Strategic Operations Lead - Accounting
BH Properties
PHP
Medicaid Financial Analyst
Presbyterian Healthcare Services
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $37 - $57 per hour
Job Level
Mid-LevelSenior
Tech Stack
PHP
About the role
- Serve as key individual contributor to review and analyze directives from the New Mexico Health Care Authority (HCA) for PHP’s Medicaid program
- Ensure financial compliance and review adequacy of funding for directives
- Support provider rate implementations and perform provider rate reconciliations
- Partner with Medical Economics and multiple business areas for directive compliance
- Audit implemented rates to ensure accurate payment on claims and prevent over/under payment
- Reconcile provider rates in PHP’s claim system with HCA monthly Medicaid Floor Rates and provider agreements
- Respond to HCA directive drafts and recommend corrections
- Lead project management activities: organize, schedule, plan, manage timelines and senior-level team activities
- Create and deliver executive-level presentations and briefings for senior leadership and the Board of Directors
- Provide strategic financial analysis, support Finance Director/Managers, and act in decision-making capacity on assigned projects
- Provide leadership for finance data-marts and planning/reporting tools and technologies
Requirements
- Bachelors degree in finance or accounting
- Four years of health care finance experience (48 months) or equivalent work experience
- CPA license and/or Masters degree (ideal)
- Experience dealing with highly confidential information
- Intermediate to expert MS Office skills, focus on PowerPoint and Excel
- Business acumen to handle complex situations and multiple responsibilities
- Ability to interface with all levels of the organization including the CEO
- Strong collaboration, relationship-building, and influence skills
- Combination of technical, financial, and business knowledge and experience
