Financial Analyst Ii

4 weeks ago

Orange, United States CalOptima Full time

**Financial Analyst II (Decision Support)**

**CalOptima**

**CalOptima Health** is seeking a highly motivated an experienced **Financial Analyst II (Decision Support)** to join our team. The Financial Analyst II (Decision Support) will be responsible for providing quantitative financial analysis for various departments within CalOptima Health. Under general supervision, the incumbent will develop financial models used to forecast medical cost trends, provide support for provider contract negotiations, assess actuarial rate development studies, participate in annual budgeting functions and provide ad-hoc analytic support as needed.

**Position Information**:

- Department**:Financial Analysis**:

- Salary Grade**:312 - $84,092 - $134,548 ($40.43 - $64.6865)**:

- Work Arrangement**:Partial Telework**

**This position is eligible for telework in California.***

**Duties & Responsibilities**:

- 80% - Financial Functions
- Researches, assesses and develops advanced tools, models, reports and approaches to increase accuracy and timeliness of data-driven work projects.
- Develops medical expense, revenue and enrollment projections to support the budget process.
- Develops financial models and reports to support provider contract negotiations.
- Develops return on investment and business case analyses for program initiatives under consideration by senior management.
- Provides clinical and utilization analyses to assist Medical Management with improving outcomes and quality of care for CalOptima Health members. Collaborates with the Data Warehouse team to design and recommend improvements to the data warehouse.- 15% - Administrative Support
- Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short
- and long-term goals/priorities for the department.- 5% - Completes other projects and duties as assigned.

**Minimum Qualifications**:

- Bachelor's degree in business administration, finance, economics, actuarial sciences or related field required.
- 2 years of experience in a medical group, hospital or health plan setting required.
- Experience with managed health care or health insurance programs required.
- An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.

**Preferred Qualifications**:

- Experienced user of Tableau and/or Microsoft SQL Server.

**Required Licensure / Certifications**:

- N/A

**Knowledge & Abilities**:

- Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds.
- Work independently and exercise sound judgment.
- Communicate clearly and concisely, both orally and in writing.
- Work a flexible schedule; available to participate in evening and weekend events.
- Organize, be analytical, problem-solve and possess project management skills.
- Work in a fast-paced environment and in an efficient manner.
- Manage multiple projects and identify opportunities for internal and external collaboration.
- Motivate and lead multi-program teams and external committees/coalitions.

**Physical Requirements (With or Without Accommodations)**:

- Ability to visually read information from computer screens, forms and other printed materials and information.
- Ability to speak (enunciate) clearly in conversation and general communication.
- Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.
- Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.
- Lifting and moving objects, patients and/or equipment 10 to 25 pounds

**Work Environment**:
If located at the 500, 505 Building or a remote work location:

- There are no harmful environmental conditions present for this job.
- The noise level in this work environment is usually moderate.

If located at PACE:

- Work is typically indoors in a clinical setting serving the frail and elderly.
- There may be harmful or hazardous environmental conditions present for this job.
- The noise level in this work environment is usually moderate to loud.

If located in the Community:

- Employee will occasionally work outdoors in varied temperatures.
- There may be harmful or hazardous environmental conditions present for this job.
- The noise level in this work environment is usually moderate to loud.

**About CalOptima Health**:
CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public

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