Remote Utilization Review Jobs in Midland, MI (NOW HIRING)

Summary
*This role helps support sites in Clare, Alma, Gladwin, or West Branch and will be primarily officed in any of those locations. This position can be a hybrid remote position up to two days per week following completion of 90-day onboarding at discretion of the manager.*
The Financial Analyst II can do either (or both) the Accountant role or the Financial Analyst role below. This Accountant position may be responsible for the preparation, accuracy, completeness, and analysis of financial statements and related financial information including, but not limited to, reconciliations, tax returns, annual audits, budgets, projections, cost reports, and fixed assets. Research and interpretation of Generally Accepted Accounting Principles (GAAP) and other regulations is required to assure conformance in reporting. Assists subsidiaries and provides management and other employees within the organization with financial analysis and information used for decision making. The Financial Analyst assists with the support of the MyMichigan Health's Decision Support System (EPSi) through the analysis and evaluation of the financial and operational performance of health system's affiliates. Responsibilities include leading in the development, analysis and maintenance of standard costs, cost allocations, productivity standards and standard cost accounting methodologies. Assist in the maintenance of the Decision Support System (EPSi) and the data interfaced to the system. Development of operating and capital budgets. Provide analytical support for special projects, development of long range planning forecasts and other projects requested by members of Administration and Management Teams. Work with the Financial Planning and Analysis team to develop tools for the efficient distribution of timely, accurate and pertinent management data.
Responsibilities
(15%)*Maintains expense units and budgeting man-hours of assigned departments during the budgeting process.
(15%)*Generates FTE and productivity reports and analysis on a monthly basis, including analysis by department and Line Officer.
(40%)*Accurate and timely reporting of monthly performance and productivity reports.
(15%)*Prepares fixed and variable budget databases based on Board-approved budget.
(15%)*Prepares cost analysis for other departments and strategic business units as requested with the time frames stated.
OTHER DUTIES AND RESPONSIBILITIES:
Demonstrates understanding of integrated system applications including relational databases.
Develops and maintains required documentation of procedures in dealing with all applications under the direction of the department manager and in collaboration with financial services, Information Resources, and Quality Resource Management.
Supports system-wide clinical pathway development.
Collects, stores, retrieves and disseminated data, information or materials as directed.
Identifies best practice for specific high volume, high risk, high cost DRG's.
Builds tables and indicators to support clinical paths.
Develops standard reports to support clinical path project leader sand strategic business unit leaders.
Develops/prepares reports to support medical staff inquiries during the re-credentialing process.
Works with clinical path project leaders, strategic business unit leaders, and QRM staff to develop information flow to the medical staff and maintains information flow to teams and medical staff.
Assists in the review and maintenance of cost standards.
Functions as a resource to staff in assisting them to maximize utilization of system applications.
Resource to all users.
Provides ongoing clinical support and education for users.
Provides ongoing support to medical and administrative leaders on their use of the decision support system particularly as it relates to patient care coordination.
Participates in appropriate clinical committees ensuring that the decision support system meets system-wide analysis needs.
Maintains and updates master file structures, communications with Information Resources, QRM, financial services and/or vendor representatives as required changes occur, test programming changes and/or updates to the system.
Assists in efforts to provide comprehensive medical and financial data to internal users.
Facilitates the collection of accurate and complete data.
Assures integrity of data is developed and maintained.
Audits and consults with users to ensure data integrity.
Develops system to gather data to support medical staff activities such as surgical case review, infection control, blood and drug utilization, etc.
Develops written procedures and routinely audits decision support subsystems to ensure data integrity.
Understands the decision support system financial structure as it impacts the patient database and assists financial team members with costs standards enhancements and operational procedures.
Takes initiative to take on extra assignments or to assist others during periods of increased activity.
MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows.
An employee may be required to participate in further learning opportunities offered by MyMichigan Health.
Certifications and Licensures
N/A
Required Education
Education: Bachelors Degree
Comments: Bachelor's Degree, Accounting or Finance, Business related field required. Experience with financial system, integrated financial decision support system with clinical components, strongly preferred. Certified Public Accountant (CPA) Certification preferred.
Other Information
EXPERIENCE, TRAINING AND SKILLS:
Knowledge of cost accounting and general ledger and preparing financial statements as normally acquired through 3 years of experience working in a medical center or similar setting, required.
Knowledge of data analysis interpretation, writing skills, and complete knowledge of Microsoft Suite required.
Ability to work in teams in collaborative manner.
Creative, flexible, open to change, results-oriented, organized.
Demonstrates critical thinking and ability to resolve problems.
Strong understanding of statistical methods.
Excellent interpersonal and relationship-building skills.
Ability to understand and apply current available databases to hospital practice patterns.
Demonstrated ability of project management.
Demonstrate a positive, courteous, and helpful attitude toward co-workers within and outside of the department.
Tuberculosis (TB) testing must be done according to MIOSHA(Michigan Occupational Safety Health Administration) standards.
Mandatory Occupational Safety and Health Administration (OSHA)training must be completed annually according to the Exposure Control Plan.
PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:
Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.
Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.
Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.
Overall vision and hearing is necessary with or without assisted device(s).
Frequently required to sit/stand/walk for long periods of time.
May require frequent postural changes such as stooping, kneeling or crouching.
Some exposure to blood borne pathogens and other potentially infectious material.
Must follow MyMichigan Health bloodborne pathogen and TB testing as required.
Ability to handle multiple tasks, get along with others, working dependently, regular and predictable attendance and ability to stay awake.
Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.
Physical Demand Level: Sedentary. Must be able to occasionally (0-33% of the workday) lift or carry0-10 lbs.