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Revenue Financial Analyst III

L.A. Care Health Plan

Job Summary

The Revenue Financial Analyst III is responsible for the daily management of financial activity related to revenue received by L.A. Care. This includes revenue reconciliation, premium billing, monitoring enrollment and disenrollment policies and procedures, journal entry preparation, account analysis, month-end reconciliations, and preparation of financial reporting tools and audit schedules.

This role serves as a liaison with multiple internal departments and external contacts, acts as a subject matter expert, and provides mentorship and training to other staff.

Duties

  • Reconcile multiple revenue streams
  • Monitor disenrollment policies and procedures for accuracy
  • Prepare billing and analyze multiple revenue streams
  • Maintain schedules to track contract rate changes and ensure correct rate adjustments
  • Interpret regulatory requirements accurately
  • Prepare month-end reporting tools and analyze results in a timely manner
  • Prepare daily, weekly, and monthly financial reports
  • Prepare journal entries and perform general ledger analysis and reconciliation
  • Prepare audit schedules
  • Support special projects as assigned
  • Master the QNXT Enrollment and Claims Module
  • Master SAP FS-CD and FI-GL modules
  • Evaluate business operations and processes to identify technical solutions that improve performance
  • Provide mentorship, training, and process improvement recommendations
  • Perform other duties as assigned

Additional Information

  • Area Specifics: Medi-Cal Revenue
  • Additional responsibilities include preparation of the Supplemental submission for Medi-Cal to the California Department of Health Care Services (DHCS) and preparation of the Plan Partners' monthly capitation payments
Requirements & Qualifications

Education

  • Bachelor's degree in Finance or a related field required
  • Master's degree in Finance or a related field preferred
  • Equivalent education and/or experience may be considered in lieu of a degree

Experience

  • At least 4 years of experience as a financial analyst or in a similar finance/accounting role required
  • At least 4 years of experience in a managed healthcare setting (HMO and IPA) preferred

Skills

  • Strong accounting, analytical, and problem-solving skills
  • Excellent oral and written communication skills
  • Excellent data management and database skills
  • Advanced PC skills, including Excel, Word, and Access
  • Experience with SAP and SQL
  • Extensive knowledge of premium billing
  • Knowledge of Medi-Cal, Medicare, and Covered California preferred
  • QNXT application knowledge preferred

Certification

  • CPA preferred
Benefits & Perks

Benefits

  • Paid time off (PTO)
  • Tuition reimbursement
  • Retirement plans
  • Medical, dental, and vision coverage
  • Wellness program
  • Volunteer time off (VTO)

Location

Los Angeles, California, US

Employment Type

Full-time

Experience Level

Senior

Salary Range

$88,854 - $142,166

Remote work allowed

No

Posted

3 weeks ago

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