Senior Financial Analyst

AlohaCare; Pearl City (HI); On-site; USD 67,000 - 82,000; Full time

Benefits offered by this job

Low-cost medical insurance

Low-cost dental insurance

Low-cost vision insurance

401k employer contribution

Paid time off

Referral bonus

Pre-tax transportation and parking

Job summary

AlohaCare is seeking a Senior Financial Analyst to provide senior-level financial and operating analysis to support the organization's financial success. You will analyze cost of care, monitor trends, and prepare internal and external financial reports, including regulatory and audit support.

The role requires strong data skills, cross-functional collaboration, and a focus on quality care for Hawai‘i’s residents.

Qualifications

• Bachelor's degree with emphasis in computer science, information systems, mathematics, statistics, public health, health care administration or equivalent.
• Minimum of 3 years of professional work experience performing financial and operational analysis.
• Experience using Access, SQL and other statistical/analytical/reporting tools (Stata, SAS, SPSS).
• Knowledge of relational databases.
• Strong communication and interpersonal skills; customer-focused and results-driven.

Responsibilities

• Perform cost of care analysis and identify key cost drivers; monitor financial trends.
• Deliver analyses of core product financial indicators for recurring and ad hoc research.
• Assist with preparation of internal financial and operating reports including monthly statements and KPIs.
• Support regulatory reporting to HI DOI, HI DHS, Med-Quest and NAIC; assist audits.
• Develop and maintain financial forecasts and annual budget; assist with RBC calculations.
• Support provider network contract negotiations, including reimbursements and risk-sharing programs.
• Lead maintenance of the Finance data warehouse for reporting and decision support.
• Coordinate monthly pass-through reconciliations and provider settlements.
• Assist with Medicare program bid development and capitation revenue reconciliations.
• Ensure regulatory compliance and confidentiality of information.

Skills

Access

SQL

Stata

SAS

SPSS

Data analysis

Financial analysis

Communication

Time management

Education

Bachelor's degree in a relevant field

Tools

Microsoft Access

Relational databases

Job description

The Company

AlohaCare is a local non profit health plan serving Hawaiis low income residents with free Medicaid and dual Medicare health insurance coverage Our members include children seniors and adults residing on all islands We provide comprehensive benefits and managed care services with an emphasis on healthy living habits and preventive primary health care Our approach is to meet the whole person health and social needs of members Through our community partnerships we offer innovative services such as connection to social service agencies Native Hawaiian healing services and in home primary care for qualified members Our mission is to serve in the true spirit of aloha by ensuring and advocating for access to quality health care for all We are Hawaiis third largest health plan and offer a wide network of quality primary care specialists hospitals pharmacies and among many other providers across the state

Culture

The Culture AlohaCare employees have a passion for helping Hawaiis most underserved communities Our caring culture is fundamental to our company wide team approach to providing high quality services We support our employees with a supportive and positive work environment healthy work life balance continuous communication and a generous benefits package AlohaCares leadership empowers and engages its employees by recognizing outstanding job performance and collaboration We share organization wide updates during quarterly All Staff meetings We encourage participation in volunteer and educational opportunities We put a high value on honesty respect and trust building We encourage open door two way and frequent communication AlohaCares comprehensive benefits package includes low cost medical dental drug and vision insurance paid time off 401k employer contribution referral bonus and pretax transportation and parking program

• low cost medical insurance
• low cost dental insurance
• low cost drug insurance
• low cost vision insurance
• paid time off
• 401k employer contribution
• referral bonus
• pretax transportation and parking program

