Financial Analyst (43270)

Neighborhood Health Plan of Rhode Island•Smithfield, RI

65d

About The Position

This role is responsible for providing financial analytics for internal customers including. He/she is responsible to independently complete analytics and articulately present them to customers. Work will be both recurring and ad-hoc as directed by the Supervisor and other Analysis management.

Requirements

Bachelor's degree in Business or business related field
One (1) to Three (3) years relevant professional experience
Advanced skills with spreadsheets (Excel)
Independent work style, highly motivated, takes ownership of project/work and a self-starter
Ability to recommend process/job design improvements and seeks solutions
Strong analytical and problem solving skills
Good communication skills

Nice To Haves

Knowledge of Healthcare (HMO)
Database proficient (SQL, SAS, Tableau)
Knowledge of Cognos Business Intelligence software

Responsibilities

Performs monthly Incurred But Not Reported (IBNR) liability exposure
Performs the monthly Risk Share calculation
Assists in other operational improvement and implementation projects
Prepare and analyze the quarterly medical expense variance reporting
Prepare regular and ad-hoc reporting and analysis
Assist with analytical and data reporting support to internal customers such as Care Management, Claims and Provider partnerships
Assist with analytical and data reporting support for external entities such as state agencies, commercial accounts, health centers and third party vendors
Analyze financial impact of hospital and physician contracts
Assist in the preparation and analysis of the annual medical budget
Assist in the development and maintenance of provider incentive systems
Assist in the preparation of work papers for external auditors and actuaries
Participate in the cross-functional team meetings
Assist in the preparation and analysis of the monthly financial close
Assist and maintain provider and hospital fee schedules
Identify opportunities for improvement in the department
Other duties as assigned
Corporate Compliance Responsibility - As an essential function, responsible for complying with Neighborhood's Corporate Compliance Program, Standards of Business Conduct, applicable contracts, laws, rules and regulations, policies, and procedures as it applies to individual job duties, the department, and the Company. This position must exercise due diligence to prevent, detect, and report unlawful and/or unethical conduct by fellow co-workers, professional affiliates and/or agents.