Sr. Financial Analyst (Managed Care)
About The Position
Supports managed care contracting through the development of various financial models and rates to assist in negotiations. Uses knowledge of managed care contract reimbursement and working knowledge of a contract management system application to provide an accurate evaluation of data results along with the ability to clearly communicate any financial impact and insights from the results to managed care and AH leadership. Utilizes a strong technical knowledge of spreadsheets and database system applications as the tools and skills necessary to provide timely and accurate financial analysis and reporting.
Requirements
- Associate's Degree or equivalent combination of education/related experience: Required
- Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
- Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
Nice To Haves
- Bachelor's Degree or equivalent combination of education/related experience: Preferred
- Five years' related experience: Preferred
- Experience working in Healthcare setting: Strongly Preferred
Responsibilities
- Develop and prepare methods for data gathering and manipulation from multiple systems and sources as needed for the preparation of analytic financial models and reports.
- Sets up and maintains model/simulation rate terms within the contract management system and evaluate the results as needed for upcoming negotiations.
- Develops, analyzes, evaluates and prepares contract rates and terms when needed for a payer network proposal/counter proposal during negotiations.
- Keeps abreast of changes involving federal (CMS) and state Medicaid reimbursement rates and schedules. Assists in maintaining the methods needed in producing the standard CMS Medicare and Medicaid equivalent benchmark values.
- Assists with the managed care budgeting schedule preparation and forecasting of targeted increases with assumptions.
- Performs other job-related duties as assigned.
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
Mid Level
Industry
Hospitals
Education Level
Associate degree
Number of Employees
501-1,000 employees
