Job Description

Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care.

As part of Optum, we participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment, Only SCA Health has a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge:

• We connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business.
• We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives to support growth and transition to value-based care.
• We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, that provides easy predictable billing to patients.
• We help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines.

The new SCA Health represents who we are today and where we are going—and the growing career opportunities for YOU.

The Risk Management Analyst supports the enterprise workers’ compensation program including, but not limited to, claims management, loss prevention analysis, and compliance with workplace safety regulations.

Key Responsibilities:

• Workers’ compenation claims management assistance across the enterprise including commerical, non-subscriber, and state mandated plans and associated claims.
• Prepares and submits loss wage reports and coordinates responses to employment related subpoenas and other inquiries.
• Assist operations, human resources, and employees throughout the workers’ compensation claims process.
• Verifies billings associated with loss fund invoices.
• Assists with training on workers’ compensation program and claims reporting and helps communicate details of the liability insurance program during onboarding and, as needed.
• Facilitates the availability of required postings, injury logs, and certificates of insurance.
• Develops and assists with workplace safety initiatives and regulatory compliance, including OSHA.
• Other project needs from time to time as determined by the position’s manager.

• Must be able to communicate clearly and succinctly via written and oral communication.
• Must be able to create an environment in which a positive and professional service orientation is evident to internal and external customers.
• Must be able to arrange schedules to meet the needs of the business to respond quickly to situations created by changes or unanticipated problems.
• Must be flexible and adaptable to changing departmental or company needs.
• Must be able to develop and maintain positive working relationships with coworkers, regulatory and operations staff and legal representatives. This includes the ability to remain calm and in control so that emotion can be appropriately expressed in conflict situations. This also includes being aware of and exemplifying SCA Heath’s Mission, Vision, and Values.
• Possess strong organizational skills.

Total education, vocational training and experience:

• Bachelor’s degree required and 2-3 years’ experience administering workers’ compensation claims, required.
• Excellent computer skills including Word and Excel required. Ability to work with web-based claims management systems and prepare reports is also required.

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