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Manager, Financial Svs - PAS

ICONMA, LLC

Fountain Valley, CA

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JOB DETAILS
SALARY
$63.94–$68.49 Per Hour
SKILLS
Accounting Close, Accounting Software, Actuarial Skills, Analysis Skills, Budgeting, Contract Negotiation, Cost Accounting, Cross-Functional, Data Analysis, Data Quality, Decision Support, English Language, Epic Systems, Establish Priorities, Expense Analysis, Finance, Financial Analysis, Financial Audit, Financial Operations, Financial Reporting, Financial Services, Financial Statements, Government, Health Plan, Healthcare, Healthcare Reimbursement, Hospital, Identify Issues, Managed Care, Medi-Cal, Medical Billing, Medicare, Microsoft Office, Negotiation Skills, Organizational Skills, Performance Metrics, Problem Solving Skills, SQL (Structured Query Language), Snowflake Schema, Team Lead/Manager, Technical/Engineering Design, Time Management, Trend Analysis
LOCATION
Fountain Valley, CA
POSTED
Today
Our Client, a Healthcare company, is looking for a Manager, Financial Svs – PAS for their Fountain Valley, CA location.
 
Responsibilities:
  • The position supports the Managed Care strategy by assembling and analyzing financial data for routine reports.
  • Sources include but are not limited to: Snowflake, payor capitation data, cost accounting system data, GL, budgeting and patient billing data.
  • Evaluate complex commercial and government payer arrangements including ACOs, Direct to Employer, Medicare Advantage, Medi-Cal, medical group, and ambulatory contracts.
  • Provide financial analysis and ad hoc reporting to internal stakeholders and leaders.
  • Collaborate with senior team members and cross-functional departments to design and run queries and reports based on external reporting requests, ensuring data integrity, actuaries and timeliness.
  • Model specific reimbursement terms to support the Managed Care negotiation team, including MCMF, MHS, and MCSHP.
  • Develop and maintain reporting templates to measure performance of health plan trend and yield to proactively report out on a monthly basis, depending on reporting area(s) assigned.
  • Support monthly financial close by proactively identifying trends, outliers, requested reports and answering inquiries, depending on reporting area(s) assigned.
  • Complete and distribute monthly reporting packages to internal stakeholders, depending on reporting area(s) assigned.
  • Prepare performance and contracted rates modeling reports for health plan contract negotiations.
  • Populate pre-defined templates with health plan data for analysis by senior team members, ensuring data integrity, identifying potential anomalies and collaborating with senior team members regarding appropriate follow up.
  • Promptly respond to financial statement audit requests, addressing inquiries quickly, completely and accurately with some direction from supervisor.
  • Prepare monthly hospital reporting packages accurately and include some analysis of fluctuations.
  • Collaborate with senior team members and other departments to design and run queries to identify trends and patterns.
  • Complete analysis of medical expense fluctuations thoroughly, accurately and within established deadlines with some direction from supervisor.
  • Organize report recipient questions and work with senior analysts or management to assist managers in understanding their financial data.
  • Complete ad hoc reports/requests accurately, timely and in line with established expectations with some direction from supervisor.
  • Work with external vendors to problem-solve issues identified.
  • Demonstrate accountability by identifying, analyzing, and resolving complex financial and operational issues, delivering accurate and actionable insights that support organizational decision-making.
 
Requirements:
  • Required Skills & Experience:
  • Two (2) years experience, preferably in Managed Care analytic setting.
  • Proficient in SQL development and Epic systems, with advanced Excel capabilities, alongside strong command of Microsoft Office tools.
  • Extremely organized with strong sense of priority, urgency and commitment to deadlines.
  • Self-motivated individual able to handle fluctuating volumes of work, able to prioritize to meet deadlines.
  • The Analyst will attain competency with:
  • Snowflake
  • SQL
  • Accounting systems
  • EPIC to analyze data and trends.
  • Required Education:
  • Bachelor's degree in Business, Finance or Healthcare.
  • Languages:    
  • English: Read/Write/Speak
  • Required:
  • BUDGETING
 
Why Should You Apply?

About the Company

I

ICONMA, LLC

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