Manager, Project Reimbursement Cap

Pomona Valley Hospital Pomona , CA 91766

Posted 3 months ago

Job Summary: The Project Manager is responsible for planning, implementing, and execution of Capitation, Group Health and other assigned reimbursement projects.

The successful applicant will be responsible for the analysis, accounting and profitability improvement for Capitation including risk pool settlements, claims performance, membership reconciliation, and the Hospital#s self-insured Group Health program. May perform other duties as assigned. Job Specifications: [REQUIRED] High school diploma or equivalent.#Four years experience in reimbursement, financial analysis and business planning in a health care environment. Strong Microsoft Excel and Microsoft Access skills and experience with EZCap, SQL and Crystal Reports. [PREFERRED] Bachelors Degree in Finance, Business Administration or related discipline

Job Summary:
The Project Manager is responsible for planning, implementing, and execution of Capitation, Group Health and other assigned reimbursement projects.

The successful applicant will be responsible for the analysis, accounting and profitability improvement for Capitation including risk pool settlements, claims performance, membership reconciliation, and the Hospital's self-insured Group Health program. May perform other duties as assigned.

Job Specifications: [REQUIRED] High school diploma or equivalent. Four years experience in reimbursement, financial analysis and business planning in a health care environment. Strong Microsoft Excel and Microsoft Access skills and experience with EZCap, SQL and Crystal Reports.

[PREFERRED] Bachelors Degree in Finance, Business Administration or related discipline



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Manager, Project Reimbursement Cap

Pomona Valley Hospital