Sr Financial Analyst - Managed Care

Imagine a health plan provider that shares the same goals as its members and the medical teams who care for them. Standing with them and for them. Going beyond just covering costs to provide access to the best in health care and ensure the best possible outcome. We are Johns Hopkins Health Plans .


Johns Hopkins Health Plans offers four programs, including Priority Partners Managed Care Organization, Johns Hopkins Employer Health Programs (EHP), Johns Hopkins US Family Health Plan (USFHP) and Johns Hopkins Advantage MD.


As a Financial Analyst you'll:

• Analyze and reconcile Medicare Advantage Revenue, including capitation, risk adjustment payments, pharmacy rebates, P2P transactions and CMS payment reports (Plan Payment Reports, MMR, PDE)
• Manage monthly CMS payment validation and flag discrepancies between actual and expected revenue.
• Create financial trend files, review and explain budget variances, and generate P&L and other financial reports
• Assist in month end close and quarterly and annual reporting as needed
• Support the preparation and submission of required CMS financial and regulatory reports (MLR, DIR, P2P) and maintain familiarity with CMS rules, including risk adjustment models.
• Communicate your ideas (verbally and in writing) to senior leadership and internal stakeholders in multiple departments.

What you'll bring:

• 3+ years' experience in a financial analyst role within the managed healthcare field
• Bachelor's degree required (preferably in Finance)
• Experience working with SQL and Power BI
• Knowledge of Medicare line of business highly preferred including understanding of Risk Adjustment and Risk Revenue for Medicare
• Extensive knowledge of spreadsheet and database software including proficiency in Excel and familiarity with CMS reporting platforms
• A proactive approach to identifying opportunities for process improvements and financial efficiencies
• Strong analytical and problem solving abilities. Excellent communication skills (verbal and written)

Salary Range: Minimum 34.41/hour - Maximum 56.82/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.


The Hospital reserves the right to modify employee schedules as needed.


We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.


Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.