Your Role
The Blue Shield of California Promise Health Plan (BSCPHP) Finance team is responsible for implementing program requirements from Department of Healthcare Services (DHCS) and other regulators, and monitoring Medi-Cal financial performance including budget variances, growth and cost trends, forecasts, scenario modeling, and financial reporting. Medi-Cal programs managed within BSCPHP Finance team include but are not limited to Proposition 56 Supplemental Payment program, Hospital and other Directed Payment programs, CalAIM Incentive Payment Programs, and Skilled Nursing Facility Incentive Programs. Financial Analyst, Experienced will report to the Finance Analytics Manager and will be responsible for preparing various routine and on-demand tasks and reports that might involve extracting, manipulating, and analyzing data related to Medi-Cal line of Business and its various programs.
Your Work
In this role, you will:
- Assist with implementation and monitoring of DHCS directed payment programs, including analytics, production of contract performance reports, modeling of reimbursement rates, evaluation of financial contract modifications and compiling and monitoring key managed care statistics
- Participate in the development of financial models; collect and evaluate data, analyze results
- Support the performance reporting and forecasting processes for membership and financials
- Follow and conduct audit and internal control processes to ensure readiness, and compliance with accounting standards, principles and company policy
- Work with cross-functional partners across the organization to achieve department and organization objectives
- Be responsible for monitoring provider inquiry inbox for Finance and ensure resolution in timely manner
- Support and sometimes lead, projects as subject matter expert
- Research and respond timely and accurately to internal and external inquiries
Your Knowledge and Experience
- Requires a bachelor's degree or equivalent experience
- Requires at least 3 years of prior relevant experience
- Demonstrated experience with database analytics (ex: SQL, Visual Studio, etc.)
- Demonstrated mathematics, analytics, or problem-solved skills with proficiency with Microsoft Excel (Pivot Tables, vlookups, advanced formulas, etc.)
- Preferred experience with healthcare payor industry