Finance Analyst

Senior Finance Analyst

Location: Remote

Time zone: CST/EST

Client location: Cleveland, Ohio

Must have skills:

• Amisys
• Minimum five years of progressively challenging experience in Healthcare or health insurance

The Job Role:

In accordance with the Mission and Guiding Behaviors; the Senior Finance Analyst is responsible for serving as the lead Finance resource on financial-related matters including GAAP and statutory financial reporting. Responsibilities include:

• Exhibiting each in Behavior Standards holding self and others accountable and role modeling excellence for all to see.
• Maintaining an in-depth understanding of health plan operations and healthcare analytics.
• Providing quantitative and qualitative analytics, developing correlations between various activity measures, cost, revenue, and utilization metrics to support performance improvement.
• Performing research and analysis of complex healthcare claims, pharmacy, and lab data regarding network utilization and cost containment information.
• Evaluating, writing, presenting, and providing recommendations regarding healthcare utilization and cost containment reports.
• Identifying, analyzing, and interpreting trends or patterns in complex data sets.
• Developing and maintaining customized dashboard reporting.
• Writing database queries to extract data as needed for projects to support the needs of leadership.
• Providing both operational support to, and analysis of, all plan activities, facilitating quality and performance improvement efforts and activities within the day-to-day business operations and supporting project implementation, coordination, and refinement of business process, and championing an environment of continuous process improvement.
• Responsible for facilitating process innovation, strategic planning, competitive analysis, and other corporate initiatives for Plan's executive team and its operational departments.
• Responsible for business process review and data analysis as relates to activities which ensure operational effectiveness.
• Owning project goals by developing project plans, establishing deadlines, monitoring milestone completion, providing timely reporting of issues that impact progress, and resolving conflicts.
• Requiring a high degree of business focus with the ability to ensure that the functional requirements and the design support the business requirements.
• Often the liaison between business and technical teams to provide technical solutions, processes, system configurations, and resolutions and works with all departments, especially MIS, Finance, Administrative, Claims, UR/QA, and Medical Management.
• Performing all assigned month-end responsibilities with a high level of accuracy and minimal supervision in accordance with the established department schedule.
• All other duties as assigned.
• Meets population-specific and all other competencies according to department requirements.
• Promotes a Culture of Safety by adhering to policies, procedures, and plans that are in place to prevent workplace injury, violence or adverse outcomes to associates and patients.

'Must Have' Experience:

Education: Bachelor's degree in Business, Accounting, Finance or a related field

MBA, MHA and/or CPA preferred

Licensure / Certification:

Experience: Minimum five years of progressively challenging experience in Healthcare or health insurance Finance/Accounting. Statutory reporting experience preferred.

Effective Communication Skills

Experience with Accounting/Budgeting systems & Financial Reporting.

Demonstrates knowledge of complex regulations of healthcare or insurance accounting such as budgeting, cost, reimbursement, GAAP or Statutory reporting.

Experience with project management and proven success at managing large-scale projects through to completion.

Highly skilled with the use of personal computer systems that aid in analysis, communication, presentations, financial reporting (spreadsheets, databases, and database access tools, presentation tools), etc.

'Essential Responsibilities: '

Exhibits each in Excellence Behavior Standards holding self and others accountable and role modeling excellence for all to see. For example: demonstrates friendliness and courtesy, effective communication creates a professional environment, and provides first-class service.

Meets population-specific and all other competencies according to department requirements.

Accountable for the development, review, implementation, coordination, system maintenance, and reporting of annual budgets, interim forecasts, cash projections, ad-hoc financial studies, financial statements and audit schedules.

Identifies and implements improvements to enhance the organization's budget and planning systems (Essbase, StrataCast, StrataCap, StrataTrak and Budget Advisor). Coordinates and enhances internal reporting from these systems and associated transactional source systems to assist management in decision making with a focus on bottom-line performance improvement.

Responsible for serving as a mentor/resource for fellow analysts and accountants within the Department.

Serves as lead for GAAP to Statutory conversion and other key project/initiatives.

Formulates and provides analyses to department managers within Heath and Insurance Company. Provides input on departmental operations as well as identify potential areas for integrating processes to improve overall operations and financial reporting.

Assists department managers in developing their operating budgets focused on resource management including planning and allocation of human resources, capital expenditures, and operating expenses. Understands and provides analysis for various strategic and operational scenarios and potential impacts on financial position and key performance measures.

Assists with the preparation of departmental financial presentations. Participates in development and delivery of leadership review packages.

Involved in professional activities to keep informed of latest healthcare trends. Expected to demonstrate acute problem solving skills as related to healthcare financial planning and operations. Possess a thorough understanding of external, regulatory, budgeting, and other forces impacting healthcare finance.

Provides detailed financial analysis in support of budgeting, including preparation of capital business plans, projections and subsequent performance reporting.

Creation and maintenance of budget database, tracking systems, and files. Individually responsible for all financial planning record keeping.

Prepares financial data for operating budget assumptions, operating budget consolidations, Corporate (Trinity) submissions, strategic budget submissions. Accountable for accuracy and timeliness of deliverables, responsible for providing progress updates, communicating effectively with team members, and proactively identifying issues that may impact ability to meet deadlines.

Other Job Responsibilities:

Assists with the annual audit as needed.

Interfaces with department management to provide training, technical, and informational assistance.

Assists customers with the evaluation of financial scenarios and department performance; makes recommendations, and assists with implementation of corrective actions and improvements as appropriate.

Responsible for compliance with Organizational Integrity through raising questions and promptly reporting actual or potential wrongdoing.

All other duties as assigned.