Sr. Financial Analyst, Managed Care

Dignity Health Phoenix , AZ 85002

Posted 7 months ago

Overview

Dignity Health is one of the nation's largest health care systems. As of June 30, 2017, Dignity Health operated more than 400 care centers, including hospitals, urgent and occupational care, imaging and surgery centers, home health, and primary care clinics in 22 states, through its network of more than 9,000 physicians and more than 60,000 employees. Headquartered in San Francisco, CA, Dignity Health is dedicated to providing compassionate, high-quality, and affordable patient-centered care with special attention to those who are poor and underserved. In its fiscal year ended June 30, 2017, Dignity Health provided $2.6 billion in charitable care and services. More information on Dignity Health is available at www.dignityhealth.org.

Responsibilities

Position Summary:

This position is responsible for providing analytical support for the Managed Care department that involves synthesizing data from multiple sources into clear, meaningful negotiation and decision making tools. Responsibilities include developing a local managed care utilization database, producing contract performance reports, modeling reimbursement rates, evaluating and quantifying financial contract modifications and compiling and monitoring key managed care statistics. The incumbent will serve as a managed care resource for internal departments (i.e. patient financial services and decision support).

Core Duties:

  • Access, extract, analyze and maintain utilization data from various managed care information systems for the purposes of modeling and reporting financial statistics to drive managed care strategy and decision making

  • Model contract reimbursement terms to determine expected financial impact of contract modifications and charge master effects, with a high degree of accuracy and speed.

  • Develop and generate reporting templates for monitoring managed care contract performance (both capitation and FFS) including, but not limited to: P&L statements, comparisons of expected yield to actual yield, and comparison of actual yield to cost.

  • Evaluate and respond to data/statistical reporting requests from hospitals, division and system offices; work closely with Manager, Managed Care Analytics to coordinate local market efforts in support of statewide payer negotiations.

  • Create, establish and ensure maintenance of ongoing tracking and reporting systems and methodologies in order to measure and document results of contract negotiations.

  • Monitor and ensure that sound financial modeling practices are utilized and tools developed by the Managed Care Department are consistently applied to accurately calculate Dignity Health's managed care expected revenues.

Qualifications

Minimum Qualifications:

Experience -

A minimum of 5 years experience in a healthcare financial setting (provider or health plan-based) with progressive responsibility or comparable combination of education and experience (required).

Education-

Bachelors degree with an emphasis in healthcare, finance or a related field (required).

Training-

Training in and/or advanced working knowledge of Microsoft Excel, Access and WORD or equivalents programs (required).

Special Skills -

Special skills required include: Healthcare reimbursement methodologies Healthcare coding methodologies (DRG, APC, RBRVS, ICD-9 and HCPCS) Proficient in database management Healthcare industry trends Financial analysis techniques Effective management and communication


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Sr Financial Analyst

University Of Phoenix

Posted 2 days ago

VIEW JOBS 10/17/2019 12:00:00 AM 2020-01-15T00:00 Overview Under general supervision, develops and maintains strong partnerships with operational decision makers by providing appropriate financial insights, analysis and recommendations that are relevant and actionable by our partners. Prepares monthly, quarterly, and YTD financial reports for management, as well as ad-hoc reporting and analysis. Provides accounting and financial assistance to business partners; responsibilities include expenditure management and forecasting, variance reporting, annual operating plan input and coordination of all fiscal closing activities. Responsibilities * Assists management in the timely and accurate preparation of annual operating plans. Provides support in compiling fiscal operating plan content, entering and analyzing the data and preparing presentation of the plan * Identify and execute internal process improvements and ensure they are compliant with internal controls * Provides monthly general ledger review, account reconciliation, research and submission of month-end entries to management; coordinates monthly variance inquiries with appropriate personnel * Assists in the preparation of financial models and reports related to planning and decision-making around company initiatives and investment opportunities, as well as measurement against key metrics * Assists in the preparation of financial analysis in support of forecasting and budgeting through income statement and GL analysis, etc. * Performs ad-hoc analysis in support of various business considerations and presents findings to management * Ensures deadlines are met on a timely basis Qualifications Basic Requirements: * Bachelor's degree in accounting, finance, business or a related field * Three years of progressively responsible accounting or finance experience * One year of corporate FP&A experience * General knowledge of Generally Accepted Accounting Principles (GAAP) Additional Qualifications: * Strong computer skills and a working knowledge of Microsoft Office applications (Excel, Word, PowerPoint). Basic knowledge of Hyperion, Oracle and other accounting software packages preferred * Ability to effectively communicate financial and non-financial information to internal personnel and external customers * Ability to use and develop automated financial models * Ability to clearly and concisely communicate * Willingness to accept broader responsibilities and have an eye for details * Ability to provide instruction and training to financial and non-financial personnel * Ability to manipulate, summarize, and provide insights on large data sets University Of Phoenix Phoenix AZ

Sr. Financial Analyst, Managed Care

Dignity Health