Icon hamburger
US
What job do you want?
Apply to this job.
Think you're the perfect candidate?
Apply on company site
Thumsup

You’re being taken to an external site to apply.

Enter your email below to receive job recommendations for similar positions.
I2y7ct6g1rb0dn6k1qs

Decision Support Financial Analyst I-Managed Care Dept

MemorialCare Health System Fountain Valley Full-Time
Apply on company site
Description

The purpose of this position is to support system wide informational needs relating to contract negotiations and Managed Care reporting requirements. This position is expected to assemble financial data for routine reports in preparation of contract analysis as well as developing and maintaining various databases and spreadsheet reports to ensure that contracts meet established financial performance requirements. Attain technical competency with various computer applications (EPIC, EPSI, and Strata) to extract data timely and accurately and with various PC software (Microsoft Office Suite, etc.) to manipulate data.

Ensure routine reports are reviewed and analyzed by senior analysts and distributed in a timely manner. Assist managers and report recipients with questions or concerns about the data provided. Understand which customer requests should be escalated to senior analysts or department director.

The employee shall support the Memorial Care Health System's strategic plan and the goals and direction of the performance improvement plan.

Duties & responsibilities:

  • Provide service to all of the campuses as well as Shared Services.
  • Support all Managed Care contract negotiations using revenue modeling.
  • Acquire and develop competency with a variety of financial systems including: EPIC, EPSI, Strata, and Microsoft Office.
  • Maintain statistics for managed care reporting needs.
  • Produce and maintain routine monthly/annual reports to assist management in analyzing financial and managed care data.
  • Produce Adhoc Reports as requested.
  • Ensure reports are reviewed by senior analysts or management and distributed in a timely manner.
  • Organize report recipient questions and work with senior analysts or management to assist managers in understanding their Managed Care data.
  • Can be depended upon to exercise good judgment in decisions made in the supervisor’s absence.
  • Complete assigned tasks in a timely and efficient manner.
  • Professional communication with all levels of management.
  • Ability to learn various data systems and PC software tools.
  • Ability to resolve routine problems and the judgment necessary to escalate issues appropriately.

Qualifications

Experience & Qualifications:

  • Previous experience in spreadsheet and database production.
  • Previous experience in Managed Care contract analysis and revenue modeling preferred.
  • Familiar with the structure and methodology of California Payor agreements including DRG, per diems and capitation.
  • Familiar with Riskpools.
  • Familiar with hospital and decision support systems including EPIC, EPSI, and Strata preferred.
  • Intermediate knowledge of MS Office Suite specifically Excel.
  • Superior critical thinking skills for complex problem-solving.
  • Must have strong numeric and analytical skills.
  • Must be well organized and be able to work independently, have good interpersonal relationships and strong communication skills.

Education:

  • Bachelor’s Degree preferred
  • Minimum of 2 years experience in Managed Care contract analysis setting highly preferred
 



Job: United States-California-Fountain Valley
Primary Location:
Schedule: Full-time
Shift: Regular
Job Posting: Staff
 

Recommended skills

Analysis
Microsoft Office
Reports
Complex Problem Solving
Critical Thinking
Communication
Apply to this job.
Think you're the perfect candidate?
Apply on company site

Help us improve CareerBuilder by providing feedback about this job: Report this job

Report this Job

Once a job has been reported, we will investigate it further. If you require a response, submit your question or concern to our Trust and Site Security Team

Job ID: MEM003493

CAREERBUILDER TIP

For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.