Senior Analyst, Managed Care Patient Finance
Core
Analyze financial and health information to develop insights supporting business decision-making on healthcare revenue, cost, and clinical outcomes within the managed care industry.
Role type
Senior financial analyst (managed care)
Builds
Financial reports, risk pool summaries, and budgeting data for AltaMed IPA
Domain
Healthcare / Managed Care Finance
Deliverable
dashboards & analysis
Required skills
Financial analysis, database reporting, Microsoft Access, SQL, capitation revenue auditing, claims analysis, budgeting
Preferred skills
EZ Cap, health plan underpayment identification, specialty claims overpayment analysis
Responsibilities
Audit capitation revenue, prepare risk pool and incentive summaries, identify revenue capture opportunities (underpayments, overpayments, leakage), compile financial analysis on utilization and financial management, participate in annual budgeting
Seniority
Senior, hands-on IC