Senior Financial Analyst

California  ‐ Onsite
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Description

Summary
  • The Senior Financial Analyst is responsible for the monthly management of the Shared Risk financial activity and Analysis.
  • This includes claims trend reconciliation, rates changes, audit schedules and updates of the PPG summaries.
  • They are responsible for the consolidation of liability accounts and calculation of the Shared Risk IBNR.
  • They will prepare all journal entries audit schedules related to shared risk journal entries and audit schedules.
  • They will be responsible for the accurate updating of all related month end reports.
  • They will prepare all necessary shared risk reporting for contracted Participating Provider Groups (PPG) performance for the product lines of business.
  • Will follow CMS guidelines to calculate and prepare documentation for broker commissions.
  • Will meet contractual requirements to calculate and reconcile the ADHC care coordinator contracts.
  • Interfaces and serves as liaison with multiple departments.
SKILLS:

Qualifications
  • Must have strong accounting skills, analytical and problem-solving skills, strong communication skills
  • Medi-Cal, Medicare, and MHC knowledge preferred
  • Must have strong HMO Health Care industry knowledge
Start date
n.a
From
Synectics
Published at
09.12.2015
Project ID:
1034573
Contract type
Freelance
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