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View BenefitsEligibility Specialist
Location: Petaluma, CA
Eligibility Specialist
Job Description
Location: Petaluma, CA
Employment Status: Full-Time, Hybrid
Position Summary:
The Eligibility Specialist is responsible for health plan membership and physician data maintenance to support all analytical needs with respect to eligibility, membership, and capitation. The primary role is to resolve eligibility issues and update member records in the database to ensure accuracy of the data. The incumbent will assist in processing a large volume of monthly files received from Health Plans and audit for any discrepancies. This incumbent will also assist in the production of less complex analyses and routine and ad hoc reporting.
Salary Range: $21.83- $25.87 DOE
Essential Job Functions:
· Convert health plan raw data file to readable formats.
· Validates the extraction, transformation, and loading of data into the test database for completeness and integrity.
· Upon test authentication, upload monthly membership data by health plan/provider/member including enrollment, terminations, member migration, and other metrics in production.
· Identifies and resolves any membership issues, movements, patterns, and trends, and makes appropriate updates to members records in production.
· Responsible to work all eligibility open tickets.
· Run EMPID files as needed.
· Identifies and reports the more complex cases for further follow up by Director.
· Conduct routine quality audits of eligibility uploads to ensure data integrity is clean, accurate and consistent and reports findings to Director.
· Provides back-up to other resources and functions within the team.
· Responsible to participate in system upgrade testing pertaining to eligibility.
· Performs other than normally assigned duties, as directed, and required, within and outside of the department to support Meritage’s overall business needs, goals, and objectives.
· Models professional work standards and behaviors to maintain and strengthen a professional working atmosphere and strictest confidentiality within the department and with other Meritage internal and external customers and work partners.
· Consistently demonstrate behaviors, conduct and communications that support Meritage’s Practices and Values of Accountability, Diversity, Integrity and Respect for others, and seeks to influence these behaviors in others.
· Continuously endeavors to “raise the bar” of performance and teamwork through a focus on Innovation, Collaboration, Equality and Compassion.
Job Requirements
Requirements & Qualifications:
· A High School Diploma.
· A minimum of 1 year of work experience related to healthcare/managed care eligibility, enrollment/membership.
· Experience utilizing and performing eligibility/enrollment functions with a managed care system. (eg. Medvision QuickCap 7 – preferred, EZ-Cap, Epic-Tapestry).
· Type of knowledge expected in the healthcare managed care industry including, but not limited to, eligibility, policies, procedures, processes, terminology, and methodologies.
· Proficient in Microsoft Office Suite (Word, Excel, Outlook, Teams, PowerPoint).
· Effective written and verbal communication skills required. Excellent interpersonal skills, including the ability to communicate clearly and professionally, both verbally and in writing.
· Must have solid critical thinking and problem-solving skills and be results driven.
· Must have excellent task management skills, which include ability to organize and prioritize duties, attention to detail, and time management.
· Must possess a customer service orientation with a commitment to excellence and quality.
· Must demonstrate the values of integrity, accountability, and respect in dealings with others and with his/her work product.
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Senior Human Resources Business Par...
Location: Petaluma, CA
Senior Human Resources Business Par...
Job Description
Location: Petaluma, CA
Employment Status: Full-Time, Hybrid
Position Summary
The Senior Human Resources Business Partner (Sr. HRBP) performs and leads a variety of complex Human Resources functions which include, but are not limited to, all aspects of full-cycle recruitment and onboarding, benefits and wellness programs, retirement plan administration, Leaves of Absence administration, and HRIS maintenance. The Sr. HRBP researches, analyzes and advises management on best practices relating to employee relations and strategies. The Sr. HRBP works as part of a cohesive HR team and cross-functionally with leadership and the Accounting/Payroll department; and serves as a trusted partner to all staff, external partners, and vendors.
Salary Range: $78,811.20- $93,392 DOE
Essential Job Duties
• Assists the HR team with daily workflow, operations, planning and prioritization of work, and project work associated with the department.
• Supports the HR Manager as required to support HR and related functional area initiatives.
