Job Description
Role Title - Senior Finance Analyst Location: Remote Time zone: CST/EST Client location: Cleveland Ohio Must have skills: 1. misys
2. Minimum five years of progressively challenging experience in Healthcare or health insurance
The Job Role: In accordance with the Mission and Guiding Behaviors; the Senior Finance Analyst is responsible for serving as the lead Finance resource on financial-related matters including GAAP and statutory financial reporting.
Responsibilities:
• Exhibits each in Behavior Standards holding self and others accountable and role modeling excellence for all to see. For example: demonstrates friendliness and courtesy, effective communication creates a professional environment, and provides first-class service.
• Maintain an in-depth understanding of health plan operations and healthcare analytics.
• Provide quantitative and qualitative analytics, developing correlations between various activity measures, cost, revenue, and utilization metrics to support performance improvement.
• Under general supervision, performs research and analysis of complex healthcare claims, pharmacy, and lab data regarding network utilization and cost containment information.
• Evaluates, writes, presents, and provides recommendations regarding healthcare utilization and cost containment reports.
• Identify, analyze, and interpret trends or patterns in complex data sets. Responsible for compiling, analyzing, trending, tracking, and interpreting all operational, clinical, business, and financial activities of the Plan and is responsible for analyzing business goals, objectives and needs of the business.
• Develop and maintain customized dashboard reporting. Provide consistent, timely and accurate reporting.
• Write database queries to extract data as needed for projects to support the needs of leadership.
• Provides both operational support to, and analysis of, all plan activities, facilitates quality and performance improvement efforts and activities within the day-to-day business operations and supports project implementation, and coordination and refinement of business process, and champions an environment of continuous process improvement.
• Responsible for facilitating process innovation, strategic planning, competitive analysis, and other corporate initiatives for Plan's executive team and its operational departments.
• Responsible for business process review and data analysis as relates to activities which ensure operational effectiveness. Incumbents will assist Management by analyzing data, identifying useful information, recommending and supporting decision making with the goal of departmental improvement.
• Owns project goals by developing project plans, establishing deadlines, monitoring milestone completion, providing timely reporting of issues that impact progress, and resolving conflicts.
• Requires a high degree of business focus with the ability to ensure that the functional requirements and the design support the business requirements.
• Often the liaison between business and technical teams to provide technical solutions, processes, system configurations, and resolutions and works with all departments, especially MIS, Finance, Administrative, Claims, UR/QA, and Medical Management.
• Performs all assigned month-end responsibilities with a high level of accuracy and minimal supervision in accordance with the established department schedule.
• ll other duties as assigned.
• Meets population-specific and all other competencies according to department requirements.
• Promotes a Culture of Safety by adhering to policies, procedures, and plans that are in place to prevent workplace injury, violence or adverse outcomes to associates and patients.
'Must Have' Experience: • Education: Bachelor's degree in Business, Accounting, Finance or a related field
• MBA, MHA and/or CPA preferred
• Licensure / Certification:
• Experience: Minimum five years of progressively challenging experience in Healthcare or health insurance Finance/Accounting. Statutory reporting experience preferred.
• Effective Communication Skills
• Experience with Accounting/Budgeting systems & Financial Reporting.
• Demonstrates knowledge of complex regulations of healthcare or insurance accounting such as budgeting, cost, reimbursement, GAAP or Statutory reporting.
• Experience with project management and proven success at managing large-scale projects through to completion.
• Highly skilled with the use of personal computer systems that aid in analysis, communication, presentations, financial reporting (spreadsheets, databases, and database access tools, presentation tools), etc.
'Essential Responsibilities: • Exhibits each in Excellence Behavior Standards holding self and others accountable and role modeling excellence for all to see. For example: demonstrates friendliness and courtesy, effective communication creates a professional environment, and provides first-class service.
• Meets population-specific and all other competencies according to department requirements.
• ccountable for the development, review, implementation, coordination, system maintenance, and reporting of annual budgets, interim forecasts, cash projections, ad-hoc financial studies, financial statements and audit schedules.
• Identifies and implements improvements to enhance the organization's budget and planning systems (Essbase, StrataCast, StrataCap, StrataTrak and Budget Advisor). Coordinates and enhances internal reporting from these systems - and associated transactional source systems - to assist management in decision making with a focus on bottom-line performance improvement.
• Responsible for serving as a mentor/resource for fellow analysts and accountants within the Department.
• Serves as lead for GAAP to Statutory conversion and other key project/initiatives.
• Formulates and provides analyses to department managers within Heath and Insurance Company. Provides input on departmental operations as well as identify potential areas for integrating processes to improve overall operations and financial reporting.
• Initiates and develops policies and procedures for various aspects of the financial planning process.
• ssists department managers in developing their operating budgets focused on resource management including planning and allocation of human resources, capital expenditures, and operating expenses. Understands and provides analysis for various strategic and operational scenarios and potential impacts on financial position and key performance measures.
• ssists with the preparation of departmental financial presentations. Participates in development and delivery of leadership review packages.
• Involved in professional activities to keep informed of latest healthcare trends. Expected to demonstrate acute problem solving skills as related to healthcare financial planning and operations. Possess a thorough understanding of external, regulatory, budgeting, and other forces impacting healthcare finance.
• Provides detailed financial analysis in support of budgeting, including preparation of capital business plans, projections and subsequent performance reporting.
• Creation and maintenance of budget database, tracking systems, and files. Individually responsible for all financial planning record keeping.
• Prepares financial data for operating budget assumptions, operating budget consolidations, Corporate (Trinity) submissions, strategic budget submissions. Accountable for accuracy and timeliness of deliverables, responsible for providing progress updates, communicating effectively with team members, and proactively identifying issues that may impact ability to meet deadlines.
Other Job Responsibilities: • ssists with the annual audit as needed.
• Interfaces with department management to provide training, technical, and informational assistance.
• ssists customers with the evaluation of financial scenarios and department performance; makes recommendations, and assists with implementation of corrective actions and improvements as appropriate.
• Responsible for compliance with Organizational Integrity through raising questions and promptly reporting actual or potential wrongdoing.
• ll other duties as assigned.
Job Tags
Interim role,