Managed Care Senior Financial Analyst - Managed Care (Hybrid)

Cedars-Sinai Medical Center•Beverly Hills, CA

9d•Hybrid

About The Position

The Senior Financial Analyst assists with the development, design, maintenance, coordination, and implementation of reporting systems for business operations and management. The role accesses data from a variety of databases and creates accurate, meaningful, and relevant reports for diverse audiences. It also assists with financial initiatives and with interpreting policies, procedures, and practices. In managed care reporting, the analyst prepares reports and presentations for senior management; conducts financial modeling and forecasting to assess proposed contract changes and new initiatives; monitors contract performance and financial metrics; analyzes managed care contracts for compliance and financial performance; and generates regular and ad-hoc reports with key findings and recommendations. The position leads complex or special managed care financial analysis assignments, provides analytical 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 relevant federal and state regulations and organizational policies and procedures.

Requirements

Five or more years of experience reviewing and interpreting patient medical records using CPT and ICD-10 coding systems.
Technical understanding of healthcare data systems.
Knowledge of electronic health records (EHR), claims data, and health information systems, such as Epic or Cerner.
Familiarity with ICD-10, CPT, and HCPCS codes, as well as other managed care coding standards.
Bachelor’s degree in Finance, Accounting, Healthcare Management, or a related field of study.

Responsibilities

Develop, design, maintain, coordinate, and implement reporting systems for business operations and management.
Access data through a variety of databases and create accurate, meaningful, and relevant reports for diverse audiences.
Assist with the administration and implementation of financial initiatives and interpretation of 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 areas for optimization.
Generate regular and ad-hoc financial reports that summarize key data, trends, and recommendations for decision-makers.
Lead complex or special assignments related to managed care financial analysis.
Provide analytical 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.