Senior Financial Analyst - health plans

    • Secaucus, NJ

RESPONSIBILITIES:
Kforce's world class healthcare company in Rutherford, NJ is seeking a Senior Financial Analyst - Health Plan Finance Summary: The candidate supports the financial and operational evaluation of prospective Health Plan contracts, providing consulting and recommendations to insure growth and profitability of third-party payors. Towards this goal, works closely with Health Plan Sales, Regional Finance and Health Plans Finance Contract Support Manager. Partners with representatives of the Health Plan sales organization in response to contract proposals for regional and national contracts. This role will own the Health Plan revenue reporting process. To accomplish the required goals of the position, partner with various corporate functions, Health Plan Sales, Health Plans Finance, billing, and database teams. Job Responsibilities:

  • Responsible for the accuracy of Health Plan Revenue reporting
  • Develop and implement project plan and milestones to review current revenue reporting to ensure existing revenue is accurately reported; This project will collaborate with the departments analysts that support the negotiations as well as the Health Plan sales team and Optum (billing department) throughout the project
  • Leads project to determine how the Health Plan set-up process should be adjusted to ensure accuracy in revenue reporting from the start
  • Maintain and distribute the approval grid indicating the required approval by region that aligns to the corporate authorization matrix
  • Ad-hoc projects as needed


REQUIREMENTS:
  • Bachelor's degree
  • Minimum of three years of previous finance or accounting experience; Experience in healthcare is a plus
  • Strong financial, accounting, and analytical skills
  • Innovative thinker comfortable with ambiguity to complete tasks
  • Ability to work under pressure
  • Strong project management skills and the ability to manage multiple projects simultaneously
  • Ability to work effectively cross-functionally in a matrix environment and build/maintain relationships
Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

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