Financial Analyst II

Job Summary:

The Financial Analyst II is responsible for preparing analysis for utilization and financial trends, costs, revenues, financial commitments and obligations incurred to predict future revenues and expenses; as well as understand financial impacts of decisions and communicate those to management.

Essential Functions:

• Prepare analysis for utilization and financial trends, costs, revenues, financial commitments and obligations incurred to predict future revenues and expenses; understand financial impacts of decisions and communicate those to management

• 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

• Develop competitive analysis and present findings to senior management

• Prepare revenue and 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

• Make 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 duties as requested

Education and Experience:

• Bachelor of Science/Arts Degree in accounting, finance, economics, computer sciences or related field or equivalent work experience is required

• Two to Four (2-4) years of experience in financial field is required

• Managed care or healthcare experience is preferred

Competencies, Knowledge and Skills:

• SQL and/or SAS experience strongly preferred

• Advanced proficiency level 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

• Relies on experience and judgment to plan and accomplish goals

• 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

Licensure and Certification:

• Association for Financial Professionals (AFP) FP&A, or related certification is preferred

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time

• May be required to travel occasionally