The Opportunity

The Senior Financial Analyst is responsible for directly supporting the overall financial success of the organization by providing senior level actionable analysis of financial and operating results as well as other routine and ad hoc retrospective and prospective financial and operational analysis Primary Duties and Responsibilities Perform cost of care analysis identifies key cost drivers and ongoing monitoring of financial trends Deliver analysis of core product financial indicators for recurring and ad hoc research Develop financial reporting Assist with preparation of internal financial and operating reports including monthly financial statements KPIs Finance Committee and Board of Director reports etc Assist with preparation of external financial and operating reports including Quarterly and Annual regulatory HI DOI HI DHS MED QUEST and NAIC reports Assist with preparation of supporting schedules and analysis for annual financial and regulatory audits Prepare analysis in support of provider network contract negotiations including provider reimbursements P4P programs withholds and risk share programs Participate in development of annual operating budget Participate in periodic development of financial forecasts Prepare monthly calculations and reconciliations of provider pass throughs; ensure timely processing of pass through payments Support preparation of Risk Based Capital RBC statutory required capital reserves and regulatory performance bonds calculations; ensure regulatory compliance Provide comprehensive support to the reinsurance programs including monthly reconciliation of reinsurance receivables and timely processing of recoveries Develop detailed drill down analysis to provide corrective actionable insights to Executive Council and Medical Management leadership for total cost of care and administrative expense initiatives Lead the development maintenance and optimization of the Finance data warehouse ensuring the integrity availability and accessibility of financial data to support reporting forecasting budgeting regulatory requirements and strategic decision making Provide analysis to support annual negotiations with DHS MED Quest to ensure adequate capitation rates Support development of annual Medicare program bid Support monthly detailed reconciliation of membership and capitation revenues to ensure accuracy of premium revenues to organization Support preparation of monthly provider risk pool statements and timely accurate annual provider risk pool settlements All other duties assigned Adhere to regulatory compliance and quality guidelines as well as AlohaCare policies and procedures Responsible for maintaining AlohaCares confidential information in accordance with AlohaCare policies and state and federal laws rules and regulations regarding confidentiality Employees have access to AlohaCare data based on the data classification assigned to this job title

Requirements

Bachelors degree with emphasis in computer science information systems mathematics statistics public health health sciences data analysis accounting or health care administration or equivalent combination of education and experience Minimum of 3 years of professional work experience which demonstrates the ability to perform the duties required for the position Experience using Access SQL and other statisticalanalyticalreporting tools Stata SAS SPSS etc Knowledge of relational databases Achieves results builds trust communicate effectively customer and quality focused Strong interpersonal and facilitation skills with the ability to communicate with all levels of the organization Strong effective and precise written and oral communication skills; speak clearly and persuasively in positive or negative situations Professional telephonic etiquette skills Ability to solve problems analyze think critically and make good judgment Strong customer service skills and be able to work in a diverse demanding and evolving environment with strong conflict and problem resolution skills Able to work independently with minimal supervision Able to effectively work in a fast paced and changing environment manage multiple projects and priorities across multiple teams projects and in a matrixed environment Possesses excellent time management and organizational skills; is dependable enthusiastic self starting and self motivated Uses time effectively reacts professionally under pressure Data entry experience with a high degree of accuracy and attention to detail Excellent computer skills and able to learn new systems efficiently Advanced skills in Microsoft Programs including Word Excel Access Outlook and PowerPoint Experience in the operation of general office equipment to include PC faxcopy machine and phone system

Preferred Requirements

Health care industry experience within managed care hospital medical office or equivalent Knowledge of health research methodology biostatistics and medical terminology Mental Physical and Environmental Demands Sedentary Work Exerting up to 20 pounds of force occasionally andor a negligible amount of force frequently or constantly to lift carry push pull or otherwise move objects Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met In office working environment May require prolonged sitting up to 4 hours Requires prolonged operation of a computer workstation including the ability to type for extended periods of time on a keyboard during the scheduled workday

Salary Range

Salary Range 67000 81500 annually

EEO Statement

"AlohaCare is committed to providing equal employment opportunity to all applicants in accordance with sound practices and federal and state laws Our policy prohibits discrimination and harassment because of race color religion sex including gender identity or expression pregnancy age national origin ancestry marital status arrest and court record disability genetic information sexual orientation domestic or sexual violence victim status credit history citizenship status militaryveteran status or other characteristics protected under applicable state and federal laws regulations andor executive orders"