Financial Analyst II - Financial Compliance (Remote Options)

Date: Sep 3, 2021

Location: Rancho Cucamonga, CA, US

Company: Inland Empire Health Plans

Job Requisition ID: 5372 

 

Position Summary/Position

 

Under the direction of the department leadership team, the Financial Analyst II - Financial Compliance is responsible for supporting the needs of the department by preparing standard and/or ad hoc financial reports such as claims overpayments, refund reconciliation, claims payment information, provider billing trends, etc.
This position requires experience extracting data from SQL databases by writing and running queries to create reports for the department. 

Major Functions (Duties and Responsibilities)

 

1. Create standard and ad-hoc reports to support the Financial Compliance Department.
2. Use SQL Server tables to prepare reports to support the auditing and accounting teams.
3. Communicate with team members to understand and document reporting needs.
4. Perform quality checks on data.
5. Demonstrate a commitment to incorporate LEAN principles into daily work.
6. Establish and maintain effective working relationships with others throughout the organization.
7. Perform special projects and other duties as assigned by the department leadership team.

Supervisory Responsibilities

Leading: Self

Experience Qualifications

 

Minimum of three (3) years of experience in working with financial data analysis, manipulating, and pulling large data sets, and working with complex reports required.

Preferred Experience

 

Managed Care or related industry experience preferred.

Education Qualifications

 

Bachelor’s degree in Finance, Health/Business Administration, Accounting or a related field from an accredited institution required.

Preferred Education

 

Master’s degree from an accredited institution preferred.

Professional Certification

Professional Licenses

Drivers License Required

No

Knowledge Requirement

 

Strong knowledge and experience utilizing Microsoft Excel, Access, Word and PowerPoint.
Knowledge of the principles and practices of the health care industry and managed care systems a plus.
 

Skills Requirement

 

Moderate skill level in SQL and Access (or equivalent database) data manipulation. Skilled in thoroughly documenting database queries, macros, etc. as defined by policy. Communicate effectively, both verbally and in writing, in order to develop and maintain effective working relationships with all levels of staff and management.

Abilities Requirement

 

Strong attention to detail, with the ability to quickly adapt to changes in priorities. Ability to quickly gain an understanding of data requests (scope and purpose) and to produce accurate and useful reports. Ability to manage multiple projects and meet tight deadlines.

Commitment to Team Culture

 

The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization.

Working Conditions

 

Sedentary work in an office environment.

Physical Requirements

Keyboarding: Traditional - FREQUENTLY
Hearing: One-on-One - FREQUENTLY
Communicate: Information/ideas verbally - FREQUENTLY
Near Visual Acuity - FREQUENTLY
Lighting - CONSTANTLY
Regular contacts: co-workers, supervisor - FREQUENTLY
Memory - FREQUENTLY
Understand and follow direction - FREQUENTLY
Regular and reliable attendance - CONSTANTLY
Use of computer mouse - FREQUENTLY
Keyboarding: Other - FREQUENTLY
Hearing: In a group - FREQUENTLY
Hearing: Over the Telephone/Cell Phone - FREQUENTLY
Hearing: Conference Speakers/Video Calls/Radio Calls - FREQUENTLY
Turning/rotation of wrist or hand - FREQUENTLY
Alternate Sit/Stand or Walk at Will - FREQUENTLY
Sitting - FREQUENTLY
Indoors - CONSTANTLY
Perform complex and varied tasks - FREQUENTLY
Develop and maintain positive work relationships - CONSTANTLY
Decision-making - FREQUENTLY
Lead/Influence Others - FREQUENTLY
Work review - FREQUENTLY
Rapid Pace of work - FREQUENTLY
Control of work pace - FREQUENTLY
Problem Solving - FREQUENTLY

 

Starting Salary: $66,040.00  - $84,219.20  

Pay rate will commensurate with experience

 

Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region. With a provider network of more than 6,000 and a team of more than 2,000 employees, IEHP provides quality, accessible healthcare services to more than 1.2 million members. And our mission and core values help guide us in the development of innovative programs and the creation of an award winning workplace. As the healthcare landscape is transformed, we’re ready to make a difference today and in the years to come. Join our Team and Make a Difference with us! IEHP offers a Competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and retirement plan.

 


Nearest Major Market: Riverside
Nearest Secondary Market: Los Angeles