Managed Care Finance Analyst

AltaMedMontebello, CA
$73,701 - $92,127

About The Position

The Analyst, Managed Care Finance position will analyze financial and health information to support business decision-making on healthcare revenue, cost, and outcomes. The position will monitor claims cost, identify revenue opportunities such as claims overpayment, leakage claims, and billable services, monitor PCP and specialty cap, prepare risk pool and incentive summaries, and assist in risk pool and capitation auditing. Additionally, this position will summarize financial results from various system reports.

Requirements

  • Bachelor’s degree in accounting, finance, business, or other related areas required.
  • A minimum of 2 years of financial analysis and database reporting experience is required.
  • Experience with databases and data analysis technology.

Nice To Haves

  • SQL, EZ Cap, Cognos, or Crystal Reports experience is a plus.

Responsibilities

  • Analyze financial and health information to support business decision-making on healthcare revenue, cost, and outcomes.
  • Monitor claims cost.
  • Identify revenue opportunities such as claims overpayment, leakage claims, and billable services.
  • Monitor PCP and specialty cap.
  • Prepare risk pool and incentive summaries.
  • Assist in risk pool and capitation auditing.
  • Summarize financial results from various system reports.

Benefits

  • Medical, Dental and Vision insurance
  • 403(b) Retirement savings plans with employer matching contributions
  • Flexible Spending Accounts
  • Commuter Flexible Spending
  • Career Advancement & Development opportunities
  • Paid Time Off & Holidays
  • Paid CME Days
  • Malpractice insurance and tail coverage
  • Tuition Reimbursement Program
  • Corporate Employee Discounts
  • Employee Referral Bonus Program
  • Pet Care Insurance
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