Management Analyst Insurance and Authorizations

Here, it's different. Come join us.

Children's Hospital Colorado has defined and delivered pediatric healthcare excellence for more than 100 years.

Here, the nation's brightest nurses, physicians, scientists, researchers, therapists, and care providers are creating the future of child health. With an optimist's outlook, a trailblazing spirit, and a celebrated history, we're making new strides every day.

We've been Magnet-designated four times by the American Nurses Credentialing Center and are consistently recognized among the best of the best pediatric hospitals with #1 rankings in Colorado and the region by U.S. News & World Report.

As a national leader in pediatric care, we serve children and families from all over the nation. Our System of Care includes four pediatric hospitals, 11 specialty care centers, 1,300 outreach clinics and more than 10,000 healthcare professionals representing the full spectrum of pediatric care specialties.

Here, we know it takes all of us, every role, to deliver the best possible care to each child and family we treat.

That's why we build our teams toward a foundation of equity in access, advancement, and opportunity. We know teams of individuals with different identities and backgrounds can nurture creativity and innovation. We know we can see, treat, and heal children better when our team reflects the diversity of our patient population. We strive to attract and retain diverse talent because we know a truly inclusive and equitable workforce will help us one day realize our most basic calling: to heal every child who comes through our doors.

A career at Children's Colorado will challenge you, inspire you, and motivate you to make a difference in the life of a child. Here, it's different.

The Management Analyst performs professional level work in the principles, practices, methods, and techniques of management analysis. They are responsible for projects as assigned using process improvement methodologies, project management strategies, leadership, and change management skills to achieve improvements in either operational or clinical outcomes. They work collaboratively with multidisciplinary teams to strategize, develop and achieve goals, collaborates with teams in the use of improvement techniques and methodologies; transfer process improvement knowledge and skills to colleagues in the course of project execution.

Department Name: Insurance Verification
Job Status:Full time, 40 hours per week.
Shift: Monday to Friday 8am to 5pm, Could be Remote

• EDUCATION - Bachelor's degree in Business Administration, Public Administration, Finance, Management, Nursing, or a related field.
• EXPERIENCE -Three (3) years of professional experience in administrative, management, and operational analysis work.
• EQUIVALENCY - In lieu of a Bachelor's degree, one year of related professional experience will serve as an equivalency to one year of education.

POPULATION SPECIFIC CARE

No direct patient care.

ESSENTIAL FUNCTIONS

An employee in this position may be called upon to do any or all of the following essential functions. These examples do not include all of the functions which the employee may be expected to perform.

More language to implementation.

1. Plans and conducts analysis of financial, operational, clinical or administrative projects in collaboration with management. Defines the scope of work, purpose, goals and objectives, time frames, and resources requirements of the project. Engages and influences internal and external stakeholders as participants and owners of the processes being improved.
2. Conducts initial assessment of organizational problems, researches best practices, trends, and historical and current data, including but not limited to related laws, policies, procedures, methods, and practices; develops the collected and relevant data into meaningful formats to facilitate data analysis, review, and improvement.
3. Demonstrates proficiency in data management including: development of data collection plans; conducting measurement system analysis; analyzing, interpreting and summarizing data sets to support root cause analysis and to demonstrate improvement; establishing appropriate control plans; analysis of existing policies, procedures and practices. Explores possible alternatives or solutions.
4. Develops proposals and recommendations based on research and analysis; determines the impact of proposed changes or recommendations and the effects to the division or department. Presents findings and recommendations to management staff and multidisciplinary teams; provides analysis of budget implications for proposed recommendations; seeks support and approval of proposed recommendations.
5. Leads and completes projects using established continuous improvement tools and methodologies to identify objectives and metrics, report identified savings and results, and imbed sustainability plans. Follows established practices for documentation, provides technical assistance to staff during implementation, as required makes modifications to ensure the successful completion of the project or study. Prepares written reports that summarize research, analysis, recommendations, and implementation strategies.
6. Maintains positive working relationships with supervisors, employees, and other stakeholders to obtain cooperation and support in assigned projects or studies.
7. Performs other related duties as assigned.

SCOPE AND LEVEL

GUIDELINES: Developmental, standard, or intermediate level. Guidelines are generally numerous, well established, and directly applicable to the work assignment. Work assignment and desired results are explained by general oral or written instructions.

COMPLEXITY: Falls between the entry and full performance/senior level. Duties assigned are generally repetitive and restricted in scope but may be of substantial intricacy. Employee primarily applies standardized practices.

DECISION MAKING: Decisions or recommendations on non-standardized situations are limited to relating organizational policies to specific cases. Brings non-routine issues to supervisor. Problems that are not covered by guidelines or that are without precedent are taken up with the supervisor.

COMMUNICATIONS: Contacts with team members, clients or the public where explanatory or interpretive information is exchanged, gathered, or presented and some degree of discretion and judgment are required within the parameters of the job function.

SUPERVISION RECEIVED: Under normal supervision, within a standardized work situation, the employee performs duties common to the line of work without close supervision or detailed instruction. Work product is subject to continual review.

Ability to Perform Essential Functions of the Job

PHYSICAL REQUIRMENTS

Audio-Visual: Hearing: Good

Audio-Visual: Near Vision: Good

WORK ENVIRONMENT

Exposure: Exposure to infectious diseases: Occasional.

Mental and Emotional Requirements: Handles multiple priorities effectively.

Mental and Emotional Requirements: Independent discretion/decision making.

Mental and Emotional Requirements: Makes decisions under pressure.

Mental and Emotional Requirements: Manages stress appropriately.

Mental Stress: multi-tasking, meeting deadlines, prioritizing.

It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. Be aware that none of the questions are intended to imply illegal preferences or discrimination based on non-job-related information.

Here, you matter. As a Children's Hospital Colorado team member, you will receive a competitive pay and benefits package designed to take care of your needs that includes base pay, incentives, paid time off, medical/dental/vision insurance, company provided life and disability insurance, paid parental leave, 403b employer match (retirement savings), a robust wellness program, and access to professional development tools, including an education benefit to help you advance your career.

As part of our Total Rewards package, Children's Colorado offers an annual employee bonus program that rewards eligible team members based on organizational performance. If organizational goals are met for the year, the bonus is paid out the following April.

Children's Colorado delivers annual base pay increases to eligible team members based on their performance over the previous year.