Financial Analyst (Decision Support)

Recruiter
CalOptima
Location
Orange
Salary
Competitive
Posted
19 Jun 2019
Closes
21 Jun 2019
Contract type
Permanent
Hours
Full time
This position will facilitate decision making by analyzing data, creating financial models, preparing reports and completing other financial analyses as needed.

Position Responsibilities:
  • Medical expense analysis, including production of cost and utilization reports.
  • Develops medical expense, revenue, and enrollment projections to support the budget process.
  • Researches, assesses, and develops advanced tools, models, reports and approaches to increase accuracy and timeliness of data–driven work projects. Utilizes various software (Excel, SQL, Access, Tableau) as appropriate.
  • Develops financial models and reports to support provider contract negotiations.
  • Provides clinical and utilization analysis to assist Medical Management with improving outcomes and quality of care for CalOptima members.
  • Other projects and duties as assigned.
  • Initiate and follow–through on projects with minimal supervision or guidance.
  • Analyze performance and make recommendations based upon analysis.
  • Develop and maintain effective working relationships with all levels of staff and health network partners.
  • Communicate effectively at all organizational levels.
  • Effectively utilize computer and appropriate software (e.g., Microsoft Office Suite).
  • Work cooperatively and effectively on group projects.
  • Proficient in spreadsheet, word processing and database software programs.
  • Problem–solve and analyze complex financial models.
Experience & Education:
  • Bachelor's degree in Business Administration, Finance, Economics, Actuarial Sciences or related field.
  • Experience in an IPA, hospital or health plan setting preferred.
  • Experience with managed health care programs preferred.
  • Excel, SQL, Access, or Tableau experience is a plus.
Knowledge of:
The following areas is preferred:
  • Medical Expense trending methodologies.
  • Principles and practices of managed health care industry and strategies, health care systems, capitated risk contracting, and provider network structures.
  • Techniques and methods in financial statement analysis, forecasts, projections and other health system reporting tools, including performance measures.
  • Medi–Cal/Medicaid benefits, policies, and rates.
Grade:? L

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