• Responsible for employee recruitment activities for all positions. This includes: clarifying content and requirements for open positions, updating job descriptions, posting open positions on the Meritage website and identified external posting and advertising sites, sourcing candidates (e.g. staff referrals, LinkedIn, etc.), screening applicants, forwarding candidates for management review, coordinating interview processes, obtaining references, assisting with negotiating employment offers, extending offers, obtaining background screenings and managing the pre-employment process.
• Onboards new employees, conducts Exit Meetings with terminating employees, and coordinates offboarding with cross-functional departments (Ex: IT Department and Payroll/Accounting Department).
• Follow-up on EDD data requests for employees accessing SDI and termination of employment.
• Responsible for organizing and maintaining applicant database, tracks status of openings; and develops, tracks and reports recruitment and hiring metrics.
• Understands and communicates company benefits programs, including retirement plan, and company mission and values.
• Assists with the planning, development and drafting of materials and processes associated with annual Benefits Open Enrollment. Assists with annual benefits fairs by working closely with HR team members, health plan brokers and benefits carriers.
• Assists with the coordination and tracking of all aspects of staff Leaves of Absences, consistent with FMLA, CFRA, ADA, and all other regulatory laws, rules, and requirements.
• Utilizes the company HRIS and assists with input and regular audit of employee data – demographics, assignment, and benefits data. Maintains excellent working knowledge of the HRIS and continues to develop more advanced skills in this area.
• Updates employee electronic files and databases to document personnel actions and to provide information for payroll and other uses.
• Works closely with and acts as primary back-up for the Senior HRBP and assumes assigned duties in their absence.
• Is accountable for work performed; and works to develop and maintain trusting relationships with Meritage staff, HR coworkers, leadership, and external business partners.
• Seeks to continuously learn from errors and experiences, as well as new developments in job-specific HR areas, and actively applies continuous performance improvement methods to workflows and processes.
• Within and outside of the HR department, performs other duties as assigned, to support Meritage’s business needs.
• Consistently demonstrates behavior, conduct and communication that supports Meritage’s Practices and Values of Accountability, Diversity, Integrity and Respect for others, and seeks to influence these behaviors in others.
• Continuously endeavors to “raise the bar” of performance and teamwork through a focus on Innovation, Collaboration, Equality and Compassion.
Job Requirements
Minimum Qualifications & Requirements
• Bachelor’s Degree in Human Resources or related field.
• Minimum of 5 years of current, related HR experience, preferably in the healthcare industry; or equivalent combination of education, work experience, and skills.
• HR Certification preferred.
• Proficient in MS Office Suite (Word, Excel, PowerPoint, Publisher, Outlook, and Teams) and a strong working knowledge using Excel (e.g. V-Lookup and formulas).
• Maintains a prominent level of confidentiality and has a working knowledge of applicable federal, state, and municipal regulations as they relate to human resources.
• Strong working knowledge of updating, maintaining, auditing, and developing an HRIS system, including reporting capabilities for report generation.
• Current understanding of State and Federal laws and regulations related to fair and lawful interviewing and hiring processes, Section 125 Health and Welfare plans, Leaves of Absence, 401(k) retirement plans, At-Will employment arrangements and related progressive disciplinary actions and processes, and termination actions.
• Excellent written and verbal communication skills including effective listening and in-person or virtual presentations.
• Professional demeanor with a positive and self-confident, yet approachable and kind, affect.
• Ability to exercise cognitive thinking skills and to work independently with minimal supervision.
• Ability to develop, draft, update and communicate policies and procedures.
• Ability to work in a fast-paced environment with rapidly changing and competing priorities.
• Takes initiative and determines best course of action for a vast array of HR issues by accessing all available resources.
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Call Center Representative
Location: Petaluma, CA
Call Center Representative
Job Description
Location: Petaluma, CA
Employment Status: Full time, Hybrid
Hourly Range: $19.85 – $23.52 DOE
POSITION SUMMARY:
The Meritage Call Center Representative provides prompt, accurate and courteous responses to written and telephonic inquiries. These inquiries encompass numerous contacts and originate from subscribers, members, physician offices, and Health Plans; and typically involve a variety of issues including benefits, pricing, claim rejections, authorizations, and claim status.
