Accounting, Financial Vendor Analyst

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🔥 2 minutes ago

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Logo of NJM Insurance Group

NJM Insurance Group

1001 - 5000 employees

Founded 1913

Insurance

NJM Insurance Group is a well-established insurance provider offering a range of personal and commercial insurance products. Their services include auto, homeowners, renters, condo, commercial auto, and business insurance, with a focus on exceptional customer satisfaction and claims experience. NJM is recognized for its outstanding auto claims experience by J. D. Power and is committed to serving customers in states like Connecticut, Maryland, New Jersey, Ohio, and Pennsylvania. The company prides itself on being straightforward and customer-focused, without jingles or mascots, offering trusted insurance solutions and multiple discount opportunities for various policies.

📋 Description

• Serve as a subject matter expert on vendor analytics (cost, quantity, services, contract (terms, timelines, deliverables) and performance (SLA & Penalties)) and retrospective and prospective target analytics for risk adjustment programs. • Perform vendor and risk analytic studies which involves manipulating large amounts of data. • Create retrospective and prospective target lists for risk adjustment programs. • Support EDGE supplemental submission. • Identify patterns and trends in diagnostic coding practices in conjunction with risk score measurement. • Provide complete and accurate information for vendor audits (costs) and government audits (CMS) related to Risk Adjustment. • Conduct ad-hoc analysis like gap and root cause. • Periodically update process flow charts for business stakeholders. • Identify problems within Enterprise Resource Planning (ERP) system such as reporting limitations and recommend solutions. • Research, analyze, validate, and prepare data across multiple system platforms and sources for use in monitoring and reporting. • Build reports for internal customers to track various risk adjustment activities and fulfill business needs.

🎯 Requirements

• High School Diploma/GED required • Bachelor degree in Accounting, Finance, Mathematics, Statistics, Economics, Actuarial Science or other analytical field preferred or relevant experience in lieu of degree • Requires a minimum of 4 years’ experience in accounting • Proficient in at least one programming language (VBA, SQL, SAS, R) • Additional licensing, certifications, registrations: CPA or ASA preferred • Knowledge of accounting entries/accruals/month-end close process. • Knowledge of data analysis and Actuarial principles. • Knowledge of database applications.

🏖️ Benefits

• Comprehensive health benefits (Medical/Dental/Vision) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • Paid Volunteer Time Off • Tuition Reimbursement

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