REMOTE - Financial Analyst II - R10261-1
- Prepare analysis for utilization and financial trends, costs, revenues, financial commitments and obligations incurred to predict future revenues and expenses; understand financial impacts of decisions and communicate those to management
- Highly involved in the development, production, and validation of reports from detailed claims, eligibility, pharmacy and clinical data
- Compile and analyze financial and clinical information, including but not limited to preparing the evaluation of medical contracts, product lines, generating and managing medical and administrative cost saving initiatives, etc.
- Ensure integrity of information obtained for analysis; keep an up-to-date knowledge of the computer information system
- Develop competitive analysis and present findings to senior management
- Prepare revenue and medical expense forecast and budget and monitor monthly variances to identify trends
- Identify and research trends and patterns using standard departmental reports and databases, as well as leveraging other processes and data sources for data mining
- Make appropriate improvements to internal analysis processes ensuring that practices are in line with the overall goals of the organization
- Support the financial control environment by reconciling internal data sets vs information provided by the State (such as, reconcile enrollment files to reimbursement records, etc.)
- Utilize key analysis experience and knowledge to analyze and report medical, contract and administrative activity
- Make appropriate changes to ensure compliance with MAR, regulatory and other organization requirements
- Perform any other job duties as requested
- Bachelor of Science/Arts Degree in accounting, finance, economics, computer sciences or related field or equivalent work experience is required
- Two to Four (2-4) years of experience in financial field is required
- Managed care or healthcare experience is preferred
- SQL and/or SAS experience strongly preferred
- Advanced proficiency level with Microsoft Excel
- Proficient with Microsoft Office Suite, including Outlook, Power Point, Access and Word
- Familiar with a variety of analysis concepts, practices and procedures
- Relies on experience and judgment to plan and accomplish goals
- Perform a variety of tasks under general supervision
- Creativity and latitude (independent judgment) is required
- Ability to work with others and work independently
- Demonstrates analytical/problem solving skills to perform a variety of tasks, some of which may be complicated
- Possesses critical thinking/listening skills
- Ability to communicate with all levels of management
- Detail oriented
- Association for Financial Professionals (AFP) FP&A, or related certification is preferred
- General office environment; may be required to sit or stand for extended periods of time
- May be required to travel occasionally
- Create an Inclusive Environment - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business
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