ESSENTIAL JOB FUNCTIONS:
• Ability to research and accurately resolve problematic situations.
• De-escalate situations involving dissatisfied customers, offering patient assistance and support.
• Provide full customer service where you could accept inbound or might be calling out to provide follow up on a concern.
• Maintain customer accounts and information.
• Respond to customer inquiries with compassion and active listening and support the best solution in an efficient manner.
• Models professional work standards and behaviors to maintain and strengthen a professional working atmosphere and strictest confidentiality within the department and with other Meritage internal and external customers and work partners.
• Is accountable for work performed by self, works to develop and maintain trusting working relationships with others, and seeks to continuously learn from errors and experiences, as well as new developments in job specific Call Center administration and operational areas.
• Adopts, incorporates, is mindful of, and otherwise supports Meritage’s overarching annual and longer-term strategic business goals and objectives while performing work duties, special projects and other duties as assigned within or outside of the Call Center.
• Seeks to continuously learn from errors and experiences, as well as new developments in job specific areas.
• Performs other than normally assigned duties, as directed, and required, within and outside of the department to support Meritage’s overall business needs, goals, and objectives.
• Initially and on an ongoing periodic basis, spends time with each HR staff member, payroll and other identified internal staff to gain an understanding of their job duties, challenges, and to better identify and support an effective continuum of workflow with Meritage, to support continuous process improvement and remove any roadblocks impacting productivity.
• Consistently demonstrate behaviors, conduct and communications that support Meritage’s Practices and Values of Accountability, Diversity, Integrity and Respect for others, and seeks to influence these behaviors in others.
• Continuously endeavors to “raise the bar” of performance and teamwork through a focus on Innovation, Collaboration, Equality and Compassion.
Job Requirements
REQUIREMENTS & QUALIFICATIONS:
• High School Diploma or GED required.
• 3-4 years previous customer service, or call center experience.
• Familiarity of medical terminology preferred.
• Prior experience with medical coding (ICD10, CPT) preferred.
• Microsoft Office Suite applications: Word, Excel, PowerPoint, Outlook, Teams, etc.
• Customer service experience in a healthcare related field- HMO experience preferred.
• Multi-task and keyboard while researching, following up, resolving, and documenting telephonic inquires.
• Knowledge of benefit interpretation/benefit adjudication logic.
• Must be proficient in problem solving and detecting trends.
• Excellent communication skills – meaning you can adapt to new and different situations, read the behavior of others, have difficult conversations with ease and defuse and resolve conflict.
• Must be able to read and interpret all types of authorization, medical claim forms and member benefit plans.
• Integrity to follow HIPAA guidelines on maintaining patient privacy.
• Ability to adapt and excel in a fast-paced work environment.
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To be considered for the position please fill out the form below.
Network Relations Coordinator
Location: Petaluma, CA
Network Relations Coordinator
Job Description
Location: Petaluma, CA
Employment Status: Full-Time, Hybrid
Hourly Range: $21.83/hr. – $25.87/hr.; DOE
Summary:
As a key member of the Network Relations Department, serves as the primary point of contact for all incoming calls and inquiries to the department. Provides administrative support to the Network Liaisons while they are out in the field visiting provider offices or are otherwise occupied with meetings and events. Assists with coordinating quarterly physician and network-wide newsletters and ad hoc communications with the provider offices. Assists with the coordination of Network events and meetings. Sets up and maintains network department databases, files and records.
Duties and Responsibilities
• Conducts research regarding provider loads, contract templates and fee schedules for issue resolution.
• Responsible for review and completion of Roster Reconciliations for all FCMG Health Plans
• Provides direction regarding configuration of new provider loads and provides historical knowledge of contract structures.
• Responsible for submitting all ADDS/TERMS/CHANGES via ticketing queue to Provider Data Management for processing.
• Notifies all Health Plans regarding ADDs/TERMS/Changes to the FCMG Network.
• On a monthly/bi-monthly cadence audits loads to health plan websites- to ensure timely and accurate load/affiliation of FCMG providers.
