What are the responsibilities and job description for the Sr. Financial Analyst (Managed Care) position at Adventist Health?
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
Job Summary:
Supports managed care contracting through the development of various financial models and rates to assist in negotiations. Uses knowledge of managed care contract reimbursement and working knowledge of a contract management system application to provide an accurate evaluation of data results along with the ability to clearly communicate any financial impact and insights from the results to managed care and AH leadership. Utilizes a strong technical knowledge of spreadsheets and database system applications as the tools and skills necessary to provide timely and accurate financial analysis and reporting.
Job Requirements:
Education and Work Experience:
- Associate’s Degree or equivalent combination of education/related experience: Required
- Bachelor's Degree or equivalent combination of education/related experience: Preferred
- Five years' related experience: Preferred
Essential Functions:
- Develop and prepare methods for data gathering and manipulation from multiple systems and sources as needed for the preparation of analytic financial models and reports.
- Sets up and maintains model/simulation rate terms within the contract management system and evaluate the results as needed for upcoming negotiations.
- Develops, analyzes, evaluates and prepares contract rates and terms when needed for a payer network proposal/counter proposal during negotiations.
- Keeps abreast of changes involving federal (CMS) and state Medicaid reimbursement rates and schedules. Assists in maintaining the methods needed in producing the standard CMS Medicare and Medicaid equivalent benchmark values.
- Assists with the managed care budgeting schedule preparation and forecasting of targeted increases with assumptions.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.
