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Senior Financial Analyst
4 months ago
At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community.
If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.
In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.
Employment Type
Employee
Employment Classification
Regular
Time Type
Full time
Work Shift
1st Shift (United States of America)
Total Weekly Hours
40
Location:
PACCT - 2000 Crawford Place
Mount Laurel, NJ
Additional Locations:
Job Information
Job Summary:
Responsible for the review, analysis and ongoing monitoring of managed care contracts for all Virtua entities to include both Virtua and payer compliance. Supports value-based contract reconciliations and oversight of partial and full risk contracts.
Position Responsibilities
Serves as liaison to Contract Management Administrator in the interpretation and implementation of contract packages to ensure proper pricing and collection of expected contract revenues. Maintains mid-cycle checklist. Confirms annual contract rate increases and/or rate load with payers. Prepares and processes Contract Management Reports as required.
Supports process improvement efforts of internal and external customers by providing detailed root cause analysis.
Analyzes payer data related to value-based contracts to include leakage analysis and shared savings reconciliations in collaboration with VIN analytics. Assists in validating utilization and quality data related to value based agreements.
Prepares financial models for contract renewal. Measures mid-cycle contract financial performance and compliance. Evaluates alternative payment methodologies. Prepares impact analysis of regulatory and/or payer policy changes. Facilitates payer claims audit of implant and drug carve outs.
Compiles the data needed for reporting related to the NJ Medicaid Access to Physician Services (MAPS) program.
Analyzes monthly Payment Variance reports to identify trends, payer payment discrepancies and/or internal calculation errors. Supports Finance Departments in budget preparation.
Prepare year end managed care statistics summary.
Participates in development of business plans for new programs and services.
Supports Director and AVP in preparing ad-hoc reports and performing special projects.
Position Qualifications Required
Required Experience:
Three(3) to five(5) years progressive experience in healthcare finance or managed care industry. Background in payer community preferred.
The Senior Financial Analyst must have excellent analytical skills, communication and presentation skills.
Extensive experience with Microsoft Excel, Microsoft Access, Microsoft Power Point and Microsoft Word is also required. Working knowledge of EPIC Contract Management system.
Applicant should be detail oriented, self- motivated and possess ability to work cooperatively with others in a team setting. Must have ability to work independently and prioritize work assignments.
Required Education
Bachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration or related field required.
Training / Certification / Licensure
EPIC hospital resolute billing certificate preferred.
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