Prepare analysis for utilization and financial trends, costs, revenues, financial commitments and obligations incurred to predict future revenues and expenses; understand financial impacts of decisions and communicate those to management
Highly involved in the development, production, and validation of reports from detailed claims, eligibility, pharmacy and clinical data
Compile and analyze financial and clinical information, including but not limited to preparing the evaluation of medical contracts, product lines, generating and managing medical and administrative cost saving initiatives, etc.
Ensure integrity of information obtained for analysis; keep an up-to-date knowledge of the computer information system
Develop competitive analysis and present findings to senior management
Prepare revenue and medical expense forecast and budget and monitor monthly variances to identify trends
Identify and research trends and patterns using standard departmental reports and databases, as well as leveraging other processes and data sources for data mining
Make appropriate improvements to internal analysis processes ensuring that practices are in line with the overall goals of the organization
Support the financial control environment by reconciling internal data sets vs information provided by the State (such as, reconcile enrollment files to reimbursement records, etc.)

Requirements

Bachelor of Science/Arts Degree in accounting, finance, economics, computer sciences or related field or equivalent work experience is required
Two to Four (2-4) years of experience in financial field is required
Managed care or healthcare experience is preferred
SQL and/or SAS experience strongly preferred
Advanced proficiency level with Microsoft Excel
Proficient with Microsoft Office Suite, including Outlook, Power Point, Access and Word

Benefits

Health insurance
Retirement plans
Paid time off
Flexible work arrangements
Professional development
Bonuses

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

financial analysisdata analysiscost analysisbudget forecastingdata miningreport generationSQLSASMicrosoft Excelmedical contract evaluation

Soft Skills

communicationanalytical thinkingproblem-solvingattention to detailorganizational skillspresentation skillscollaborationtime managementadaptabilitycritical thinking