Business Operational Financial Analyst

Triple-S; Guaynabo (PR); On-site; USD 55,000 - 75,000; Full time

Job summary

Triple-S Salud is seeking a Finance Analyst in Puerto Rico to support accounting and financial planning, compiling information, performing analyses, and presenting recommendations to improve accuracy of financial results and inform decisions.

Responsibilities include preparing financial reports, regular/ad-hoc analyses, and collaboration with business units to ensure proper cost tracking and reporting for payment integrity and savings initiatives.

Qualifications

• Bachelor's degree in business administration with a focus in finance or accounting.
• 1–3 years of finance or accounting experience, preferably in health insurance.
• Knowledge of financial reporting and analysis processes.

Responsibilities

• Selects the most appropriate method to achieve identified results in a work plan or project.
• Perform regular and ad-hoc accounting and financial analyses or financial and operations management.
• Utilize reporting systems to generate and distribute reports, respond to inquiries, conduct research, identify and resolve problems.
• Identify, recommend, and implement financial planning and analysis process improvements.
• Act as liaison between business unit operations and Payment Integrity functions; ensuring accurate and timely recording of project costs.
• Prepare and reviewing financial reports and presentation for business unit operations related to Payment Integrity functions.
• Estimate and present USI reserve report for Hospital outstanding amount.
• Compile data from the operational areas to provide and present statistics of the operation of Triple S Salud lines of business.
• Provide guidance to the business unit operations personnel about the controls and responsibilities related to the financial input information for the savings reports and communicate to the PI Enterprise Coordinator any changes of the documentation for policies and procedures updating purposes.
• Facilitate communication between the PIO and other health plan teams.
• Host weekly/biweekly/monthly meetings with other TSS/TSA teams to ensure focus on the PI agenda.
• Follow up on next steps and takeaways from any communication, meeting, or conference call.
• Assist the Ideation Team, FWA Team and USI in gathering data and information from other departments for new savings opportunity ideas.
• Assist in analyzing payment policies, fee schedules, specific provider incentives, and other programs which impact reimbursement savings and recovery.
• Serve as the liaison with other TSS/TSA teams as needed.
• Assist in reimbursement analyses related to new lines of business as directed.
• Assist in analysis of other reimbursement specific projects as directed. Perform general ‘ad hoc’ duties and reporting.

Skills

Manages Ambiguity

Instills Trust

Collaborates

Customer Delight (Employee)

Action Oriented

Education

Bachelor's Degree in Business Administration

Job description

At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers.

When you join Triple-S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our purpose to enable healthier lives. We serve more than 1 million consumers in Puerto Rico through our Medicare Advantage, Medicaid, Commercial, Life and Property & Casualty Businesses.

Let's build healthier communities together, join now!

Job Summary

Responsible of compiling information based on facts, make analysis and give recommendations that will be used by others in another hierarchy level. Analyses situations or problems comparing it to previous events in order to identify a pattern or the root of the cause and develop a corrective plan. Responsible for ensuring the accuracy of financial results and consistency with corporate and business unit accounting policies and procedures; and identifying and communicating risks and opportunities.

Essential Functions

• Selects the most appropriate method to achieve identified results in a work plan or project.
• Perform regular and ad-hoc accounting and financial analyses or financial and operations management.
• Utilize reporting systems to generate and distribute reports, respond to inquiries, conduct research, identify and resolve problems.
• Identify, recommend, and implement financial planning and analysis process improvements.
• Act as liaison between business unit operations and Payment Integrity functions; ensuring accurate and timely recording of project costs.
• Prepare and reviewing financial reports and presentation for business unit operations related to Payment Integrity functions.
• Estimate and present USI reserve report for Hospital outstanding amount.
• Compile data from the operational areas to provide and present statistics of the operation of Triple S Salud lines of business.
• Provide guidance to the business unit operations personnel about the controls and responsibilities related to the financial input information for the savings reports and communicate to the PI Enterprise Coordinator any changes of the documentation for policies and procedures updating purposes.
• Facilitate communication between the PIO and other health plan teams.
• Host weekly/biweekly/monthly meetings with other TSS/TSA teams to ensure focus on the PI agenda.
• Follow up on next steps and takeaways from any communication, meeting, or conference call.
• Assist the Ideation Team, FWA Team and USI in gathering data and information from other departments for new savings opportunity ideas.
• Assist in analyzing payment policies, fee schedules, specific provider incentives, and other programs which impact reimbursement savings and recovery.
• Serve as the liaison with other TSS/TSA teams as needed.
• Assist in reimbursement analyses related to new lines of business as directed.
• Assist in analysis of other reimbursement specific projects as directed. Perform general ‘ad hoc’ duties and reporting.

EDUCATION

• Bachelor's Degree in Business Administration

Experience

Bachelor’s Degree in business administration with a major in Finance or Accounting with 1 to 3 years of finance or accounting experience, preferably with health insurance industry.

LICENSES AND CERTIFICATIONS

• None required

COMPETENCIES

• Manages Ambiguity
• Instills Trust
• Collaborates
• Customer Delight (Employee)
• Action Oriented

It is company policy to seek for the qualified applicants for positions throughout the company without distinction of race, color, national origin, religion, sex, gender identity, real or perceived sexual orientation, civil status, social condition, political ideologies, age, physical or mental disability, veteran status or any other characteristic protected by law. Drug-free company.

Equality Employment Opportunity/Affirmative Action for People with Disabilities/Veterans. Employer with E-Verify to verify the eligibility of employment of all the new employees.

We encourage Veterans and Disabled to Apply.