Overview

Salary: $75,000.00 – $95,000.00

Client is seeking a Healthcare Financial Analyst to join their team.

The analyst will be responsible for translating complex data into constructive information and will assist end-users to support decision making. He or she will research, manipulate and prepare complex data and be able to report on its results.  He/she develops and maintains reporting Data Marts using SQL Server and/or other relevant business intelligence software. He/she will be tasked with identifying opportunities for improved savings.

  • Ability to effectively interpret data and communicate findings/recommendations both orally and in writing appropriate to the audience
  • Ability to utilize database technology to effectively query data and generate reporting analyses for senior management
  • Ability to read and interpret financial statements and understand the economic drivers relevant to the managed care industry
  • Understanding of medical terminology as it pertains to managed care data environment including but not limited to: ICD-9, ICD-10, CPT-4, DRGs and risk adjustment
  • Understanding of the managed care industry as it pertains to insurance, physician groups, risk contracting and incentive arrangements
  • Understanding of medical claims and the components and variables that affect the nature of payment reimbursement
  • Understanding of the variables and/or components that comprise Medicare Advantage and Medicaid premiums
  • Present cost reduction strategies
  • Assist the design, development and implementation of evaluation tools
  • Receptive to and seeks out feedback; uses self-discipline to adjust to feedback
  • Ability to conduct analytic work in an efficient manner with minimal re-work including effective use of the peer review process
  • Excellent verbal and written communication skills; outstanding interpersonal skills; the ability to relate positively with individuals at all levels both internally and externally.
  • Organizational skills to manage projects effectively; ability to manage multiple projects simultaneously

Qualifications

Education:

  • Minimum: Bachelor’s degree or equivalent required
  • Preferred: Master’s degree
  • Minimum 3 years financial analytical support using SQL, SAS, MS Access and front end reporting tools (Excel, PowerBI, etc.) in the health insurance industry required.
  • Advanced Excel skills (complex formulas, pivot tables, dynamic visualizations, VBA, macros) required.
  • Exceptional analytic and problem-solving skills required
  • Strong knowledge of Medicare/Medicaid programs or financial reporting in the health insurance industry.

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