Financial Analyst I - Financial Compliance

What you can expect!

Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience!

Under the direction of department leadership, the Financial Analyst I - Financial Compliance is responsible performing analysis and preparing financial reports/dashboards for claims overpayments, refund reconciliation, claims payment information, provider billing trends, audit findings, etc.

Key Responsibilities

1.Utilize data provided by the Financial Analyst II to perform analysis on claims payment data to identify trends/root causes of overpayments, disputes, etc.

2.Create reports/dashboards to support the auditing, accounting, dispute, and recovery teams.

3.Coordinate project request intake, documentation, and triage process.

4.Collaborate with Team Members to understand and document reporting needs ensuring timeliness and accuracy.

5.Demonstrate a commitment to incorporate LEAN principles into daily work.

6.Establish and maintain effective working relationships with others throughout the organization.

7.Perform special projects and other duties as assigned by the department leadership team.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.

• CalPERS retirement

• 457(b) option with a contribution match

• Generous paid time off- vacation, holidays, sick

• State of the art fitness center on-site

• Medical Insurance with Dental and Vision

• Paid life insurance for employees with additional options

• Short-term, and long-term disability options

• Pet care insurance

• Flexible Spending Account - Health Care/Childcare

• Wellness programs that promote a healthy work-life balance

• Career advancement opportunities and professional development

• Competitive salary with annual merit increase

• Team bonus opportunities

Education & Experience

• One (1) year of relevant experience required

• Experience analyzing data and creating dashboards/reports

• Experience with SQL a plus

• Experience in Managed Care or related industry experience preferred

• Bachelor's degree from an accredited institution required

Key Qualifications

• Knowledge of the principles and practices of the health care industry and managed care systems a plus.

• Data analysis, problem-solving and reporting skills. Moderate knowledge in Microsoft Excel. Excellent communication and writing skills.

• Strong problem-solving capability. Strong attention to detail. Ability to manage multiple projects with time-sensitive deadlines.