Financial Analyst

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🔥 8 hours ago

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CareSource

1001 - 5000 employees

Founded 30+ years

⚕️ Healthcare Insurance

Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

📋 Description

• The Financial Analyst I assists in the analysis for utilization and financial trends, costs, revenues, financial commitments and obligations incurred to predict future revenues and expenses. • Highly involved in the development, production, and validation of reports from detailed claims, eligibility, pharmacy and clinical data. • Compile and analyze financial and clinical information, including but not limited to preparing the evaluation of medical contracts, product lines, generating and managing medical and administrative cost saving initiatives, etc. • Ensure integrity of information obtained for analysis; keep an up-to-date knowledge of the computer information system. • Assist in the development of revenue & medical expense forecast and budget and monitor monthly variances to identify trends. • Identify and research trends and patterns using standard departmental reports and databases, as well as leveraging other processes and data sources for data mining. • Suggest appropriate improvements to internal analysis processes ensuring that practices are in line with the overall goals of the organization. • Support the financial control environment by reconciling internal data sets vs information provided by the State (such as, reconcile enrollment files to reimbursement records, etc.). • Utilize key analysis experience and knowledge to analyze and report medical, contract and administrative activity. • Make appropriate changes to ensure compliance with MAR, regulatory and other organization requirements. • Perform any other job related instructions as requested.

🎯 Requirements

• Bachelor of Science/Arts Degree in accounting, finance, economics, computer sciences or related field or equivalent years of relevant work experience is required • Previous experience in financial field is preferred • Managed care or healthcare experience is preferred • Knowledge of SQL and/or SAS is preferred, but not required • Highly proficient with Microsoft Excel • Proficient with Microsoft Office Suite, including Outlook, Power Point, Access and Word • Familiar with a variety of analysis concepts, practices and procedures • Perform a variety of tasks under general supervision • Creativity and latitude (independent judgment) is required • Ability to work with others and work independently • Demonstrates analytical/problem solving skills to perform a variety of tasks, some of which may be complicated • Possesses critical thinking/listening skills • Ability to communicate with all levels of management • Detail oriented.

🏖️ Benefits

• health insurance • 401(k) matching • flexible working hours • paid time off • remote work options

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