The Financial Analyst I assists in the analysis for utilization and financial trends, costs, revenues, financial commitments and obligations incurred to predict future revenues and expenses.
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
Assist in the development of revenue & 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
Suggest 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.)
Utilize key analysis experience and knowledge to analyze and report medical, contract and administrative activity
Make appropriate changes to ensure compliance with MAR, regulatory and other organization requirements
Perform any other job related instructions as requested

Requirements

Bachelor of Science/Arts Degree in accounting, finance, economics, computer sciences or related field or equivalent years of relevant work experience is required
Previous experience in financial field is preferred
Managed care or healthcare experience is preferred
Knowledge of SQL and/or SAS is preferred, but not required
Highly proficient with Microsoft Excel
Proficient with Microsoft Office Suite, including Outlook, Power Point, Access and Word
Familiar with a variety of analysis concepts, practices and procedures

Benefits

Health insurance
401(k) matching
Paid time off
Flexible work arrangements
Professional development opportunities
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 miningSQLSASMicrosoft ExcelMicrosoft Office Suitemedical contract evaluation

Soft Skills

analytical skillsattention to detailproblem-solvingcommunication skillsorganizational skillsteam collaborationadaptabilitycritical thinkingtime managementprocess improvement