• Acts as primary point of contact with Health Plans regarding all data elements.
• Researches and resolves issues regarding provider data, fee schedules, configuration, originating from various departments and conversion audits.
• Performs other duties as assigned related to supporting the Network Relations Department and the overall organization.
• Maintains organization of provider files on departmental shared drives, assigned systems and databases to ensure such information is up-to-date and easily accessible.
• Consistently meets department productivity, efficiency and performance metrics, goals, and objectives.
• Recommend process, practice and procedural changes and improvement to streamline, simplify and strengthen department efficiencies in assigned areas. Contributes to the efficiency of the department by being flexible and cross-trained on other functions and positions.
• Consistently demonstrate behaviors, conduct and communications that support Meritage’s Practices and Values of Accountability, Diversity, Integrity and Respect for others, and will seek to influence these behaviors in others.
• Continuously endeavors to “raise the bar” of performance and teamwork through a focus on Innovation, Collaboration, Equality and Compassion.
• Performs other duties as assigned related to supporting the Network Relations Department and the overall Meritage organization.
Job Requirements
Requirements and Qualifications
• Bachelor’s degree in a related healthcare or business field preferred.
• 1-3 years’ related work experience.
• Healthcare related sales training and/or experience is a plus.
• Working knowledge and experience with office-based computer equipment and systems including: MS Suite (Teams, Outlook, Word, Excel, PowerPoint, Publisher) and Adobe.
• Excellent customer services skills with a demonstrated genuine and friendly demeanor.
• Strong written and verbal communications skills.
• Strong organization skills with a detail orientation.
• Ability to multi-task and meet deadlines and agreed upon deliverables.
• Professional comportment and work style that projects a confident, open, capable and trustworthy persona that is able to be sustained and maintained in all initial and subsequent interactions with customers.
• Must possess strong listening skills with the ability to make customers feel as though they have been heard and that their input, concerns and suggestions are valued and will be taken seriously.
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To be considered for the position please fill out the form below.
Senior Accountant
Location: Petaluma, CA
Senior Accountant
Job Description
Location: Petaluma, CA
Employment Status: Full-Time, Hybrid
Position Summary:
Prepares consolidated financial statements including balance sheets, income statements, and cash flow statements. Reviews and analyzes account balances, verifies accuracy, prepares reconciliations and other supporting schedules, investigates issues and makes recommendations for corrections. Develops and enhances accounting/finance applications and reports based on management needs for performance measurement. Provides guidance, assistance and back-up to other accounting and support staff as required/assigned, including revenue, accounts receivable/payable, payroll, and provider compensation.
Salary Range: $96,408.00- 116,766.00; DOE
Essential Job Responsibilities:
• The Senior Accountant maintains financial records and ensures that financial transactions are properly recorded.
• Ensures the accuracy of entries to ledger accounts and reconciles subsidiary ledger accounts to the general ledger.
• Supports month-end and year-end close processes and prepares accurate, timely financial statements in accordance with established schedule.
• Performs regular general ledger updates and maintenance using Microsoft Dynamics 365 Business Central accounting software.
• Conducts monthly and quarterly account balance reconciliations to ensure accurate reporting.
• Analyzes financial statements for discrepancies and other issues that should be brought to Senior Management’s attention.
• Participates in budgeting processes and prepares budget variance reports and analysis.
• Assists with preparation for annual audits.
• Develops and documents policies and procedures to maintain and strengthen department processes and internal controls.
• Conducts other finance-related analysis and prepares reports to support management objectives.
• Assists with the training of department staff, cross-trains to provide back-up for other finance department processes.
• Adheres to required GAAP standards.
• Consistently demonstrate behaviors, conduct and communications that support Meritage’s Practices and Values of Accountability, Diversity, Integrity and Respect for others, and will seek to influence these behaviors in others.
• Continuously endeavors to “raise the bar” of performance and teamwork through a focus on Innovation, Collaboration, Equality and Compassion.
Job Requirements
Education, Experience and Qualifications:
• Bachelor’s degree in accounting. CPA or CPA-ready is preferred or a combination of experience and education.
