Senior Analyst, Managed Care Patient Finance
About The Position
The Managed Care Patient Financial Senior Analyst analyzes financial and health information to develop insights that support business decisions related to healthcare revenue, cost, and clinical outcomes within the managed care industry. The role prepares and completes managed care reporting, including auditing capitation revenue; reporting on primary care provider (PCP) and specialty capitation; preparing risk pool and incentive summaries; and assisting with risk pool audits and analysis. The analyst also identifies revenue capture opportunities, such as health plan capitation revenue underpayments, specialty claims overpayments, leakage claims, and billable services. The position participates in annual budgeting and produces recurring or as-needed financial analysis and reporting relevant to healthcare, utilization, and financial management for AltaMed IPA.
Requirements
- Bachelor’s degree in accounting, finance, business, or a related area and at least 5 years of experience in financial analysis and database reporting in the healthcare or managed care industry; alternatively, a master’s degree in a related field and 3 years of relevant experience.
- Experience with databases and data analysis technology.
- Microsoft Access proficiency is required.
Nice To Haves
- EZ Cap experience is highly desirable.
- SQL experience is highly desirable.
Responsibilities
- Analyze financial and health information to support business decision-making related to healthcare revenue, cost, and clinical outcomes.
- Prepare and complete managed care reporting, including auditing capitation revenue and reporting on PCP and specialty capitation.
- Prepare risk pool and incentive summaries and assist with risk pool auditing and analysis.
- Identify revenue capture opportunities, including health plan capitation revenue underpayments, specialty claims overpayments, leakage claims, and billable services.
- Participate in annual budgeting.
- Compile financial analysis and other recurring or as-needed reporting relevant to healthcare, utilization, and financial management for AltaMed IPA.
Benefits
- Medical, dental, and vision insurance
- 403(b) retirement savings plans with employer matching contributions
- Flexible Spending Accounts
- Commuter Flexible Spending
- Career advancement and development opportunities
- Paid Time Off and holidays
- Paid CME days
- Malpractice insurance and tail coverage
- Tuition reimbursement program
- Corporate employee discounts
- Employee referral bonus program
- Pet care insurance
- The role may qualify for discretionary bonuses or incentives.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
