and support management and staff regarding financial reporting • Assist with budget preparation, financial planning, and budget compliance reviews • Provide decision support and consultation to all levels of management • Complete special projects, research, forecasting, and conflict resolution • Perform other duties as assigned

🎯 Requirements

• Bachelor’s Degree in Accounting, Finance, Business or a related field OR Associate’s Degree and two years of experience OR High School Diploma/GED and four years of experience • Ability to complete basic analytical, consultative and information support through analysis and report preparation • Awareness of key performance indicators, cash flow analysis, product line analysis and proposal development • Candidates must reside in Ohio, Florida or Nevada • Ability to communicate and exchange accurate information • Ability to perform work in a stationary position for extended periods • Ability to work with physical records or operate a computer or other office equipment • In some locations, ability to travel throughout the hospital system • In some locations ability to move up to 25 lbs. • Follows Standard Precautions using personal protective equipment as required for procedures

🏖️ Benefits

• Endless support and appreciation • Rewarding career with Cleveland Clinic Health System • Remote work arrangement • Annual influenza vaccination or approved exemption program • Drug-free workplace with post-offer controlled-substance testing