- Develops and prepares revenue/expense projections based on patient utilization, payor mix, gross charges, contractual adjustments, clinical staff productivity, ancillary service requirements, and other health care financial factors;
- Develops and participates in cost allocations, and indirect cost rate proposals based on third party payor and other regulations;
- Prepares and analyzes contract payment reconciliations based on cost reports and payment documentation;
- Prepares and presents cost reports, coordinates audits, cost reimbursement settlement claims for government payers and agencies (Medicare, Medi-Cal, OSHPD, etc.), and responds to related requests for information from auditors;
- Plans, organizes and directs the work of an assigned Health and Hospital project or program;
- Directs, evaluates and trains subordinate staff;
- Defines financial reporting and information needs and coordinates any systems modifications with Information Services;
- Coordinates various health care services with other departments, outside vendors and service providers to achieve financial program goals;
- Identifies financial program problems, determines appropriate action and makes recommendations for problem resolution; assists in the implementation of program enhancements and improvements;
- Conducts a variety of studies to determine best financial practices;
- Negotiates and monitors financial contracts with outside service providers and business partners;
- Analyzes and interprets existing, new and proposed legislation for cost and program impacts;
- Responds to a variety of information requests from both inside and outside the agency;
- Prepares and presents a variety of budgetary, informational and statistical reports and makes recommendations in writing, graphic and oral presentations;
- Uses a variety of information applications and databases to develop schedules and special reports;
- Provides leadership, direction, and development and implementation of strategic initiatives to improve and enhance performance and services;
- May be assigned as a Disaster Service Worker, as required ;
- Performs other duties as assigned.
- Principles and practices of financial management in the health care field, including both expense and reimbursement requirements and management;
- Complex financial analysis and policy and procedures;
- Concepts of current health care information systems and report writing;
- Advanced statistical research techniques and procedures, advanced computer skills, complex financial analysis, spreadsheets and database software;
- Healthcare organizational structure and program components;
- Healthcare reimbursement and other regulatory requirements, state and federal compliance expectations and enforcements;
- Current legislation and trends in government affecting health care providers;
- Complex statistical and financial analysis techniques;
- Contracts and negotiations skills;
- Health care regulatory, project management and health care reporting requirements.
- Formulate, gather, analyze and present complex financial, informational and statistical data;
- Analyze healthcare program information and reach valid conclusions;
- Analyze healthcare information and management systems and determine adaptability to health care needs;
- Analyze policies and procedures and make recommendations to management;
- Develop financial program enhancement recommendations based on revenue and cost analysis;
- Communicate clearly and effectively with members of the public, agency staff and health care professionals at all levels, and other health agencies and providers;
- Prepare and present clear and concise reports;
- Maintain cooperative working relationships with departmental personnel, other county departments and the general public;
- Represent Santa Clara Valley Health and Hospital System on assigned committees and with service providers;
- Utilize computers and advanced computer software to analyze healthcare information;
- Make recommendations for program and procedural modifications based on financial performance, regulatory and or legislative changes.
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Health Care Financial Analyst II - Santa Clara, United States - County of Santa Clara (CA)
Description
The Health Care Financial Analyst series describes levels of positions accountable to Santa Clara Valley Health and Hospital System Finance that are assigned the responsibility of performing duties and supervising various finance-based analytic activities within the Santa Clara Valley Health and Hospital System.
Positions in this series are typically assigned to projects and activities across several departments within Santa Clara Valley Health Hospital System (SCVHHS).
Incumbents must have excellent computer skills and be able to work with very large databases to complete and provide analytical and program support for a variety of services.
Incumbents may be assigned to lead complex program audits or assessments, lead other analysts, manage contract services or participate in the evaluation of service program and delivery systems.
Learn more about Santa Clara Valley Healthcare at: | | |LinkedIn |
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Typical Tasks
Note:
The following tasks are typical of those performed by incumbents in this class series, other related duties may be performed.
Incumbents at each level do not necessarily perform all duties listed.Conducts or participates in a variety of health and hospital related financial, systems and analytical studies; performs cost studies; and conducts feasibility studies;
Sufficient education and experience which directly demonstrates the possession and application of the following knowledge and abilities:
Quantitative or analytical work would include: Analyzing, evaluating and making recommendations on various financial programs and services.
Some of the financial functions would include conducting a variety of analytical studies and surveys on organization, procedures, budget issues; reviewing and analyzing current or proposed policies, procedures, systems, statistical analysis and reports; organizational structure, operational analysis, workflow and staffing, management and organizational systems and procedures; and is involved in making recommendations.
Health Care Financial Analyst IIExperience Note:
The knowledge and abilities required to perform this function are typically acquired through education and experience equivalent to a Bachelor's degree from a college or university in Finance, Health Care Administration, Business Administration, Hospital Administration, or a closely related field and three (3) years of professional level financial analytical experience,two (2) years of which arein a health care setting.
A Master's degree in one of the disciplines listed above may be substituted for one (1)year of the non-health care experience.
Knowledge of:
Ability to:
Health Care Financial Analyst II professionals in Santa Clara
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Venkateshwara Gooty
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