REMOTE - Financial Analyst I - R13087

Job Summary

The Financial Analyst I assists in the analysis for utilization and financial trends, costs, revenues, financial commitments and obligations incurred to predict future revenues and expenses.

Essential Functions

• 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
• Aid in the development of revenue & 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
• Suggest 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 related instructions as requested

Education and Experience

• Bachelor of Science/Arts Degree in accounting, finance, economics, computer sciences or related field or equivalent years of relevant work experience is required
• Previous experience in financial field is preferred
• Managed care or healthcare experience is preferred

Competencies, Knowledge and Skills

• Knowledge of SQL and/or SAS is preferred, but not required
• Highly proficient 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
• 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

Licensure and Certification

• None

Working Conditions

• General office environment; may be required to sit or stand for extended periods of time

Compensation Range

• $54,500.00 - $87,300.00

Compensation Type

• Salary

Competencies

• Fostering a Collaborative Workplace Culture
• Cultivate Partnerships
• Develop Self and Others
• Drive Execution
• Influence Others
• Pursue Personal Excellence
• Understand the Business

Working Conditions

• General office environment; may be required to sit or stand for extended periods of time