• Minimum 7 years of current professional hands-on accounting experience; 3-5 years in a health care organization, managed care environment preferred. Additional experience with accounts payable and payroll is a bonus.
• Ability to work at an advanced level with Excel and accounting applications (Microsoft Dynamics, NetSuite, Great Plains or similar).
• Ability to perform mathematical computations and compute ratios and percentages.
• Skill in defining problems, collecting data, interpreting financial material.
• Skill in preparing statistical and narrative accounting and auditing reports.
• Ability to communicate clearly and to maintain effective working relationships.
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To be considered for the position please fill out the form below.
Credentialing Coordinator
Location: Petaluma, CA
Credentialing Coordinator
Job Description
Location: Petaluma, CA
Employment Status: Full time, Hybrid
Salary Range: $24.07/hr- $28.53/hr DOE
Position Summary:
As a key member of the Business Services Department, serves as a primary point of contact for all aspects of credentialing and re-credentialing for physicians, advanced practice providers and organizational providers. The Coordinator works to develop and maintain a streamlined, efficient, and automated process for credentialing and re-credentialing in compliance with contracted health plans and National Committee for Quality Assurance (NCQA) requirements and per organization’s policies and procedures. This position works closely with other Meritage staff (e.g., Contracting, Network Relations, Claims and Utilization Management Department) to ensure providers are added to the network in a timely manner. Essential Job Functions
•Maintains up-to-date data for each provider in computer database by ensuring timely reviewof licenses and certifications renewals.
•Reviews and screens initial and recredentialing applications for completeness, accuracy, andcompliance with federal, state, and local guidelines, policies, and industry standards.
•Identifies and resolves discrepancies, time gaps and other issues that could delay completion of thecredentialing process.
•Query monthly reports for expirable information (e.g., licenses, DEA, & malpractice insurance) andupdate database with new information.
•Communicates clearly with providers or their staff as needed to provide timely responses torequests for additional credentialing information or issues as they arise.
•Prepares credentialing files for presentation at the Membership Committee; responsible forconfirming the completeness of information and all documentation prior to presentation.
•Prepares custom reports from the department database for uploads to CVO and VerifyComply.
•Maintains all the credentialing documentation are up to health plan audit standards andcoordinates with Director and/or manager health plans for annual credentialing audits.
•Maintains confidentiality of provider information.
•Models professional work standards and behaviors to maintain and strengthen a professionalworking atmosphere and strictest confidentiality within the department and with other Meritageinternal and external customers and work partners.
•Responsible for all aspects of credentialing/re-credentialing providers, to include but notlimited to verification of application/documents, mailing of requests for consideration, initialapplications, approval, denial, termination letters, tracking license and certification expiration
for providers, and accurately loading/maintaining provider information into the Credentialing database. • Accountable for work performed by self, works to develop and maintain trusting working relationships with others, and seeks to continuously learn from errors and experiences, as well as new developments in job specific administration and operational areas.
• Consistently demonstrate behaviors, conduct and communications that support Meritage’s Practices and Values of Accountability, Diversity, Integrity and Respect for others, and will seek to influence these behaviors in others.
• Continuously endeavors to “raise the bar” of performance and teamwork through a focus on Innovation, Collaboration, Equality and Compassion.
• Performs other duties as assigned related to supporting the Credentialing Department and the overall Meritage organization.
Job Requirements
Qualifications & Requirements
• Bachelor’s degree in a healthcare, business, or related field of study; or equivalent combination of education and experience.
• Minimum 2 years’ related work experience, with 1 year of current credentialing work experience, preferably in a managed care setting.
• National Association Medical Staff Services (NAMSS), Certified Provider Credentialing Specialist (CPCS) preferred.
• Knowledge of medical provider credentialing and accreditation principles, policies, processes, procedures, and documentation.
• Knowledge of Internet resources and regulatory agencies such as Medical Board of California, Drug Enforcement Administration (DEA), National Practitioner Data Bank (NPDB), and Office of Inspector General (OIG), etc.
