Senior Analyst Healthcare

US-CA-Alameda
4 weeks ago
Job ID
2017-1695
# of Openings Remaining
1
Experience (Years)
3

Overview

Under supervision of the Manager Financial Planning  Analysis, Healthcare, the Senior Analyst - Healthcare is responsible for analyzing financial and operational performance by providing advanced financial analysis of healthcare revenue and expense.

Responsibilities

Principal responsibilities include:

· Conduct financial data analyses involving a wide range of issues.

· Generate reports and analyses from data sources which require a complex understanding of the company’s information systems.

· Participate in the data gathering, report development and reconciliation to financials for the annual Medi-Cal bid, operating budget and quarterly forecasts.

· Develop and document a monthly routine of IBNP pre and post process functions, reports, analyses, and quarterly reviews.

· Perform reconciliations, budget variance and trend analyses as needed.

· Participate in data gathering, reporting and analysis for data requests from external regulatory entities.

· Other documentation of FP&A processes as needed.

· Assist with preparation of supporting schedules and analysis for annual financial and regulatory audits.

· Support provider network contract negotiations through various financial analyses.

· Identify and provide solutions for data integrity issues.  Work with operational departments and Information Technology to ensure data consistency and accuracy.

· Complete other duties as assigned by the Manager, Planning and Analysis, Healthcare.

 

ESSENTIAL FUNCTIONS OF THE JOB

 

· Consult with managers, IT and employee users.

· Systematic review, problem solving, design and implementation of financial data systems and reports.

· Data gathering from diverse systems.

· Data analysis and report preparation.

· Guide integrating findings into financial operations.

· Comply with the organization’s Code of Conduct, regulatory and contractual requirements, organizational policies, procedures and internal controls.

 

PHYSICAL REQUIREMENTS

 

· Constant and close visual work at desk or computer.

· Constant sitting and working at desk.

· Constant data entry using keyboard and/or mouse.

· Frequent use of telephone headset.

· Constant verbal and written communication with staff and other business associates by telephone, correspondence or in person.

· Frequent lifting of folders and other objects weighing between 0 and 30 lbs.

· Periodic walking and standing.

Occasional driving of automobiles.

Qualifications

EDUCATION OR TRAINING EQUIVALENT TO:

 

· B.A. or B.S. in Business Administration, Healthcare, Accounting, Information Technology or related field or equivalent experience.

 

YEARS OF ADDITIONAL RELATED EXPERIENCE:

 

· 3 years’ experience analyzing complex data and creating management information for financial reporting and decision support.

· 1 years’ experience analyzing healthcare expense in an insurance or health plan setting preferred.  This includes an understanding of the concepts: of capitation, fee-for-service and medical expense coding.

 

DESIRED QUALIFICATIONS (SKILLS, ABILITIES, LICENSE):

 

· Ability to manage projects effectively and efficiently and provide leadership.

· Proficient understanding of healthcare and/or insurance industry. Know the general business processes in healthcare and how they affect an organization. Understand some of the regulatory requirements for HMOs.

· Well organized and detail oriented.

· Ability to understand data and industry nuances.

· Experience using Business Objects or similar OLAP tool.

· Advanced experience in use of MS Office products including MS Word, MS Excel, MS Access, MS PowerPoint and Outlook.

· A good understanding of MS-SQL language.

· Excellent written, verbal and interpersonal communication skills

· Ability to successfully relate to people at all levels.

· Facilitate meetings and give presentations before management and staff.

· Gather, read, analyze and interpret data complexities to develop accurate meaningful financial information for reporting and decision support.

· Plan and complete tasks timely to a high standard.

· Effectively manage competing priorities.

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