Financial Analyst II - Covered California

Inland Empire Health Plan

268d • $80,059 - $106,059 • Remote

About The Position

Find joy in serving others with IEHP! We welcome you to join us in 'healing and inspiring the human spirit' and to pivot from a 'job' opportunity to an authentic experience! Under leadership of the Supervisor of Finance Analytics - Commercial Finance, the Financial Analyst II - Commercial Finance will complete a variety of specialized duties related to financial reconciliation of premium invoicing and payments from various sources, monitoring of BPO vendor, collaborating with cross-departmental teams to resolve payment issues, and ad-hoc analysis as it relates to commercial products. This role will work with large data sets and develop moderate SQL queries.

Requirements

• Minimum three (3) years of premium billing, premium and membership reconciliation, and/or premium reporting experience.
• Experience working with other finance teams to support monthly financial reporting.
• Experience working with large data sets and developing moderate SQL queries.
• Managed care experience related to commercial products required.
• Bachelor's degree in Finance, Business Administration, Economics, Health Care Administration, Accounting, or other related field from an accredited institution required.

Nice To Haves

• Strong knowledge and practical application of premium billing practices in the healthcare industry.
• Working knowledge of generally accepted accounting principles (GAAP) and practical application of general accounting theory.
• Intermediate skills in utilizing Excel and Word.
• Strong communication abilities (both written and verbal) and problem-solving skills.
• Strong critical thinking, analytical, problem solving, and prioritizing skills.
• Strong initiative to meet established deadlines.
• High level of attention to detail is required.

Responsibilities

• Monitor and respond to inquiries, both internally and externally, regarding premium invoicing.
• Analyze over- or under-premium payments and submit findings for leadership review.
• Perform research into member premium issues and discrepancies and provide recommendations on solutions.
• Program simple to moderate SQL queries to perform reconciliation of various revenue streams (i.e.: Member payments, APTC payments, state credit/subsidies) to ensure Member accounts are accurate.
• Resolve payment disputes received from the merchant services vendor and lockbox decisioning items received from bank lockbox to ensure funds are accurately applied to member accounts in a timely manner.
• Work with print vendor to create/update premium billing notifications and member notices as it pertains to premium payments, as required by regulatory guidelines.
• Coordinate with BPO vendor for programming modifications and/or other business needs.
• Perform detailed analysis of refund requests and/or overpayments and process member refunds.
• Perform verification of internal and external broker commission payments to ensure accuracy of payments.
• Prepare month end reports and/or journal entries for monthly financial reporting and management reporting requirements.
• Perform accurate interpretation of regulatory requirements as it pertains to premium billing activities, member notices as it relates to member premiums, and revenue reconciliation requirements.
• Act as a trusted resource for the organization and consistently demonstrate IEHP organizational values while building and maintaining strong internal relationships.
• Demonstrate a commitment to incorporate LEAN principles into daily work.
• Any other duties as required ensuring Health Plan operations are successful.

Benefits

• CalPERS retirement
• 457(b) option with a contribution match
• Generous paid time off- vacation, holidays, sick
• State of the art fitness center on-site
• Medical Insurance with Dental and Vision
• Paid life insurance for employees with additional options
• Short-term, and long-term disability options
• Pet care insurance
• Flexible Spending Account - Health Care/Childcare
• Wellness programs that promote a healthy work-life balance
• Career advancement opportunities and professional development
• Competitive salary with annual merit increase
• Team bonus opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Administration of Human Resource Programs
• Education Level: Bachelor's degree