Reporting Financial Analyst III

Job Category:  Accounting/Finance
Department:  Medical Payment System & Services
Location: 

Los Angeles, CA, US, 90017

Position Type:  Full Time
Requisition ID:  4941

 

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

Job Summary

The Reporting Financial Analyst III is responsible for management and preparation of all month-end financial activity reports. This position will review and provide detailed explanation of variance report to support trend analysis on Revenue, Capitation, Shared Risk, Pharmacy and claims. This position will provide ad hoc analysis to support operational requests as they relate to the product lines and/or implemented pilots, contracts with Participating Physician Groups (PPGs), hospitals and ancillary providers. This position will work with Financial Compliance on rate setting, PPG audits and Internal/External audits. This position will work very close with other departments to coordinate reporting requests and ensure a complete understanding of variances are documented. This position will work with the Revenue unit to validate the Medicare HCC scores.

Duties


Develops and maintains assigned databases, reports, reconciliations in Excel, Access and SQL SSRS and SSIS for internal and external consumption.

 

Assists management with reports, reconciliations, and monthly closings.

 

Provides ad hoc analysis to support operational requests as they relate to the L.A. Care's LOBs, claims, contracts with Participating Physician Groups (PPGs), hospitals and ancillary providers.

 

Audits and validates data for conversion and import.

 

Prepares monthly Department of Health Care Services (DHCS) submissions and assists with all other state or federal submissions and audits.

 

Develops, interprets, and implements financial concepts for financial reporting and control.

 

Perform other duties as assigned. 

Education Required
Bachelor's Degree in Finance or Related Field
In lieu of degree, equivalent education and/or experience may be considered.
Education Preferred
Master's Degree in Finance or Related Field
Experience

Required:
At least 3-5 years of finance or managed healthcare experience with the demonstrated experience on the following list of stated  knowledge, experience and/ or skills.

 

Preferred:  
Experience with MHC, Trizetto, BI360.

Skills

Required:
Strong accounting, analytical, and problem-solving skills.

 

Excellent communication skills, oral and written.

 

Excellent data management/ database skills.

 

Must have advanced PC Skills (Excel, Word, Access) ASP, and SQL or Monarch.

 

Must be familiar with claim CPT/ICD 10 codes.

 

Strong Health Care industry knowledge. 

 

Preferred:
Medi-Cal and Medicare knowledge.

 

QNXT application knowledge.

Licenses/Certifications Required
Licenses/Certifications Preferred
Certified Public Accountant (CPA)
Required Training
Additional Information

 

L.A. Care offers a wide range of benefits including

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)


Nearest Major Market: Los Angeles

Job Segment: Financial, Medical, Financial Analyst, Claims, Pharmacy, Finance, Healthcare, Insurance