Organization:

SHSO-Sutter Health System Office-Valley

Position Overview:

Provides analysis and research to support the payer contracting process and ongoing contract relationship, including payer contract compliance, for all Sutter Health affiliates and/or associates, including hospitals (acute, skilled nursing facilities, psychiatric and rehabilitation), surgical centers, ancillary services (home health and pharmacy), medical foundations, and Independent Physicians Association (IPAs). Interacts with local and corporate leadership, other management support staff, third party payer staff, inside and external legal counsel.

This is a hybrid role with both work from home and onsite opportunities.

Job Description :

EDUCATION:

Equivalent experience will be accepted in lieu of the required degree or diploma.

• Bachelor's: Accounting, Economics, Finance or other related field

TYPICAL EXPERIENCE:

• 8 years recent relevant experience

SKILLS AND KNOWLEDGE:

• Must be knowledgeable and thoroughly understand the various commercial third party payers, Medicare and Medi-Cal reimbursement requirements as it relates to acute hospitals, psychiatric hospitals, rehabilitation units, skilled nursing facilities, facility-based outpatient services, home health and professional services.

• Must be knowledgeable and thoroughly understand commercial fee for service and risk arrangements (includes cap and sub-cap) for the applicable entities above in order to effectively integrate available utilization, financial and other data to develop financial analysis, revenue projection and modeling.

• Must have thorough knowledge of the hospital accounting systems and audit processes in order to assess payer performance.

• Must be very knowledgeable in the use of personal computer and its applications, such as: spreadsheet, databases such as Access, and word-processing. SQL knowledge is preferred.

• Must be knowledgeable in creating and developing work papers with supporting documents to establish audit trails to support analysis/models.

• Must know and understand how to apply statistical methods.

• Must be able to perform and complete work assignments effectively and accurately with very minimal direction and supervision.

• Must have organizational, analytical and planning skills.

• Must have ability to determine reasonableness of data acquired from various sources.

• Must have written, verbal communication skills, and interpersonal and presentation skills.

• Must be able to work with all levels of management and translate complex rules and regulation issues, requirements to non-reimbursement staff at the facility level.

Job Shift :

Days

Schedule :

Full Time

Shift Hours:

8

Days of the Week:

Monday - Friday

Weekend Requirements:

Occasionally

Benefits:

Yes

Unions:

No

This position is work from home eligible.

Position Status:

Exempt

Weekly Hours:

40

Employee Status:

Regular

Number of Openings:

1

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $53.59 to $80.39/hour

The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.

All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.