Job Details

Responsibilities

• Develop an in-depth knowledge of various risk adjustment and quality programs ( CMS-HCC risk model, CMS HEDIS / STAR Quality measures, Health Exchange Risk Model, Medicaid Risk Model )
  
• Build and maintain financial models to support the business
  
• Produce clear, well-formatted reports in a concise, yet meaningful manner for various audiences
  
• Develop and maintain operational and financial reports to clearly communicate actual results and variances to plan, forecast and budget to department and business leaders
  
• Knowledge of medical terminology and coding ( ICD-10 diagnostic coding )
  
• Validate all reports for accuracy and reasonableness
  
• Coordinate activity / data exchange with 3rd party vendors to support business activities
  
• Assist in developing business level metrics to enable business leaders to make informed decisions around risk adjustment opportunities and operational activities
  
• Conduct cost-benefit analysis, calculate cost impact, and summarize findings
  
• Ability to independently research, interpret and process data into actionable reports and/or processes
  
• Automate and streamline reporting and business processes
  
• Prepare ad hoc financial analyses and other duties as necessary to support the team
  

Qualifications

Required Qualifications:

• Bachelor??s Degree in Accounting, Finance or related field
  
• 3+ years relevant risk adjustment, finance and/or accounting experience
  
• Strong analytical and communication skills with the ability to problem solve
  
• Excellent Microsoft Excel, PowerPoint, Access / database and financial modeling skills
  
• Proficient knowledge of SQL
  
• Strong organizational and planning skills
  
• Must meet established deadlines and produce accurate work produc

Required Qualifications

• Bachelor??s Degree in Accounting, Finance or related field
  
• 3+ years relevant risk adjustment, finance and/or accounting experience
  
• Strong analytical and communication skills with the ability to problem solve
  
• Excellent Microsoft Excel, PowerPoint, Access / database and financial modeling skills
  
• Proficient knowledge of SQL
  
• Strong organizational and planning skills
  
• Must meet established deadlines and produce accurate work product
  

Preferred Qualifications

• CPA or MBA
  
• Healthcare experience
  
• Self-driven in nature with minimal supervision on day to day activities
  
• Work independently, take initiative, and meet deadlines
  
• Presentation and reporting experience
  
• Develop an in-depth knowledge of various risk adjustment and quality programs ( CMS-HCC risk model, CMS HEDIS / STAR Quality measures, Health Exchange Risk Model, Medicaid Risk Model )
  
• Build and maintain financial models to support the business
  
• Produce clear, well-formatted reports in a concise, yet meaningful manner for various audiences
  
• Develop and maintain operational and financial reports to clearly communicate actual results and variances to plan, forecast and budget to department and business leaders
  
• Knowledge of medical terminology and coding ( ICD-10 diagnostic coding )
  
• Validate all reports for accuracy and reasonableness
  
• Coordinate activity / data exchange with 3rd party vendors to support business activities
  
• Assist in developing business level metrics to enable business leaders to make informed decisions around risk adjustment opportunities and operational activities
  
• Conduct cost-benefit analysis, calculate cost impact, and summarize findings
  
• Ability to independently research, interpret and process data into actionable reports and/or processes
  
• Automate and streamline reporting and business processes
  
• Prepare ad hoc financial analyses and other duties as necessary to support the team