[Hiring] Senior Financial Analyst @Highmark Health

Role Description

Perform a wide range of project tasks and act as a financial and operational liaison for operations, regulatory agencies, or other outside entities. Serve as the technical expert for team members. Analyze financial or contractual results, trends, performance metrics, and provide root cause analysis to support business decisions. May analyze products and plans. Recommend, based on trends and historical analysis, revenue budget adjustments, and other cost improvement measures. May be responsible for management and reporting functions for specific programs funded by commercial, federal, state, local, foundation, or industry partners through grants, contracts, or service agreement mechanisms.

• Records, classifies, and summarizes contractual transactions and events in accordance with generally accepted accounting principles.
• Interprets transactions and events for users at all levels of the organization who must make economic or business decisions. (20%)
• Develops and/or maintains processes and performs complex calculations to support strategic plans and operating budgets, supports monthly close or contracting process and the generation of financial statements. May be responsible for negotiations and comparisons of payor performance. (20%)
• Provides expertise and education related to budgeting, revenue recognition, reimbursement, and system and processes changes. Correlates Revenue/Expense to volumes and prepares reports to assist financial management in assessing financial performance. (20%)
• Evaluates, updates, and maintains processes in support of regulatory and third-party changes, quarterly workpapers, annual audits, cost accounting, and third-party cost reporting. (10%)
• Performs detailed variance analysis against expected budget, forecast, prior periods, modeling, or other revenue benchmarks as required to support operations. (10%)
• Stays abreast of issues impacting the healthcare industry and/or third-party payor regulations/requirements, sponsored project research, especially those that have a financial impact to AHN and communicates those issues to team and management. Makes recommendations for financial and performance improvement. (5%)
• Analyzes contractual or financial results, trends, performance metrics and provides root cause analysis to support contracting and/or business decisions. Recommends budget adjustments and other cost/revenue improvement measures. (15%)
• Performs other duties as assigned or required.

Qualifications

• Minimum: BA/BS Degree in Accounting, Finance, Business Administration or related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
• Minimum of 4 years’ financial analysis experience.
• Proficiency with spreadsheet applications and database management.
• Preferred: Master's Degree or equivalent experience.
• CPA, CMA, FHFMA, CHFMA or CRA.
• Sponsored program administration.
• Demonstrated ability to understand and apply complex federal regulations and policy.

Requirements

• This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
• Employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.
• All employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) and all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
• It is every employee’s responsibility to comply with the company’s Code of Business Conduct, including adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Benefits

• Pay Range Minimum: $31.02
• Pay Range Maximum: $48.54
• Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.
• The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.