Financial Analyst III

Job Requisition ID: 10486 Position Summary/Position This position’s responsibilities include conducting full lifecycle activities to include requirements analysis and design, developing analysis and reporting capabilities, and continuously monitoring performance and quality control plans to identify improvements.
Major Functions (Duties and Responsibilities) 1.
Design, create and maintain processes to ensure Finance is in compliance with CMS regulations regarding Part D 2.
Reconcile PDE’s to the legibility and pharmacy data as required by CMS.
3.
Develop a process to address overpayment reimbursement back to CMS 4.
Assist in development of a Finance Data Warehouse to track CMS payment data to use in the reconciliation processes 5.
Perform analysis of the efficiency and effectiveness of current departmental processes and procedures and ultimately help to implement identified improvements and streamline processes.
6.
Prepare, analyze, and reconcile financial data from organization’s operations.
7.
Develop and implement data collection systems and other strategies that optimize statistical efficiency and data quality.
8.
Acquire data from primary or secondary data sources and maintain databases/data systems.
9.
Identify, analyze, and interpret trends or patterns in complex data sets.
10.
Support audit requests for data and develop responses from internal and external auditors.
11.
Work closely with various corporate departments to communicate and collect information required for compliance purposes 12.
Assist with annual and periodic government reporting requirements.
Experience Qualifications Minimum five (5) years of Finance experience.
Experience in collecting data from multiple systems.
Preferred Experience Managed Care or related industry experience preferred.
SQL experience a plus.
Experience with CMS and Medicare a plus.
Education Qualifications Bachelor’s degree in Healthcare Administration or a related field from an accredited institution required.
Preferred Education A Masters degree from an accredited institution is preferred.
Knowledge Requirement Strong understanding of accounting and financial principles and methodologies.
Principles and practices of health care industry and strategies, health care systems, capitated risk contracting, provider network structures and risk sharing arrangements a plus.
Skills Requirement Strong knowledge and experience utilizing Microsoft Excel, Access, Word, and PowerPoint.
Quickly gain an understanding of data requests (scope and purpose) and to produce accurate and useful reports.
Cross-train and back up other areas of the department.
Abilities Requirement Strong attention to detail.
Communicate effectively, both verbally and in writing, in order to develop and maintain effective working relationships with all levels of staff and management.
Work cooperatively and effectively on group projects.
Ability to multi-task.
Commitment to Team Culture The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture.
A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization.
Working Conditions Word processing involving computer keyboard and screens, filing, and copying of records and/or correspondence.
Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval.
All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership.
Work Model Location Telecommute Physical Requirements Hearing: One-on-One - FREQUENTLY Communicate: Information/ideas verbally - FREQUENTLY Near Visual Acuity - FREQUENTLY Regular contacts: co-workers, supervisor - FREQUENTLY Memory - FREQUENTLY Understand and follow direction - FREQUENTLY Regular and reliable attendance - CONSTANTLY Keyboarding: 10-Key - FREQUENTLY Keyboarding: Touch-Screen - FREQUENTLY Keyboarding: Traditional - FREQUENTLY Sitting - CONSTANTLY Indoors - FREQUENTLY Lighting - CONSTANTLY A reasonable salary expectation is between $79,809.
60 and $101,774.
40, based upon experience and internal equity.
Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire.
We are also one of the largest employers in the region, designated as “Great Place to Work.
” With a provider network of more than 5,000 and a team of more than 3,000 employees, IEHP provides quality, accessible healthcare services to more than 1.
5 million members.
And our Mission, Vision, and Values help guide us in the development of innovative programs and the creation of an award-winning workplace.
As the healthcare landscape is transformed, we’re ready to make a difference today and in the years to come.
Join our Team and make a difference with us! IEHP offers a competitive salary and stellar benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan.