Managed Care Senior Financial Analyst - Managed Care (Hybrid)
About The Position
The Senior Financial Analyst assists with developing, designing, maintaining, coordinating, and implementing reporting systems for business operations and management. The role accesses data from a variety of databases and creates accurate, meaningful reports for diverse audiences; supports the administration and implementation of financial initiatives; and helps interpret policies, procedures, and practices. In managed care reporting, the analyst prepares reports and presentations communicating financial findings and recommendations to senior management; models and forecasts the effects of proposed contract changes and new initiatives; monitors contract performance and financial metrics; analyzes contracts for compliance and financial performance; and produces regular and ad hoc reports for decision-makers. The analyst also leads complex or special managed care financial analysis assignments, provides analytic support across departments and service lines, researches and resolves inquiries with strategic recommendations, collaborates with finance teams and management on financial information and forecasts, and applies applicable federal and state regulations and organizational policies and procedures.
Requirements
- More than five years of experience reviewing and interpreting patient medical records using CPT and ICD-10 coding systems.
- Technical understanding of healthcare data systems.
- Bachelor’s degree in Finance, Accounting, Healthcare Management, or a related field.
Responsibilities
- Develop, design, maintain, coordinate, and implement reporting systems for business operations and management.
- Access data from a variety of databases and create accurate, meaningful, and relevant reports for diverse audiences.
- Assist with the administration and implementation of financial initiatives.
- Assist in interpreting policies, procedures, and practices.
- Prepare reports and presentations communicating financial findings and recommendations to senior management.
- Conduct financial modeling and forecasting to assess the impact of proposed contract changes and new initiatives.
- Monitor and evaluate contract performance and financial metrics, identifying trends, variances, and areas for improvement.
- Analyze managed care contracts for compliance and financial performance, identifying opportunities for optimization.
- Generate regular and ad hoc financial reports summarizing key data, trends, and recommendations for decision-makers.
- Lead complex or special assignments related to managed care financial analysis.
- Provide analytic support across departments and service lines to support data-driven decisions.
- Research and resolve inquiries related to assigned functional areas and offer strategic recommendations.
- Collaborate with finance teams and management to review financial information and forecasts.
- Apply federal and state regulatory requirements and organizational policies and procedures to projects.
Benefits
- Learning programs
- Tuition reimbursement
- Performance-improvement projects
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What This Job Offers
Job Type
Full-time
Career Level
Senior
