Financial Analyst III - VBR

Job Summary:

The Financial Analyst III is responsible for analyzing 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.

Essential Functions:

• Responsible for analyzing 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
• Manage 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
• Responsible for the development of membership projections, medical expense forecast and budget and monitor monthly variances to identify trends
• Proactively identify trends and patterns using standard departmental reports and databases as well as leveraging other processes and data sources for data mining
• Evaluate and 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
• Master of Business Administration (MBA) or other related post-graduate degree is preferred
• Minimum of four (4) years of experience in finance, accounting, or other professional role with a focus on data manipulation and analysis is required
• Managed Care or healthcare experience is preferred

Competencies, Knowledge and Skills:

• SQL and/or SAS experience required
• 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 extensive experience and judgment to plan and accomplish goals
• Ability to lead and provide subject matter expertise to less experienced analysts in the department
• Wide degree of 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 complicated tasks
• 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, but not required

Working Conditions:

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

Compensation Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Create an Inclusive Environment

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business