• Working knowledge and experience with office-based computer equipment, systems and applications (e.g. MS Office Suite: Word, Excel, PowerPoint, Outlook, Teams, Adobe and Publisher).
• Able to use independent judgment and to maintain confidentiality and discretion in all communications on behalf of credentialing applicants and/or applications.
• Strong written and verbal communications skills.
• Excellent customer services skills with a demonstrated genuine and friendly demeanor.
• Detail orientation with the ability to organize and prioritize work and manage multiple priorities with mature judgement.
• Demonstrated ability to work and communicate efficiently and effectively with physicians and their staff on credentialing matters.
• Ability to multi-task and meet deadlines and agreed upon deliverables.
• Ability to problem solve and research and analyze data, discrepancies, and variances.
• Ability to work independently with minimal supervision.
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To be considered for the position please fill out the form below.
Clinical Coding Specialist
Location: Petaluma, CA
Clinical Coding Specialist
Job Description
Location: Petaluma, CA
Employment Status: Full-Time, Hybrid
Position Summary:
Clinical Coding Specialists are responsible for reviewing patient medical records for Medicare Advantage enrollees, and other groups/populations as assigned, to identify chronic conditions to be prioritized and addressed by healthcare providers. The review process includes working with multiple electronic health records, completing of pre-appointment reviews, completing post-appointment reviews, and reviewing capture of chronic conditions for physician incentives. They must maintain best practices for accurate data collection and adhere to Meritage policies and procedures.
Salary Range: $29.19/hr. – $34.60/hr.
Primary Responsibilities:
• Complete pre-reviews to inform physicians of any outstanding HCC.
• Complete post-review to ensure all codes on the claim are documented in the chart note.
• Provide feedback to physicians and remove codes when documentation does not support coding via charge entry or delete file process.
• Add additional HCC codes when substantiated in the chart note and not on claim via charge entry or supplemental data process.
• Maintain Continued Education Units (CEU) for credentials in addition to any new coding guidelines as it pertains to HCC/Risk Adjustment.
• Assist in educating physicians and staff regarding coding procedures and policies to ensure compliance.
• Maintain HIPAA compliance at all times.
• Adhere to CMS coding guidelines and OIG regulations at all times.
• Monthly updates and reporting to provider network regarding AWV completeness and recapture rates.
• Maintain excellent customer relationships with physicians, medical office staff, health plan partners and internal departments.
• Complete scheduled and ad-hoc chart reviews for provider network and health plans.
• Track coding trends when completing chart reviews and report back to leadership, provider network and/or health plans.
• Contributes to the team’s effort and success by accomplishing delegated tasks on time and meeting daily and weekly job goals.
• Promotes a team approach by encouraging communication among all members of the Risk Adjustment team.
• Consistently demonstrate behaviors, conduct and communications that support Meritage’s Practices and Values of Accountability, Diversity, Integrity and Respect for others, and will seek to influence these behaviors in others.
• Continuously endeavors to “raise the bar” of performance and teamwork through a focus on Innovation, Collaboration, Equality and Compassion.
• Performs other duties and projects as assigned that support the Care Management Team and other areas, departments and programs within the Meritage organization.
Job Requirements
Minimum Qualifications & Requirements:
• High School diploma or equivalent (e.g. General Education Diploma “GED”).
• CPC or CCS certification required. CRC certification preferred.
• Minimum of 1 year of risk adjustment coding; current medical background with chart review experience; 2 years of customer service experience in a healthcare related setting.
• Expertise in RAF/HCC, ICD-10-CM and CPT.
• Working knowledge in HCC coding.
• Working knowledge of medical terminology, anatomy and physiology, disease processes and pharmacology.
• Able to work effectively on an independent basis or as part of a larger work team.
• Demonstrates critical thinking skills, sound judgement and a solid sense of accountability.
• Able to concurrently use different electronic health record systems as needed.
• Detail oriented and able to work as a collaborative and positive team member.
• Strong written, verbal and listening communication skills.
• Demonstrates a professional demeanor and excellent customer services skills.
• Treats others in a respectful, kind and patient manner.
• Self-motivated and able to ask for assistance when needed.
