Lakeland Care

Financial Planning and Analysis

• Recommend and implement analytical solutions, metrics, and reporting to advance the LCI analytical and reporting capabilities to support decision making.
• Oversee the collection, formulation and monitoring of key performance metrics and data sources such as utilization and unit rate data, external data warehouses, and more that is relevant to the operation of Lakeland Care.
• Manage monthly analysis of metrics to identify variances and trends.
• Assist in financial reporting and conduct various analytical assignments as needed.
• Collaborate with management to integrate analysis and provide accurate, relevant, timely, and complete business and fiscal intelligence to organizational decision makers.
• Assist with the development of financial projections and build financial models.
• Contribute to the Business Plan, RFP, and other similar narratives and analyses.
• Identify trends in financial performance and provide recommendations for improvement.
• Perform research, analysis, and other duties as required.
• Work with data source providers and technology teams to ensure that key decision data is accurate, relevant, timely, and complete.
• Synthesize and structure data to support data functions throughout the organization.
• Exhibit responsibility, resiliency and sound judgement when dealing with organizational challenges.
• Collaborate and serve as cross-functional resource to deliver root cause analysis and address key business drivers.
• Contribute to ensuring compliance with financial guidelines, company policies, and relevant legal regulations.
• Write and revise policies and procedures as needed.

Financial Analyst

Analyst

• Provide subject matter expertise in healthcare coding, classification systems, and regulatory requirements
• Develop a deep understanding of Medicaid and healthcare coding methodologies (i.e. CPT, HCPSC and applicable state-specific codes)
• Support organizational compliance and operational accuracy by maintaining current knowledge of coding and reimbursement requirements
• Ensure codes accurately reflect services for claims acceptance through the claims adjudication and encounter reporting processes
• Partner closely with Provider Relations to enter new codes and modify existing codes in the EMR systems
• Create accurate reporting of adequacy and other contract-required metrics
• Research claim denials, identifying root causes related to coding, and collaborating with appropriate teams to resolve issues
• Work with the Data Analytics team to define, store, and analyze data needed to generate meaningful reports

Financial Analyst

Coding Analyst