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|Senior Financial Analyst - Hybrid Remote|
|Location:||CA Santa Barbara|
|Hours:||40 Monday Friday 8AM to 5PM|
|Great opportunity in Santa Barbara CA|
Currently working remote and anticipate a hybrid schedule once we return to the office targeted at February 2022 Reporting to the Chief Financial Officer this position is responsible for maintaining cost and utilization data which is utilized in the development of State capitation rates and reimbursement methodologies for the health plan, including supporting schedules for financial statements and key operating metrics and indicators. This includes maintaining cost and utilization statistics and performing complex analyses as required working independently under limited guidanceOversee, mentor and train other Analysts in department including communicating objectives, strategies and impact of current projects.Responsible for the data collection, completion of, and submission of rate development templates RDT, supplemental data requests SDR, or other data submission requirements to DHCS or other external regulatory agencies.Perform complex analysis and presentations on projects, including but not limited to provider reimbursement and provider contracting strategy.Assists in the preparation of the annual budget, as well as general accounting functions, and serves as the Finance Departments liaison on various committees.Provides statistical, analytical and technical experience as needed in the State rate-setting process, conference calls and medical budget preparation coordinate statistical and utilization information from various departmentsEnsures peer review of projects.Make recommendations for improvements, and then implement selected changes to data collection systems that would provide more meaningful financial, statistical and utilization dataAssists Chief Financial Officer and Director of Finance as necessary in analytical work as it relates to financial, utilization and rate-setting projectsProvides analysisstatistical assistance for the setup and expense projection of provider capitation contracts and for their subsequent operationDevelops and maintains suppor
BS MS. 10+ yrs exp using business intelligence software for data analysis. Read and write SQL. Ability to build model data, trend and using actuarial statistics.
IBM Cognos Business Intelligence tools.Knowledge of managed health care strategies, health care systems, Medi-Cal, Medicaid or medical claims processing and clinical quality measurement highly desirable.