Financial Analyst, Experienced

Your Role

The Managed Care Finance team administers the financial terms and conditions of our capitated contracts with IPA/Medical Groups, Hospitals, and Vendors. The Financial Analyst, Experienced will report to the Manager of Managed Care Finance. In this role you will be performing provider contract analysis, financial research, preparing financial forecasts, analyzing data trends, and translating data into useful information. You will interact with a variety of internal units as well as IPA/Medical Groups to monitor financial payments and reporting to ensure compliance with contractual requirements and governmental regulations.

Your Knowledge and Experience

• Requires a bachelor's degree or equivalent experience
• Requires at least 3 years of prior relevant experience
• Exposure to health care related membership, capitation, claims processing systems, and/or provider contracting is desired
• Knowledge of the functions and responsibilities of other units within a health insurance company and familiarity with the health insurance industry is desired
• Requires the ability to use computers and related software applications including SQL and/or Excel
• Ability to debug, modify, and enhance existing SQL databases and Excel macros and develop queries for automated processes and data manipulation is desired
• Requires the ability to read, analyze and interpret non-standard provider contracts, technical procedures, and governmental regulations