Senior Revenue Analyst

• Reporting, Research & Analysis

• Analyzes and forecasts premium revenue, risk adjustment payments, and other revenue streams related to lines of business with minimal guidance.

• Interprets financial and enrollment data from internal and external sources, identifying opportunities and problems compared to anticipated outcomes.

• Evaluates financial data needs and identifies and implements solutions for program driving accurate coding and documentation to optimize revenue.

• Develops and maintains financial models to assess the impact of regulatory changes, enrollment trends, and market dynamics on revenue.

• Variance analysis: identify and explain variances between actual and projected revenue, providing actionable insights to leadership.

• Collaborates with actuarial, finance, compliance and operations teams to ensure accurate revenue recognition and reporting.

• Compliance & Documentation

• Ensure all revenue analysis and reporting adhere to internal policies and regulatory guidelines, and recommends strategic alternatives.

• Develops, maintains, and analyzes appropriate documentation of desktop procedures for reconciliation and audit needs.

• Builds and maintains in-depth knowledge of revenue structures and regulations and conceptual knowledge of related activities.

• Leadership & Continuous Improvement

• Recommends and implements process enhancements to improve the accuracy and efficiency of revenue analysis.

• Mentors junior analysts and may be assigned project lead requiring some resource planning assignments.

• Performs all other miscellaneous responsibilities and duties as assigned or directed.

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