Job description

Company :
AHI agilon health, inc.
Location :
Remote - USA
Job Title :
Sr. Financial Analyst

Job Description :

agilon health is seeking a Senior Financial Analyst to join our rapidly growing Managed Care team! You will provide financial and analytical support to the local market leadership team to help improve business performance and drive improved financial outcomes. The ideal candidate will bring a background in supporting risk pool contract monitoring and administration, project ownership, report development, analytical thinking, and teamwork.

How You'll Contribute:

• Supports the local management team’s strategic and operational initiatives to control cost of medical care and other expenses.

• Performs routine and ad hoc analyses to support market’s strategic and operational initiatives.

• Identifies trends/patterns, shares analytics insights, and develops solutions/recommendations to improve outcomes.

• Monitor risk pool contract adherence.

• Monitor and analyze claims payments, manual adjustments and other fees assessed to risk pools for appropriateness.

• Research, audit, track issues and work with operational leaders and/or health plan counterparts to resolve transactions which appear inconsistent with the risk pool arrangements.

• Represents the Company in a professional manner, at all times, when dealing with both internal and external customers.

• Ability and willingness to learn new things, adapt to a changing environment and deal with various personalities.

• Ability to lead or participate on teams, based on project requirements.

• Follows all Company policies and procedures, including but not limited to personnel policies, safety policies and operational policies as communicated by management. Follows all Department policies and procedures, including but not limited to procedural guidelines/workflows, attendance requirements and performance requirements as communicated by management.

• In accordance with State and/or Federal confidentiality/privacy laws, maintains confidentiality of all company, provider, member and client information as specified by Company confidentiality policies and procedures.

What You'll Bring:

• 5 years of related experience including Data Modeling using MS Access or SQL, in healthcare.

• 5 years of experience with managed care finance, claims analytics and reporting.

• Ability to define problems, collect data, establish facts, and draw valid conclusions.

• Knowledge of the claims processes; payment methodologies; contract rate structures, health plan and governmental regulations.

• Excellent communication, analytical, facilitation and problem-solving skills.

• Ability to work with Microsoft Windows programs such as Office, Word, Excel, and Access.

• Understand basic financial and accounting concepts.

• Bachelor’s degree or Master’s degree in business administration or health care administration.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Referral program
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• SQL: 3 years (Required)
• Microsoft Excel: 5 years (Required)
• Value Based Care: 2 years (Required)
• Managed Care: 2 years (Required)
• Medicare: 2 years (Required)
• Budget variance Analysis: 3 years (Required)
• Claims Data: 1 year (Required)
• Reporting: 3 years (Required)

Work Location: Remote

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