Job Description

Summary: Our client is seeking a Hospital Risk Pool Financial Analyst to join their team in a fully remote role.

Responsibilities:

• Obtain and review detailed and summary reports for Hospital Capitation on a monthly basis.
• Run paid claims reports monthly and/or quarterly to calculate claims costs.
• Generate lag reports for claims paid and received.
• Calculate and update the Incurred But Not Reported (IBNR) model using lag reports and other relevant methodologies.
• Prepare Risk Pool summaries and reports on claims by month and type of service.
• Maintain daily cash flow and monthly bank reconciliation reports.
• Prepare end-of-month financial and board packages.
• Provide ad-hoc financial analysis as requested by the Controller, CFO, or client.
• Build automation tools for data mining required for Risk Pool financial reporting.
• Develop and validate SQL queries to extract the necessary data for reporting.
• Assess and document business operations and procedures to ensure data integrity and process optimization.
• Create, review, and analyze hospital financial risk pools to ensure a complete understanding of each hospital's performance and the factors that impact it.
• Identify issues that require further investigation and coordinate with internal and external departments to ensure accuracy.
• Streamline efficiency in document generation and reporting processes.

Qualifications:

• Bachelor’s degree in Accounting, Finance, or a related field, or an equivalent combination of education, training, and experience.
• 3+ years of experience in Physician Organization, Health Plan, Hospital Finance, or Health Plan settings.
• Strong understanding of provider and health plan contracting, risk delineation, medical terminology, and standard industry reimbursement methodologies.
• Proficiency in SQL, Microsoft Suite (with a focus on Access and Excel), Power BI.
• Advanced knowledge of Excel, PowerPoint, and other Microsoft Office systems.
• Ability to communicate clearly and effectively, work accurately, meet deadlines, and provide impactful reporting.
• Strong interpersonal skills to build and maintain effective working relationships at all organizational levels.
• Strong planning, organizational, and project management skills to manage modest projects successfully.
• Detail-oriented with excellent proofreading and editing skills.
• Ability to maintain positive, service-oriented relationships with healthcare professionals, both internal and external, including Board members and administration.
• Highly analytical with a strong understanding of financial concepts, such as capital budgeting, discounted cash flow, financial statement analysis, and forecasting.
• Maintains confidentiality of information and complies with HIPAA regulations.
• Strong ability to prioritize tasks and manage time efficiently.
• Adaptable to changing priorities, able to handle special projects, and work outside of current scope when necessary.

Salary:

• The salary range for this position is $65,000 - $75,000 depending upon experience.

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