Senior Analyst, Managed Care Patient Finance

AltaMed Health Services; Montebello (CA); On-site; USD 95,000 - 118,000; Full time

Benefits offered by this job

Medical, Dental and Vision insurance

403(b) Retirement savings plans withem

Flexible Spending Accounts

Commuter Flexible Spending

Career Advancement & Development

Paid Time Off & Holidays

Paid CME Days

Malpractice insurance and tailcoverage

Tuition Reimbursement Program

Corporate Employee Discounts

Employee Referral Bonus Program

Pet Care Insurance

Job summary

AltaMed Health Services is seeking a Senior Analyst, Managed Care Patient Finance in Montebello, CA. The role focuses on analyzing financial and health information to support decisions related to managed care revenue, costs, and clinical outcomes.

The position involves auditing capitation revenue, risk pool analysis, and identifying revenue capture opportunities to improve financial performance for AltaMed IPA.

Qualifications

• Bachelor’s degree in accounting, finance, business, or other related areas with a minimum of 5 years of experience in financial analysis and database reporting in the health care or managed care industry; Master’s degree reduces experience required.
• Experience with databases and data analysis technology; Microsoft Access is a must.
• EZ Cap and SQL experience is highly desirable.

Responsibilities

• Analyze financial and health information to support decision-making in managed care revenue, cost, and clinical outcomes.
• Prepare capitation revenue audits, risk pool summaries, and incentive analyses.
• Identify revenue capture opportunities, including underpayments and leakage, and assist in annual budgeting.

Education

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

Master’s degree in a related field

Tools

Microsoft Access

EZ Cap

SQL

Databases

Job description

Position Title:

Senior Analyst, Managed Care Patient Finance

Location:

Montebello, CA 90640

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 Managed Care Patient Financial Senior Analyst will analyze financial and health information to develop insights that support business decision-making related to healthcare revenue, cost, and clinical outcomes, specifically within the managed care industry. The position will prepare and complete all aspects of Managed Care reporting including, but not limited to, auditing capitation revenue; PCP and specialty cap; preparing risk pool and incentive summaries; assisting in risk pool auditing and analysis; identifying revenue capture opportunities such as; health plan capitation revenue underpayments, specialty claims overpayment, leakage claims, and billable services; and participating in annual budgeting. Additionally, this position will compile financial analysis and other reporting on a recurring and/or as-needed basis, relevant to healthcare, utilization, and financial management for AltaMed IPA.

Minimum Requirements

• Bachelor’s degree in accounting, finance, business, or other related areas with a minimum of 5 years’ experience in financial analysis and database reporting in the health care or managed care industry required, or Master’s degree in a related field with 3 years of relevant experience.
• Experience with databases and data analysis technology. Microsoft Access is a must.
• EZ Cap and SQL experience is highly desirable.

Compensation

$94,764.48 - $118,455.60 annually

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, education, 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.

Remote Type

In Person

About Us

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.

Learn About AltaMed

Click Here

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.

Equal employment opportunity, including veterans and individuals with disabilities.

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