Revenue Financial Analyst III

L.A. Care Health Plan•Los Angeles, CA

4d•$88,854 - $142,166

About The Position

The Revenue Financial Analyst III is responsible for the daily management of financial activity of the Revenue received by L.A. Care. These duties include revenue reconciliation, premium billing, monitoring the enrollment/disenrollment policies and procedures, journal entry preparation, heavy account analysis, month-end reconciliations and preparation of financial reporting tools and audit schedules. This position interfaces and serves as a liaison with multiple internal departments and external contacts. Acts as a Subject Matter Expert, serves as a resource and mentor for other staff.

Requirements

Bachelor's Degree in Finance or Related Field
In lieu of degree, equivalent education and/or experience may be considered.
At least 4 years of financial related experience in a professional setting.
At least 4 years of experience in a managed healthcare setting (HMO and IPA).
Strong accounting, analytical, and problem-solving skills.
Excellent oral and written communication skills.
Excellent data management/ database skills.
Must have advanced PC Skills (Excel, Word, Access) ASP, and Structured Query Language (SQL) or Monarch.
Extensive knowledge of premium billing.

Nice To Haves

Master's Degree in Finance or Related Field
Medi-Cal and Medicare and Covered California knowledge.
QNXT application knowledge.
Certified Public Accountant (CPA)

Responsibilities

Responsible for the reconciliations of multiple revenue streams.
Ensure disenrollment policy and procedures are practiced and monitored for accuracy.
Responsible for preparation of multiple billing and analysis of multiple Revenue streams.
Responsible for maintaining multiple schedules to track contract rate changes and ensure correct rate adjustment.
Accurate regulatory requirements interpretation.
Prepare month end reporting management tools accurately and analyze in a timely manner.
Prepare daily, weekly and/or monthly financial reports as assigned.
Prepare Journal Entries and perform related General Ledger analysis and reconciliation.
Prepare audit schedules.
Prepare and participate in the completion of all assigned special projects.
Master the QNXT Enrollment and Claims Module.
Master SAP FS-CD and FI-GL Modules.
Applies subject expertise in evaluating business operations and processes.
Identifies areas where technical solutions would improve business performance.
Consults across business operations, providing mentorship, and contributing specialized knowledge.
Ensures that the facts and details are correct so that the project’s/program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices.
Provides training, recommends process improvements, and mentors junior level staff, department interns, etc. as needed.
Perform other duties as assigned.
Preparation of the Supplemental submission for MediCal to California Department of Health Care Services (DHCS).
Preparation of the Plan Partners’ monthly capitation payments.