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IEHP · 1 month ago

Manager, Finance Analytics

United States

Full-time

Remote

Mid, Senior Level

$136K/yr - $179K/yr

5+ years exp

IEHP is dedicated to healing and inspiring the human spirit, and they are seeking a Manager of Finance Analytics to oversee finance activities related to their commercial and government lines of business. The role involves managing billing functions, ensuring compliance with regulations, and leading initiatives to improve financial processes.

Health CareHealth DiagnosticsHospital

Comp. & Benefits

Responsibilities

Oversee billing, payment processing, and reconciliation for DHCS supplemental payments and commercial line-of-business revenue streams

Manage encounter reconciliation and resolution of encounter/premium discrepancies through coordination with internal business partners and providers

Maintain accurate departmental records and oversee required audits by leadership, internal audit, regulatory, and external entities

Guide and mentor Finance Analytics and related teams to ensure productivity, compliance, and alignment with departmental policy

Provide cross-departmental communication and customer support to ensure timely issue resolution and superior service

Cooperate in developing and interpreting departmental policies, financial procedures, and regulatory requirements

Lead initiatives to improve operational accuracy, fraud mitigation, financial controls, and efficiency in financial processes

Ensure compliance with regulatory standards and organizational policies regarding Covered CA, CMS, DHMC, and HIPAA/PHI protections

Hire, train, and manage support staff, while monitoring and evaluating outcomes. Conduct performance reviews of each Team Member within IEHP guidelines

Perform any other duties as required to ensure Health Plan operations and department business needs are successful

Qualification

GAAP knowledgeCommercial health plan billingAdvanced Excel skillsManaged care experienceSupervisory experienceAnalytical skillsProblem-solving skillsEffective communicationAttention to detail

Required

Minimum of five (5) years of relevant managed care, premium billing, and/or other related experience

A minimum of two (2) years in a supervisory capacity

In lieu of supervisory experience, a Master's degree from an accredited institution or CPA License is required

Bachelor's degree in Finance, Business Administration, Economics, Health Care Administration, Accounting, or other related fields from an accredited institution required

Intermediate knowledge of generally accepted accounting principles (GAAP) and the practical application of general accounting theory

Expert knowledge of commercial health plan billing practices

Proficiency in Microsoft Office with advanced Excel skills

Excellent problem-solving skills and strong analytical skills

Ability to lead a high performing team

High attention to detail

Communicate effectively at all organizational levels both orally and written

Benefits

State of the art fitness center on-site

Medical Insurance with Dental and Vision

Life, short-term, and long-term disability options

Career advancement opportunities and professional development

Wellness programs that promote a healthy work-life balance

Flexible Spending Account – Health Care/Childcare

CalPERS retirement

457(b) option with a contribution match

Paid life insurance for employees

Pet care insurance

Company

IEHP

Glassdoor3.8

With a mission to heal and inspire the human spirit, Inland Empire Health Plan (IEHP) is one of the top 10 largest Medicaid health plans, the largest not-for-profit Medicare-Medicaid public health plan in the country, and for the fourth year in a row, certified as A Great Place To Work®.

Founded in 1995

Rancho Cucamonga, California, USA

1001-5000 employees