The Senior Financial Analyst will have a wide range of responsibilities, primarily helping to ensure the strength of the Fund’s balance sheet and providing management with critical insights through the reserving analysis process. The Senior Financial Analyst will have the opportunity to focus on the financial analysis function which includes actuarial analysis related to claims reserves utilizing accepted actuarial and statistical standards, as well as methodologies and knowledge. In addition, performs other financial analysis as it relates to monthly financial statements. Work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. This role works closely with the Vice President of Finance and key business partners to develop and execute pricing, modeling and strategies to support business goals.
ESSENTIAL JOB FUNCTIONS AND DUTIES
Monitors reserve adequacy and communicating of trends to executive leadership
Performs analysis that requires knowledge of advanced actuarial concepts/methods and/or advanced analytic approaches
Performs data analysis and synthesizes results
Utilizes best practices to develop and ensure appropriateness of highly complex, high impact actuarial modeling/statistical analyses/methodologies to develop and maintain actuarial models that influence business decisions
Responsible for selecting, reviewing, using and ensuring quality and accuracy of data used to perform moderate to highly complex actuarial and statistical analysis
Assists with developing internal reporting and analysis of actual claims experience and clinical data to focus on the efforts of the operations for targeted patients, trends, etc.
Understands the claims history and their performance in key categories relative to norms (primary care, urgent care, emergency rooms, mental health, dental, physical therapy, other specialty, etc.)
Leverages understanding of health plan business, products, markets and regulatory environment/new legislation to influence pricing/modeling strategies and business decision
Responsible for valuation support for the business by interpreting financial results, variances from budget and forecast to help identify behavior to assist in the risk management
Establishes reporting processes and workflows, monitors emerging experience and recommends corrective actions
Works with the Finance Team to understand, implement, and manage key financial transactions that impact claims reserves
Takes ownership for key outcomes and is accountable to multiple stakeholders.
Develops plans to execute the timely and accurate completion of deliverables and projects
Provides thought and/or technical leadership, including contributions to improvement, development and innovation, and often serves as a subject matter expert
Assists with the implementation of policies and procedures for the general ledger to ensure accounting policies and procedures embed the proper internal controls and are in accordance with GAAP
Works with internal departments and external parties to obtain necessary information to prepare, analyze and input transactions to the general ledger
Prepares supporting schedules and analysis of general ledger accounts for interim, monthly and year end closing
Analyzes and researches financial statement fluctuations, compiles financial/non-financial information from internal/external data sources, and performs reconciliations
Compiles ad-hoc financial and business analysis as requested by the Vice President of Finance or as requested from intra-departments
Identifies areas of process improvement within finance/accounting that contribute to efficient and effective workflows and works with finance staff to design and implement
Assists with the preparation of the fiscal-year annual budget
Assists with updating/developing and implementing specific reports and analysis
Assists with the preparation of board packages, including preparation of financials and write-up of balance sheet and income statement fluctuations and budget variances
Participates in professional development activities to keep current with trends and practices in the healthcare industry
Performs special financial and business analytical tasks as assigned by the Vice President of Finance
Performs other duties as assigned within the scope of responsibilities and requirements of the job
Performs Essential Job Functions and Duties with or without reasonable accommodation
ESSENTIAL QUALIFICATIONS
Years of Experience and Knowledge
5~7 years of related experience minimum to include technical experience in actuarial modeling and disciplines such as pricing, reserving or advanced analytics
5+ years of progressive work experience
Insurance and Healthcare industry experience, preferably with Health Plans desired
Education, Licenses, and Certifications
Bachelor’s Degree in Accounting/Finance/Math/Actuarial/Economics
Preferred: Associate Certification credentialed from the Society of Actuaries or Certified Public Accountant
Skills and Abilities
Must have strong analytical and quantitative skills including building cost/benefit models, data mining, and the ability to summarize the implications of findings
Strong financial analysis foundation creating forecasts and models
Significant experience working with healthcare claims in aggregate and in organizing large amounts of raw data into meaningful categories
Strong knowledge and experience with health insurance and claims data analyses
Self-starter with the ability to streamline functions and the passion to learn and grow
Advanced expertise with Microsoft Excel is required; familiarity with data query/data management tools extremely helpful (Access, SQL, Tableau)
Ability to work well with and proactively with cross-functional team members across the organization to gather information, request assistance when needed, and provide support when needed, etc.
Ability to independently research, analyze, evaluate, and solve complex financial and operational transactions
Excellent analytical, multi-tasking and problem-solving skills; accurate with numbers and detail oriented
Ability to maintain a composed and professional demeanor within a flexible and busy work environment
Demonstrates initiative and accountability, is conscientious and provides complete follow-through on areas responsibility
Strong communication and problem-solving skills
Ability to exercise accurate professional judgment
Must be able to deal effectively with confidential and sensitive information
Must possess a high level of computer skills (Word, Excel, Power Point, Accounting Systems, Access, etc.), advanced level of Excel is preferred
Knowledge and experience working with a range of automated financial systems and applications software such as General Ledger (SAGE Intacct or equivalent), Budgeting (Adaptive or equivalent), etc.
Must be fully vaccinated against COVID-19
Reference : Senior Healthcare Financial Analyst jobs
Source: http://jobrealtime.com/jobs/technology/senior-healthcare-financial-analyst_i15767
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