Sr. Financial Analyst (Managed Care)

Adventist HealthRoseville, CA
4d

About The Position

Adventist Health Roseville is looking for a Sr. Financial Analyst (Managed Care) for a full‑time, day‑shift position. We are seeking a strong candidate with experience working in a healthcare setting 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
  • Five years' related experience: Preferred
  • Experience working in Healthcare setting: Strongly Preferred

Nice To Haves

  • Bachelor's Degree or equivalent combination of education/related experience: 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.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

Associate degree

Number of Employees

5,001-10,000 employees

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