Managed Care Finance Analyst

AltaMed Health Services Corp; Montebello (CA); On-site; USD 74,000 - 92,000; Full time

Benefits offered by this job

Medical, dental, vision

403(b) plan

Flexible spending accounts

Commuter benefits

Paid time off

CME days

Malpractice tail coverage

Tuition reimbursement

Employee discounts

Referral bonuses

Pet insurance

Job summary

AltaMed Health Services Corp. in California seeks an Analyst, Managed Care Finance to analyze financial and health information supporting decision-making on revenue, cost, and outcomes.

You will monitor claims costs and identify revenue opportunities, such as overpayments or billable services, and monitor capitation with PCP/specialty caps. You will also prepare risk pool and incentive summaries, assist in capitation auditing, and summarize financial results from multiple system reports.

Qualifications

• Bachelor’s degree in accounting, finance, business, or related areas.
• 2+ years of financial analysis and database reporting experience.
• Experience with databases and data analysis technology.

Responsibilities

• Analyze financial and health information to support decision-making on revenue, cost, and outcomes.
• Monitor claims cost and identify revenue opportunities such as overpayments or billable services.
• Monitor PCP and specialty cap, prepare risk pool and incentive summaries, and assist in risk pool and capitation auditing.
• Summarize financial results from various system reports.

Skills

Financial analysis

Data analysis

Databases

Education

Bachelor’s degree in accounting, finance, business, or related areas

Tools

SQL

EZ Cap

Cognos

Crystal Reports

Job description

Grow Healthy

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed - it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.

Job Overview

The Analyst, Managed Care Finance position will analyze financial and health information to support business decision-making on healthcare revenue, cost, and outcomes. The position will monitor claims cost, identify revenue opportunities such as claims overpayment, leakage claims, and billable services, monitor PCP and specialty cap, prepare risk pool and incentive summaries, and assist in risk pool and capitation auditing. Additionally, this position will summarize financial results from various system reports.

Minimum Requirements

• Bachelor’s degree in accounting, finance, business, or other related areas required.
• A minimum of 2 years of financial analysis and database reporting experience is required.
• Experience with databases and data analysis technology.
• SQL, EZ Cap, Cognos, or Crystal Reports experience is a plus.

Compensation

$73,701.26 - $92,126.57 annually

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate’s value and the role’s strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

• Medical, Dental and Vision insurance
• 403(b) Retirement savings plans with employer matching contributions
• Flexible Spending Accounts
• Commuter Flexible Spending
• Career Advancement & Development opportunities
• Paid Time Off & Holidays
• Paid CME Days
• Malpractice insurance and tail coverage
• Tuition Reimbursement Program
• Corporate Employee Discounts
• Employee Referral Bonus Program
• Pet Care Insurance

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

As the nation’s largest Federally Qualified Health Center (FQHC), AltaMed is at the forefront of providing affordable, high-quality health care to underserved communities in Los Angeles and Orange Counties. At AltaMed, you will have the opportunity to work with a diverse team of dedicated professionals who are passionate about making a difference and supporting our community of over 400,000 patients.

AltaMed Health Services Corporation is committed to providing equal employment opportunities for all qualified individuals. We strictly prohibit discrimination in employment based on race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin, age, medical condition, physical or mental disability, military or protected veteran status, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical conditions, genetic information, or any other characteristic protected by local, state, or federal law, ordinance, or regulation.

We are committed to promoting equality and inclusivity beyond our recruitment and hiring processes. We aim to create a respectful, valued, and inclusive workplace through training, advancement opportunities, and access to resources and support. We focus on fostering a diverse workforce because it enriches our organization and improves our ability to effectively serve our clients and community.

We encourage individuals from all backgrounds to apply and join us in our mission to create a positive impact.