Current jobs related to Prosthesis Clinical Analyst - Brisbane - Bupa
-
Operational Efficiency Specialist
2 weeks ago
Brisbane, Queensland, Australia beBeeClinical Full time $90,123 - $123,456Job TitleWe are seeking a skilled professional to play a key role in ensuring hospital cost savings.This includes developing and implementing claims leakage strategies, system rule improvements, and controls.About the RoleThe successful candidate will undertake hospital contract compliance activities, including onsite and desktop provider audits.Conducting...
-
Clinical Solution Delivery Analyst
1 week ago
Brisbane, Australia Queensland Government Full time**The role: A Clinical Solution Delivery Analyst plays a critical role in bridging clinical and business needs and IT solutions across eHealth Queensland, providing strategic advice on project direction, facilitate business requirements, use case development, and detailed engagement with clinical and business stakeholders. The role includes mentoring...
-
Solution Delivery Analyst
1 week ago
Brisbane, Australia Queensland Government Full time**The role**: Queensland Health recognises that progressing our digital health strategy is an essential part of our ongoing commitment to delivering safe, effective, and accessible healthcare to all Queenslanders. Do you want to be a part of a dynamic, fast-paced project team? Do you want to make a real difference by laying the foundations; and building...
-
Functional Analyst: Clinical Systems
3 weeks ago
Brisbane, Queensland, Australia Royal Flying Doctor Service of Australia Full timeShare this content on your favourite social media platform:Install, configure, monitor and maintain RFDS clinical applications. Join a great team supporting RFDS's future growth strategyClassificationsIT & TelecommsSystem AdministrationPermanent / Full TimeKey pointsSupport a purpose-driven business with an iconic historyFull-time role, Brisbane...
-
Clinical Solution Delivery Analyst
2 weeks ago
Brisbane, Queensland, Australia Queensland Health Full time**The role**:A Clinical Solution Delivery Analyst plays a critical role in bridging clinical and business needs and IT solutions across eHealth Queensland, providing strategic advice on project direction, facilitate business requirements, use case development, and detailed engagement with clinical and business stakeholders. The role includes mentoring...
-
Clinical Costing Analyst
2 weeks ago
Brisbane, Queensland, Australia Mater Group Full time**Job no**: 503099**Work type**: Permanent**Location**: Newstead**Categories**: Finance, Accounting**About the role**Join our **Group Finance - Funding Casemix & Costing** team as a **Clinical Costing Analyst**in this **permanent, full-time**opportunity based at our **Newstead offices.**This position is crucial in maintaining and improving the patient-level...
-
Expert Clinical Data Analyst
2 weeks ago
Brisbane, Queensland, Australia beBeeResearch Full time $80,000 - $149,999Specialised Research Analyst PositionThe role involves providing expert analysis and interpretation of clinical and operational data to support research activities within a state's aeromedical network.You will also develop and participate in collaborative, multi-disciplinary research projects with internal and external research groups. This will involve...
-
Clinical Development Analyst
2 weeks ago
Sydney, Melbourne, City Of Brisbane, Australia 3mcompany Full timeClinical Development Analyst page is loaded## Clinical Development Analystremote type: Hybridlocations: AU, New South Wales, North Ryde: AU, MELBOURNE, VIRTUAL: AU, BRISBANE, VIRTUAL: AU, NORTH RYDE, VIRTUALtime type: Full timeposted on: Posted Todayjob requisition id: R01123770Thank you for your interest in joining Solventum. Solventum is a...
-
Principal Analyst, Clinical Costing
2 weeks ago
Brisbane, Queensland, Australia Queensland Health Full timeAbout UsChildren's Health Queensland is a specialist statewide hospital and health service dedicated to caring for children and young people from across Queensland and northern New South Wales.We are committed to collaborating with all of our healthcare partners, most importantly families, to ensure we consistently deliver safe, high-quality patient and...
-
Clinical Solutions Professional
2 weeks ago
Brisbane, Queensland, Australia beBeeBusiness Full time $120,000 - $160,000About the Role:A Clinical Solution Delivery Analyst plays a critical role in bridging clinical and business needs with IT solutions.Main Responsibilities:
Prosthesis Clinical Analyst
3 weeks ago
As the Prosthesis Clinical Analyst - you will ensure hospital cost savings as a result of developing and implementing claims leakage strategies, system rule improvements and controls; undertaking hospital contract compliance activities (including the conduct and management of onsite and desktop provider audits); and validating provider billing and coding practices.
**How will I help?**
Key accountabilities include:
- Initiate, manage and finalise hospital, clinical, provider, and member profiling reviews within an agreed annual work program.
- Arrange and conduct regular onsite and desktop provider audits, manage end to end processes including follow up and financial management of incorrect billing
- Review the specific detail of hospital claims to advise where there are incorrect or inappropriate coding/ billing practices
- Validate provider initiated DRG review requests based on coding and documentation analysis
- Provide clinical/coding standards advice on statistical reports produced by Data and Claims Analysts to determine if further investigation and action is warranted.
- Initiate, write, develop, and continually improve relevant data reports to identify areas of actual and potential claims leakage based on Bupa Hospital and Medical contracts
**What’s in it for me?**
As well as a competitive salary, a range of Bupa benefits and flexible working/ work from home arrangements, you’ll be challenged and encouraged to innovate. You will collaborate strongly with colleagues who are committed to delivering exceptional experiences. We trust, respect and consider everyone, knowing your difference will make the difference.
**What do I need?**
- Registered Nurse eligible for registration in Australia (Operating Theatres - Scrub/Scout) **and/or **Medical Device Company clinical support experience.
- Relevant tertiary qualifications in nursing and/or health information management
- Proven experience in a major hospital with significant exposure to Operating Theatres and Implantable Prosthesis Management
- Understanding of clinical coding impacts upon Diagnosis Related Groups (DRGs)
- Understanding of hospital casemix concepts in the Private Health Insurance setting
- Understanding/experience of auditing and claims in a health insurance environment
- Private Health Insurance work experience
- Understanding of private hospital contract management practices and concepts
- Understanding of Hospital Purchaser Provider Agreement contracts and relationship to claims
- Understanding of Ancillary and Medical fund rules, provider agreements and relationship to claims
- Proven experience in data report writing and interpretation
- Computer literate, with moderate to advanced proficiency with Microsoft Excel, Word, PowerPoint and PowerBI
**What is it like to work there?**
Bupa is an international healthcare group which has been committed to a purpose of helping people live longer, healthier, happier lives and making a better world for more than 70 years.
Bupa Asia Pacific operates in Australia, New Zealand, and Hong Kong, supporting about 6.5 million customers through a broad range of health and care services including health insurance, aged care, dental, medical, optical, and hearing services.
