Financial Analyst, Principal

4 weeks ago

Oakland, United States Blue Shield Of California Full time

Your Role

The Finance Cost of Healthcare team analyzes healthcare cost and utilization patterns and identifies opportunities to reduce cost. The Principal Financial Analyst - Healthcare Data will report to the Senior Manager Finance Analytics. In this role you will collect, prepare, analyze, and present healthcare utilization data, identify utilization patterns and trends, and collaborate with cross-functional teams on cost-saving initiatives.

Your Work

In this role, you will:

  • Monitor and measure cash flow and regulatory capital
  • Collect and evaluate data, develop and maintain financial models, analyze results and conduct scenario analyses to forecast balance sheet, cash flow and regulatory capital
  • Reconcile data results from different sources and combine them into integrated reports spanning cost, quality, utilization, and risk profile metrics
  • Follow and conduct audit processes and review internal controls to ensure financial transactions are accurate, timely and comply with accounting standards, principles and company policy
  • Participate on internal workgroups and committees to provide analytical insight and support for the implementation and enhancement of new programs, products, and services
  • Prepare and present reports and dashboards on healthcare utilizations and costs to internal stakeholders, such as senior management, underwriting, and actuarial teams
  • Analyze utilization patterns and monitor healthcare trends to identify potential changes in cost drivers
  • Work closely with IT teams to ensure the accuracy and integrity of data

Your Knowledge and Experience

  • Requires a bachelor's degree or equivalent experience
  • Requires at least 10 years of prior relevant experience
  • Requires at least 3 years of experience working with SQL
  • Requires at least 3 years of Power BI development experience
  • Familiarity with Healthcare Payer Administration Systems such as Facets, QNXT, Epic, MedHOK and NextGen Healthcare is preferred

Pay Range: The pay range for this role is: $ 136400.00 to $ 204600.00 for California.

Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.

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