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Financial Analyst Managed Care

North American Staffing Group
Montebello, CA
Expired: over a month ago Applications are no longer accepted.
  • Full-Time
Job Description
The Financial Analyst, Managed Care position will analyze financial and health information to support business decision making on the healthcare revenue, cost, and outcomes. The position will monitor claims cost; identify revenue opportunities such as claims overpayment, leakage claims and billable services; monitor PCP and specialty cap; prepare risk pool and incentive summaries; prepare journal entries; and assist in risk pool and capitation auditing. Additionally, this position will summarize financial results from various system reports.

  • Essential Job Functions of Job Description
  • Generate monthly claims analysis to identify high-cost specialties. Provide trend for claims age and payment turnaround
  • Identify revenue opportunities, such as claims overpayment, leakage claims, and billable
  • Summarize financial results from various system
  • Conduct financial analysis and prepare financial
  • Audit health plan capitation report and make sure the rates are according to the health plan contracts. Compare capitation yield to the Submit monthly stop loss
  • Summarize risk pool and incentive
  • Assist in risk pool
  • Maintain schedules, worksheets, and other documentation to support journal entries included in financial
  • Perform special analysis on utilization and/or cost
  • Communicate through formal means such as e-mails or memos when important matters require action from Follow up on such matters. Resolve open items promptly.
  • Produce ongoing reports as necessary to support business unit
  • Perform other duties as assigned.
  • Bachelor’s degree in accounting, finance, business, or other related areas.
  • At least 1-2 years of financial analysis and database reporting experience.
  • Experience with database and data analysis technology. SQL, EZ Cap, Cognos, or Crystal Reports experience is a plus


North American Staffing Group

Montebello, CA
View All North American Staffing Group Jobs


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