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 withEmployer

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 Corp. seeks a Senior Analyst to analyze financial and health information within managed care, delivering insights that support decisions on revenue, cost, and outcomes for AltaMed IPA.

You will audit capitation revenue, risk pools, and incentives, prepare budgeting analyses, and identify opportunities to improve revenue capture. The role reports to the Managed Care/Finance team and offers growth in a mission-driven environment.

Qualifications

• Bachelor’s degree in accounting, finance, business, or related field with 5+ years' experience or Master’s with 3 years of experience.
• 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 decisions in managed care.
• Audit capitation revenue and risk pools; prepare risk and incentive summaries.
• Assist in budgeting and identify revenue capture opportunities.
• Prepare recurring and ad-hoc financial analyses for AltaMed IPA.

Skills

Financial analysis

Data reporting

Education

Bachelor’s degree in accounting/finance/business

Master’s degree in related field

Tools

Microsoft Access

SQL

EZ Cap

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 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.