Manager, Payment Integrity – Financial Performance Reporting

Overview

This position involves overseeing the maintenance of accurate financial records, including preparing monthly financial reports and various analytical reports. The role also includes routine financial analysis and completing complex financial analysis, along with developing business knowledge across financial reporting, risk management, contracting, benefit analysis, and other financial functions.

Responsibilities

• Ensure timely and accurate reports are generated
• Produce and analyze complex financial and statistical reports
• Generate and review ad-hoc reports related to quality, cost, and effectiveness of healthcare services
• Gather and prepare analysis using information from various sources and financial reports
• Provide financial and business analysis as required
• Determine appropriate actions and present recommendations to upper management
• Develop a thorough understanding of healthcare practices and procedures
• Perform other duties as assigned
• Comply with all policies and standards

Requirements

• Bachelor’s Degree in Accounting, Finance, or equivalent experience
• 3–5 years of experience, with emphasis in the health care or insurance industry

Compensation & Benefits

• Pay range: $87,700.00 - $157,800.00 per year
• Comprehensive benefits package, including:
  • Competitive pay
  • Health insurance
  • 401K and stock purchase plans
  • Tuition reimbursement
  • Paid time off plus holidays
  • Flexible approach to work with remote, hybrid, field, or office work schedules
• Actual pay is adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.
• Total compensation may also include additional forms of incentives.
• Benefits may be subject to program eligibility.

Equal Opportunity & Fair Chance

• Equal opportunity employer.
• Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
• Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.