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Adventist Health · 2 months ago

Sr. Financial Analyst (Managed Care)

Roseville, CA

Full-time

Onsite

Senior Level

5+ years exp

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii. The Sr. Financial Analyst supports managed care contracting through the development of financial models and rates, providing accurate evaluations and insights to leadership regarding financial impacts.

Elder CareHealth CareHospitalMedicalNon ProfitWellness

Responsibilities

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