Overview
The Financial Analyst II prepares analysis to support utilization and financial trend reporting, including costs, revenues, and financial commitments and obligations. This role also evaluates the financial impacts of decisions and communicates findings to management. Responsibilities include analysis and reporting using detailed claims, eligibility, pharmacy, and clinical data.
Responsibilities
- Prepare analysis for utilization and financial trends, including costs, revenues, financial commitments, and obligations to predict future revenues and expenses.
- Understand and communicate the financial impacts of decisions to management.
- Develop, produce, and validate reports from detailed claims, eligibility, pharmacy, and clinical data.
- Compile and analyze financial and clinical information, including evaluation of medical contracts and product lines.
- Generate and manage medical and administrative cost-saving initiatives.
- Ensure integrity of information obtained for analysis and maintain up-to-date knowledge of relevant computer information systems.
- Develop competitive analysis and present findings to senior management.
- Prepare revenue and medical expense forecasts and budgets; monitor monthly variances to identify trends.
- Identify and research trends and patterns using standard departmental reports and databases, including leveraging other processes and data sources for data mining.
- Improve internal analysis processes to ensure alignment with organization goals.
- Support the financial control environment by reconciling internal data sets versus State-provided information (e.g., reconcile enrollment files to reimbursement records).
- Analyze and report medical, contract, and administrative activity using key analysis experience and knowledge.
- Make appropriate changes to ensure compliance with MAR, regulatory requirements, and other organization requirements.
- Perform other duties as requested.
Requirements
- Bachelor of Science/Arts Degree in accounting, finance, economics, computer sciences, or related field, or equivalent work experience.
- Two to Four (2–4) years of experience in the financial field.
Preferred Qualifications
- Managed care or healthcare experience.
- Association for Financial Professionals (AFP) FP&A, or related certification.
- SQL and/or SAS experience.
Skills & Competencies
- Advanced proficiency level with Microsoft Excel.
- Proficiency with Microsoft Office Suite, including Outlook, PowerPoint, Access, and Word.
- Knowledge of analysis concepts, practices, and procedures.
- Ability to use experience and judgment to plan and achieve goals under general supervision.
- Creativity and independent judgment.
- Ability to work with others and independently.
- Strong analytical/problem-solving and critical thinking/listening skills.
- Ability to communicate with all levels of management.
- Detail-oriented.
Compensation & Benefits
- Compensation range: $62,700.00 - $100,400.00
- Compensation type: Salary
- Base compensation plus potential bonus tied to company and individual performance.
- Substantial and comprehensive total rewards package (including support for employee well-being).
Location & Working Conditions
- General office environment; may be required to sit or stand for extended periods of time.
- May be required to travel occasionally.