Financial Analyst Iii - Orange, United States - CalOptima

CalOptima
CalOptima
Verified Company
Orange, United States

1 month ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Financial Analyst III

CalOptima

CalOptima Health is seeking a highly motivated an experienced
Financial Analyst III to join our team. The Financial Analyst III will be responsible for providing quantitative financial analysis for various departments within CalOptima Health. Under limited to no supervision, the incumbent will develop report suites and financial models used to forecast medical cost trends, provide support for provider contract negotiations, assess actuarial rate development studies, participate in annual budgeting functions, provide ad-hoc analytic support and act as a resource to more junior staff within the department. The incumbent will evaluate various issues, perform detailed analysis relating to the issues and communicate well reasoned solutions to management. The incumbent will work with large amounts of claims, enrollment and provider data using strong database, spreadsheet and business intelligence (BI) presentation skills.


Position Information:


  • Department
    :Financial Analysis:
  • Salary Grade
    :313 $90,820 $145,312 ($ $ :
  • Work Arrangement
    :Partial Telework

This position is eligible for telework in California.

Duties & Responsibilities:


  • 80% Financial Functions
  • Participates in a missiondriven culture of highquality performance, with a member focus on customer service, consistency, dignity and accountability.
  • Researches, assesses and develops advanced tools, models, reports and approaches to increase accuracy and timeliness of datadriven work projects.
  • Develops medical expense, revenue and enrollment projections to support the budget process.
  • Develops financial models and reports to support provider contract negotiations.
  • Develops return on investment and business case analyses for program initiatives under consideration by senior management.
  • Provides clinical and utilization analysis to assist Medical Management with improving outcomes and quality of care for CalOptima Health's members.
  • Collaborates with the Data Warehouse team to design and recommend improvements to the data warehouse. Designs, develops, implements and maintains report suites and dashboards for all levels of CalOptima Health's management. 15%
  • Administrative Support
  • Assists the team in carrying out department responsibilities and collaborates with others to support short
- and long-term goals/priorities for the department.

  • Collaborates with the Data Warehouse team to design and recommend improvements to the data warehouse. Mentors, trains and acts as lead for more junior analytical staff. 5%
  • Completes other projects and duties as assigned.

Minimum Qualifications:


  • Bachelor's degree in business administration, finance, economics, actuarial sciences or a related field required.
  • 5 years of experience in a medical group, hospital or health plan setting required.
  • 2 years of experience working with managed health care or insurance programs required.
  • 2 years of analytical experience working with Medi-Cal payer information required.
  • An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.

Preferred Qualifications:


  • Experienced user of Tableau and/or Microsoft SQL Server.

Required Licensure / Certifications:


  • N/A

Knowledge & Abilities:


  • Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds.
  • Work independently and exercise sound judgment.
  • Communicate clearly and concisely, both orally and in writing.
  • Work a flexible schedule; available to participate in evening and weekend events.
  • Organize, be analytical, problemsolve and possess project management skills.
  • Work in a fastpaced environment and in an efficient manner.
  • Manage multiple projects and identify opportunities for internal and external collaboration.
  • Motivate and lead multiprogram teams and external committees/coalitions.

Physical Requirements (With or Without Accommodations):

  • Ability to visually read information from computer screens, forms and other printed materials and information.
  • Ability to speak (enunciate) clearly in conversation and general communication.
  • Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and facetoface interactions.
  • Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.
  • Lifting and moving objects, patients and/or equipment 10 to 25 pounds

Work Environment:

If located at the 500, 505 Building or a remote work location:

  • There are no harmful environmental conditions present for this job.
  • The noise level in this work environment is usually moderate.

If located at PACE:

  • Work is typic
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