142 applicants

Company

Alignment Health · 16 hours ago

Financial Data Analyst

United States

Full-time

Remote

Mid Level

$59K/yr - $88K/yr

3+ years exp

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Responsibilities

Assist with implementation of new expansion markets (reporting, system configuration, business processes, etc.).

Prepares monthly PCP capitation reports for direct contracted providers, IPA in the new expansion markets.

Review and validate “Alignment Provider Management Report” (APMR) internal system reporting data (revenue, capitation, supplemental JSA, claims, pharmacy, etc.);

Maintain IPA/ Hospital/ Supplemental contract types, effective dates, percentages/ PMPM’s for APMR system configuration.

Reviews monthly and annual capitation analysis, reconciliations and disbursements to IPA’s, reinsurance providers and ancillary medical service providers.

Review allocation of monthly revenue and expense by state and county to support the Accounting Department journal entries into Great Plains.

Review and validate “Provider Data Management” (PDM) implementation of new contract configuration setup in EZ-Member cap rate table. Assists with annual budget, bid preparation, and prepare network development rate modeling and analysis.

Supports Director and VP of Financial Planning & Analysis on all regulatory audits for CMS, the Department of Managed Healthcare, state, and federal taxing authorities, etc.

Prepares and tracks IPA financial solvency for all affiliated risk-bearing organizations (“RBO’s”) to present and distribute to management team.

Monitor affiliated risk-bearing organizations submission of financial statements quarterly & annual within 45 days from the end of the RBO fiscal year.

Reviews DMHC’s notifications in regards to Corrective Action Plans (CAP) for existing IPA’s with whom the Company transacts business;

Prepares various membership, revenue, and cost analyses by county for the Director and VP of Financial Planning & Analysis on both a monthly and ad-hoc basis.

Acts as a liaison to the Information Technology Department for the creation of various database queries on utilization, membership, revenue sources, etc.

Develops and updates policies and procedures (including desktop procedures) for functional areas such as capitation, late enrollment penalties, LICS, etc.

Reports annual membership metrics to regulatory agencies (e.g. – DMHC) on all risk bearing organizations (“RBO’s”) with whom the Company transacts business.

Reviews monthly and annual Plan-to-Plan (“P2P”) reconciliations for amounts payable to (and receivable from) other health plans.

Prepares and reconciles quarterly amounts received by (and due to) the Company with respect to the Coverage Gap Discount Program including follow up of payment discrepancies.

Other special projects as assigned.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Financial AnalysisAdvanced ExcelHealthcare ExperienceProject ManagementBusiness Writing

Required

3 years of relevant finance experience

Bachelor’s degree in a finance or equivalent work experience

Advanced knowledge of Excel

Excellent communication and interpersonal skills

An ability to explain financial matters in writing

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.

Ability to write reports, business correspondence, and procedure manuals.

Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry.

Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.

Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

At least an intermediate to advanced level of proficiency with MS Excel.

Good organization skills; ability to handle multiple assignments simultaneously.

Good analytical skills.

Good interpersonal skills in a business setting.

Good business writing skills.

Preferred

Healthcare experience preferred

Company

Alignment Health

Alignment Health provides eldercare services.

Founded in 2013

Orange, California, USA

501-1000 employees

https://www.alignmenthealth.com

H1B Sponsorship

Alignment Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (15)

2022 (10)

2021 (13)

2020 (8)