Healthcare Financial Analyst | Remote/Hybrid Schedule

Overview

This role provides key support and financial analysis for managed care contracts and related relationships across multiple provider types, including hospitals, physicians, behavioral health, and home care/hospice. Responsibilities include analysis related to contract financial terms and value-based contract terms, as well as ongoing support to internal contracting and revenue finance teams and external managed care plan contracting/provider relations staff.

The Financial Analyst reports directly to the Executive Director, Contract Finance.

Responsibilities

• Perform analyses and reporting in support of managed care contract financial terms
• Maintain fee schedule databases for both Professional and Outpatient Technical
• Develop and maintain contract profiles with comparative information on each contract’s financial terms and key provisions
• Conduct ad hoc financial analyses of managed care contracts and rate structures

Organizational Requirements

• Maintain strict adherence to all organizational policies
• Maintain courteous and effective interactions with colleagues, providers, and stakeholders
• Demonstrate understanding of job description, performance expectations, and competency assessment
• Demonstrate commitment to meeting and exceeding customer needs and consistently adhere to customer service standards
• Participate in departmental and/or interdepartmental quality improvement activities
• Participate in and successfully complete Mandatory Education
• Perform other duties as needed or directed to meet departmental needs

Minimum Qualifications

• Education: Bachelor’s degree, preferably in Health Care Management, Business Administration, Finance, or equivalent education or experience
• Experience: One to three years working for a health plan and/or provider
• Working knowledge of:
  • Financial terms of managed care contracts
  • Managed care reimbursement methodologies
  • Large medical claims databases (both professional and technical)
• Experience with integrated billing systems (EPIC) or other

Skills, Knowledge & Abilities

• Excellent analytic, verbal, and written communication skills
• Self-motivated with the ability to think creatively and work independently
• Ability to manage multiple priorities
• Familiarity with hospital and professional provider payment methodologies
• Ability to summarize and present analysis results clearly and concisely to management
• Proficient with MS Office applications, particularly Excel and Access

Key Relationships

• Executive Director, Contract Finance: Priority and goal setting; mentor and train; management of work process and product; requests and reviews analyses
• Contract Manager (Contracting): Input in setting priorities; requests analyses
• Vice President, Payor Strategy: Input in setting priorities; requests and reviews analyses
• Director, Contract Payment Systems: Provides contract, rate, and/or fee schedule information

Compensation & Benefits

Pay range: $60,320.00 USD - $81,432.00 USD (annual base salary range)

Actual compensation is determined based on factors that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.

Influenza (flu) vaccination is required as a condition of employment.

Location

Not specified in the provided job description.

Equal Opportunity

Equal Opportunity Employer/Veterans/Disabled