Revenue Financial Analyst III
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan, serving more than 2 million members. Our mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
About the role
The Revenue Financial Analyst III is responsible for the daily management of financial activity of the Revenue received by L.A. Care. These duties include revenue reconciliation, premium billing, monitoring the enrollment/disenrollment policies and procedures, journal entry preparation, heavy account analysis, month-end reconciliations, and preparation of financial reporting tools and audit schedules. This position interfaces and serves as a liaison with multiple internal departments and external contacts, acts as a Subject Matter Expert, and serves as a resource and mentor for other staff.
Responsibilities
- Responsible for the reconciliations of multiple revenue streams.
- Ensure disenrollment policy and procedures are practiced and monitored for accuracy.
- Responsible for preparation of multiple billing and analysis of multiple revenue streams.
- Responsible for maintaining multiple schedules to track contract rate changes and ensure correct rate adjustment.
- Accurate regulatory requirements interpretation.
- Prepare month-end reporting management tools accurately and analyze in a timely manner.
- Prepare daily, weekly, and/or monthly financial reports as assigned.
- Prepare journal entries and perform related General Ledger analysis and reconciliation.
- Prepare audit schedules.
- Prepare and participate in the completion of all assigned special projects.
- Master the QNXT Enrollment and Claims Module.
- Master SAP FS-CD and FI-GL Modules.
- Apply subject expertise in evaluating business operations and processes.
- Identify areas where technical solutions would improve business performance.
- Consult across business operations, providing mentorship, and contributing specialized knowledge.
- Ensure that the facts and details are correct so that the project’s/program's deliverable meets the needs of the department, organization, and legislation's policies, standards, and best practices.
- Provide training, recommend process improvements, and mentor junior level staff, department interns, etc. as needed.
- Preparation of the Supplemental submission for MediCal to California Department of Health Care Services (DHCS).
- Preparation of the Plan Partners’ monthly capitation payments.
- Perform other duties as assigned.
Requirements
- Bachelor's Degree in Finance or related field (in lieu of degree, equivalent education and/or experience may be considered).
- At least 4 years of financial-related experience in a professional setting.
- At least 4 years of experience in a managed healthcare setting (HMO and IPA).
- Strong accounting, analytical, and problem-solving skills.
- Excellent oral and written communication skills.
- Excellent data management/database skills.
- Advanced PC Skills (Excel, Word, Access), ASP, and Structured Query Language (SQL) or Monarch.
- Extensive knowledge of premium billing.
Qualifications
- Master's Degree in Finance or related field (preferred).
- Medi-Cal and Medicare and Covered California knowledge (preferred).
- QNXT application knowledge (preferred).
- Certified Public Accountant (CPA) (preferred).
Skills
- Strong accounting, analytical, and problem-solving skills.
- Excellent oral and written communication skills.
- Advanced PC skills (Excel, Word, Access).
- Experience with ASP, Structured Query Language (SQL), or Monarch.
Benefits
- Paid Time Off (PTO)
- Tuition Reimbursement
- Retirement Plans
- Medical, Dental, and Vision
- Wellness Program
- Volunteer Time Off (VTO)
Pay
Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)
Physical Requirements
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