Financial Analyst III- Finance Analytics
Company: Inland Empire Health Plans
Location: Rancho Cucamonga
Posted on: May 3, 2021
Job Requisition ID: 4785
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
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
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
7. Develop and implement data collection systems and other
strategies that optimize statistical efficiency and data
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
12. Assist with annual and periodic government reporting
Minimum five (5) years of Finance
experience. Experience in collecting data from multiple
Managed Care or related industry
SQL experience a plus.
Experience with CMS and Medicare a
Bachelor’s degree in Healthcare
Administration or a related field from an accredited institution
A Masters degree from an accredited institution is
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.
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
Cross-train and back up other areas
of the department.
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
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
Word processing involving computer
keyboard and screens, filing and copying of records and/or
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, were
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
Keywords: Inland Empire Health Plans, Rancho Cucamonga , Financial Analyst III- Finance Analytics, Other , Rancho Cucamonga, California
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