Job Summary
100% Remote work can be considered for this position.
Participates in contract negotiations and actively manages financial components of active contracts. Evaluates and provides key input into the determination of financial strategy for payer proposals in conjunction with Sr. Financial Analyst and senior leadership to ensure Managed Care goals are supported as well as viability factors for service lines and potential expansion of programs and health plan products. This includes a support role in negotiations on an ongoing basis. Develops and maintain productive relationships with key stakeholders, both internal and external to the organization. Position could be considered for remote work.
Remote work considered for this position
Essential Functions
- All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
- Responsible for the ongoing analysis of initiatives identified by business plans and other finance initiatives to assure compliance and achievement of goals including modeling
- Provides support as needed through contract evaluation, modeling and interpretation.
- Serves as support in the coordination and preparation of projects in order to meet health company strategic and budgetary goals.
- Supports the financial project and analysis process in development of the financial portion of the Company annual and long-range forecast, bond filings, and rating agencies
- Assists on managed care issues with outside organizations such as managed care organizations, the state Hospital Association and other health care providers.
- Responsible for assisting in and maintaining and enhancing relationship with managed care organizations.
- Performs other duties as assigned.
Supervisory/Management Responsibilities
- This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
- Education - Bachelor's degree in Finance or Accounting. Master's degree preferred
- Experience - Five (5) years of financial analysis experience including two (2) years direct Managed Care experience
In Lieu Of
- In lieu of the education and experience requirements indicated above, the following combination of education, training and/or experience may be considered an equivalent substitution: Master’s degree in Business Administration and two (2) years of experience in healthcare.
Required Certifications, Registrations, Licenses
Knowledge, Skills and Abilities
- Basic computer skills including word processing, spreadsheets, databases and data entry
- Proficiency with EPIC, Experian and/or other contract management, contract modelling, and electronic health record systems - Preferred
Work Shift
Day (United States of America)
Location
Prisma Health Corporate Office
Facility
Corporate
Department
Managed Care Contracting
