Lead SUD Financial Operations Analyst

Job not on LinkedIn

🔥 15 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $110k - $125k / year

⏰ Full Time

🟠 Senior

⚙️ Operations

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California Mental Health Services Authority

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2009

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

California Mental Health Services Authority (CalMHSA) is an independent administrative and fiscal public entity representing California counties. It focuses on transforming mental health care by developing electronic health records (EHR) and promoting interoperability among various health IT systems. CalMHSA supports counties in improving mental health services through initiatives like early psychosis intervention, workforce development, suicide prevention hotlines, and research on equity and community impact. The organization works closely with county behavioral health departments to enhance support for mental health initiatives, especially in underserved communities.

📋 Description

• Oversee day-to-day DMC-ODS financial operations across multiple county jurisdictions • Review, validate, and process provider reimbursement requests and financial transactions • Manage county-specific invoicing and reconciliation processes • Monitor financial activity across multiple funding sources • Coordinate provider payment workflows and supporting documentation • Coordinate financial aspects of provider contracting and payment methodologies • Track and monitor non-DMC expenditures, including room-and-board and other non-claimable services • Analyze service utilization, reimbursement trends, and expenditure patterns • Reconcile claims activity, provider invoices, county billings, and accounting records • Support cost centers and project accounting structures • Maintain audit-ready financial records and supporting documentation • Evaluate denied services, payment variances, and reimbursement discrepancies • Develop executive and operational reports on financial performance and operational trends • Assist with financial policies, procedures, contract terms, and workflow documentation • Support implementation and administration of DMC-ODS financial systems and reporting tools • Review provider financial records and monitoring documentation for compliance • Assist counties with financial reporting requirements for delegated DMC-ODS functions and Medi-Cal Administration and QA/UR claiming • Identify improvements to operational efficiency, internal controls, and financial transparency • Collaborate with county fiscal staff, providers, auditors, consultants, and CalMHSA leadership • Provide technical guidance and financial subject matter expertise • Serve as the primary financial operations resource for provider reimbursement, county billing, and reconciliation • May supervise fiscal analysts and coordinate financial operations staff • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree in Accounting, Finance, Public Administration, Health Care Administration, Business Administration, Economics, or a related field required • Five (5) or more years of progressively responsible experience in behavioral health finance, managed care operations, healthcare reimbursement, county government finance, Medicaid/Medi-Cal administration, or similar fields • Demonstrated experience with reimbursement systems, provider payments, financial analysis, financial monitoring, budgeting, accounting concepts, and operational finance • Experience overseeing financial reconciliations, cost accounting, and contract fiscal oversight for behavioral health or Medi-Cal programs • Demonstrated knowledge of DMC-ODS and Medi-Cal financing, provider reimbursement, county billing, reconciliation, and delegated administrative functions • Advanced proficiency in Microsoft Excel, including pivot tables, complex formulas, financial modeling, and reconciliation tools • Proficiency in Microsoft Word and relevant financial or data management systems, including EHR and claims or billing platforms • Ability to identify confidential and sensitive information and handle it with tact and discretion • Strong analytical, problem-solving, presentation, written, and verbal communication skills • Ability to communicate complex financial concepts clearly to county leadership, provider representatives, fiscal staff, and diverse audiences • Ability to exercise independent judgment, conduct research, and ask appropriate probing questions • Ability to manage multiple priorities and concurrent projects and collaborate with internal and external stakeholders • Comfortable using virtual collaboration tools, including Teams, Zoom, and SharePoint • Detail-oriented and organized, with commitment to accuracy, financial integrity, and best practices • Initiative, independence, sound judgment, and resourcefulness • Adaptability in a fast-paced, high-stakes environment • Comfortable working remotely and maintaining accountability to leadership • Willingness to travel as needed • Ability to perform the stated physical, sensory, and mental demands • Ability to drive a motor vehicle on public roads and highways

🏖️ Benefits

• Fully remote work arrangement • Flexible work schedule depending on business needs • Company normal business hours of 8:00am to 5:00pm, Monday–Friday • Virtual collaboration tools, including Teams, Zoom, and SharePoint • Travel support for county partners and meetings or trainings