Financial Analyst III- Financial Reporting

Date: Sep 1, 2021

Location: Rancho Cucamonga, CA, US

Company: Inland Empire Health Plans

Job Requisition ID: 5541 

 

Position Summary/Position

 

This position’s responsibilities include conducting full lifecycle activities to include requirements analysis and design, developing analysis and reporting capabilities, and continuously monitoring performance and quality control plans to identify improvements.

Major Functions (Duties and Responsibilities)

 

1. Design, create and maintain processes to ensure Finance is in compliance with CMS regulations regarding Part D
2. Reconcile PDE’s to the legibility and pharmacy data as required by CMS. 
3. Develop a process to address overpayment reimbursement back to CMS
4. Assist in development of a Finance Data Warehouse to track CMS payment data to use in the reconciliation processes
5. Perform analysis of the efficiency and effectiveness of current departmental processes and procedures and ultimately help to implement identified improvements and streamline processes.
6. Prepare, analyze and reconcile financial data from organization’s operations.
7. Develop and implement data collection systems and other strategies that optimize statistical efficiency and data quality.
8. Acquire data from primary or secondary data sources and maintain databases/data systems.
9. Identify, analyze, and interpret trends or patterns in complex data sets.
10. Support audit requests for data and develop responses from internal and external auditors.
11. Work closely with various corporate departments to communicate and collect information required for compliance purposes
12. Assist with annual and periodic government reporting requirements.

Supervisory Responsibilities

Leading: Self

Experience Qualifications

 

Minimum five (5) years of Finance experience. Experience in collecting data from multiple systems.

Preferred Experience

 

Managed Care or related industry experience preferred.

SQL experience a plus.

Experience with CMS and Medicare a plus.

Education Qualifications

 

Bachelor’s degree in Healthcare Administration or a related field from an accredited institution required.

Preferred Education

 

A Masters degree from an accredited institution is preferred.

Professional Certification

Professional Licenses

Drivers License Required

No

Knowledge Requirement

 

Strong understanding of accounting and financial principles and methodologies. Principles and practices of health care industry and strategies, health care systems, capitated risk contracting, provider network structures and risk sharing arrangements a plus.

Skills Requirement

 

Strong knowledge and experience utilizing Microsoft Excel, Access, Word and PowerPoint.

Quickly gain an understanding of data requests (scope and purpose) and to produce accurate and useful reports.

Cross-train and back up other areas of the department.

Abilities Requirement

 

Strong attention to detail.

Communicate effectively, both verbally and in writing, in order to develop and maintain effective working relationships with all levels of staff and management.

Work cooperatively and effectively on group projects.

Ability to multi-task.

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

 

Word processing involving computer keyboard and screens, filing and copying of records and/or correspondence.

Physical Requirements

 

Starting Salary: $75,296.00  - $95,992.00  

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