Business Analyst/Medical Staff Coordinator

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor's Degree in Business Administration, Finance, Accounting, Economics, or related field.

PREFERREDQUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Two (2) years of related work experience preferred.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Conducts analysis in order to support leadership in investigating and improving budget. Reports conclusions and recommends strategies to resolve any variances.

2. Manages and coordinates projects with external vendors to bring on new services and software in facilitating departmental goals. Ensures Projects are meeting established timelines, performing within projected pro-forma's and budgets, and remaining within scope.

3. Conducts and participates in business meetings with Divisional and Regional leadership. Includes creating and improving reporting packages with operational, qualitative, and fiscal performance.

4. Manages expectations and engages management to review/resolve any potential changes to project scope, expected deliverables, etc.

5. Performs analysis of reporting revenue and investigates areas for improvement. Develops reporting to track, trend, and monitor success of revenue initiatives.

6. Reviews and summarizes large amounts of expense data with an ability to highlight areas for expense reduction to improve bottom line.

7. Uses analytical methods to ensure reported data is meaningful and accurate.

8. Develops technical ability in data analytics using various systems and tools.

9. Provides support in problem identification, resolution, and solution design for a variety of business needs.

10. Serves as first point of contact for department.Interfaces with hospital leadership and staff of various levels, with an ability to translate and communicate business concepts into actionable and meaningful terms.

11. Reviews, identifies and documents any issues, barriers, or risks and brings them to management's attention.

12. Participates in post implementation review of projects.

13. Communicates effectively with physicians, hospital staff, managed care/insurance representatives, and regulatory agencies.

14. Demonstrates initiative in the development of contracts, both internal and external, and the development of proposals for reimbursement mechanisms.

15. Demonstrates an understanding of Healthcare Compliance issues.

16. Oversees periodic development of community-wide medical staff development plan and monitor the plan as staff changes occur.

17. Develops and maintains relationships with resident programs, and other physician sources.

18. Serves as primary contact and solution provider for all professional customers of the hospital.

19. Implements the appointment and reappointment process for all members of the Medical Staff.

20. Monitors and updates the credentialing process, including applications for appointment and reappointment, delineated privilege forms and all supporting documents, to ensure compliance with Federal and State regulatory agencies.

21. Maintain working knowledge of JCAHO standards, NCQA standards, URAQ standards, the State Medical Board and other regulatory agencies particularly with reference to accreditation and quality improvement.

22.. Develops and maintains organized, systematic data base to record credentialing statistics.

23. Electronically query the Federal National Practitioner Data Bank, the AMA for primary source verifications, and the physician specific Specialty Board Certifications. Keep abreast of current trends; i.e. use of internet resources.

24.Maintain a current master copy of Medical Staff Bylaws and Rules and Regulations and have a working knowledge of such policies.

25. Participates in JCAHO and NCQA site surveys in regard to the credentialing process

26.Participates in the Credentialing Sub-committee

27. Coordinates annual and semi-annual Medical Staff meetings; completes minutes and maintains the records of such proceedings

28. Maintain updated individual staff profiles, reporting all changes to MCO's as contracted.

29. Implement and maintain credentialing software. Maintain a working knowledge of system updates. including any supporting software.

30. Implement and maintain data, statistical and demographic, used to generate accurate medical staff profiles, quality improvement indicators, hospital-specific delineated privilege forms, etc. on an on-going basis.

31.Participates in project work identified by the Department of Medical Affairs

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SKILLS AND ABILITIES:

1. Excellent oral and written communication skills and strong computer & organizational skills.

2. Proficient in Microsoft Office Suite; Word, Excel, and PowerPoint particularly.

3. Ability to problem solve and make appropriate decisions and recommendations to leadership.

4. Ability to learn or familiarity with healthcare software systems.

5. Ability to manage multiple task simultaneously to support leadership.

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

Company:

Cost Center:

Address:

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.