• Flexible and adaptable to change.
• Experience with Accountable Care Organization (ACO) or Direct Contracting Entity (DCE), preferred.
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Senior Financial Analyst
Location: Petaluma, CA
Senior Financial Analyst
Job Description
Location: Petaluma, CA
Employment Status: Full-Time
POSITION SUMMARY:
The Senior Financial Analyst is responsible for the production of analyses, projections, routine and Ad-Hoc reporting to support the decision-making functions of MMN management and Individual Practice Association (IPA), Medical Group leadership, as well as collaborating with identified internal and external partners with analyses including, but not limited to new or expanding programs and lines of business for MMN.
Salary Range: $96,408.00- 116,766.00; DOE
DUTIES & RESPONSIBILITIES:
• Develop and maintain analytical models for revenue analysis, membership, claims triangles and Power BI reports.
• Lead activities related to the production of financial reports and results of operations.
• Provide insights for evaluating, recommending, maintaining and monitoring appropriate internal controls and related documentation.
• Perform ad hoc reporting and analysis and investigating issues, providing explanations and interpretation.
• Provide support of business plan development, Professional Services Agreements (PSA) administration, and provider productivity reporting.
• Assist in the development of financial and productivity related performance reports for the IPA and Medical Group providers and MMN and Medical Group Care Center Operations.
• Assist in the development of information delivery to optimize the use of financial resources.
• Responsible for overseeing the production of a wide variety of routine recurring reports and analyses, e.g. productivity reports, payer-mix analyses, health plan and regional P&Ls, trends, benchmarking, scorecards, and dashboards.
• Responsible for business case development related to possible acquisitions in existing business lines.
• Provide key financial and statistical information for the long-term forecast development.
• Develop appropriate benchmarks, the identification of trends and variances, and an assessment of underlying business practices.
• Emphasize opportunities to control and reduce costs. Plans for the short and long-term financial needs of the organization.
• Assure optimum utilization of financial resources through sound forecasting.
• Participate in strategic business planning and monitors and tracks progress towards meeting identified initiatives and efforts.
• Responsible for market and demographic research requests regarding the entry into new markets and/or lines of business.
• Ensure data from support services departments promote reliability and accuracy of information.
ADDITIONAL DUTIES & QUALITIES:
• Accountable for work performed, works to develop, and maintain trusting working relationships with others.
• Seeks to continuously learn from errors and experiences, as well as new developments in job specific areas.
• Performs other than normally assigned duties, as directed, and required, within and outside of the department to support Meritage’s business needs.
• Adopts, incorporates, is mindful of, and otherwise supports Meritage’s overarching annual and longer-term business goals and objectives while performing work duties, special projects and other duties as assigned within or outside of the Department.
• Consistently demonstrate behaviors, conduct and communications that support Meritage’s Practices and Values of Accountability, Diversity, Integrity and Respect for others, and seeks to influence these behaviors in others.
• Continuously endeavors to “raise the bar” of performance and teamwork through a focus on Innovation, Collaboration, Equality and Compassion.
Job Requirements
MINIMUM REQUIREMENTS & QUALIFICATIONS:
• Bachelor’s degree in Accounting, Business, Finance or related field of study; or equivalent combination of education and experience; MBA preferred.
• Minimum of 4+ years of experience in a Finance or Accounting related role with extensive knowledge of analyzing, interpreting, and reporting financial data.
• Minimum 3 years current healthcare related financial planning and analysis work experience preferred.
• Strong knowledge of and experience with Microsoft Office (Advanced Excel); Advanced skills in the creation of pivot tables, charts and formulas such as VLOOKUP and IF statements.
• Must have demonstrated analytical and problem-solving skills, designing and utilizing spreadsheets and graphs.
• Ability to handle shifting priorities and multiple projects independently with personal initiative is essential.
• Advanced proficiency with Power BI or similar advanced reporting tools.
• Demonstrated advanced knowledge of and direct application of US Generally Accepted Accounting Principles (GAAP).
• Proven success collaborating with internal and external stakeholders.
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To be considered for the position please fill out the form below.
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