Sr. Financial Analyst, Revenue and Reimbursement - 40hrs

Connecticut Children's • $80K — $95K *
Hartford, CT 06106In-Person
Healthcare
5 - 7 years of experience
Today
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Job Overview by Ladders

Qualifications

  • Bachelor's degree in a relevant field.
  • 5+ years of experience in Healthcare Revenue Cycle or Healthcare Finance.
  • Strong knowledge of ICD-10, CPT coding, and medical terminology.
  • Familiarity with insurance regulations and reimbursement policies.
  • Experience with state and federal healthcare reporting requirements.

Responsibilities

  • Prepare monthly, quarterly, and annual revenue reports for multiple departments.
  • Ensure revenue recognition aligns with contracted terms during month-end close.
  • Analyze payment information from various sources against contract terms and regulations.
  • Investigate revenue variances and communicate findings to leadership.
  • Monitor payer contract performance for optimization opportunities.
  • Support annual revenue budgeting and forecasting efforts.
  • Assist in establishing physician fee schedules and ensuring regulatory compliance.

Benefits

  • Collaborative work environment with cross-departmental engagement.
  • Opportunity to influence revenue strategies for a leading children's healthcare provider.
  • Exposure to diverse revenue cycle challenges in a dynamic healthcare setting.
Full Job Description
Job Description

The Sr. Financial Analyst, Revenue and Reimbursement is responsible for monthly, quarterly, and annual revenue analysis and reporting across all hospital and specialty group departments for both Connecticut Children's Medical Center (CCMC) and Connecticut Children's Specialty Group (CCSG). The role manages State and Federal reporting requirements, directs support for DSH and other audits, and ensures revenue is recognized in accordance with contracted terms through the month-end close process. The Sr. Financial Analyst analyzes payer, physician, and patient payment information against applicable contract terms, government regulations, and internal policies, and supports annual revenue budgeting and forecasting. Work is performed under general supervision in close collaboration with Financial Planning and Financial Analysts across the department.

Responsibilities

Revenue Analysis & Reporting-40%
  • Prepares monthly, quarterly, and annual revenue analysis and reporting across all hospital and specialty group departments.
  • Ensures revenue recognized for CCMC and CCSG through the month-end close process is in accordance with contracted terms for services rendered.
  • Demonstrates technical knowledge of generally accepted revenue recognition standards specific to the hospital industry.
  • Analyzes incoming payment information and communications from payers, physicians, and patients in conjunction with applicable contract terms, reimbursement schedules, government regulations, and internal policies.
  • Identifies and investigates revenue variances; prepares written analysis and presents findings to leadership as needed.
  • Monitors payer contract performance and identifies opportunities for revenue optimization or recovery.
  • Develops productive relationships across Finance departments, including Revenue Cycle, Financial Operations, Financial Reporting, and Contract Management.

Budgeting & Forecasting-20%
  • Supports the annual revenue budget process, including preparation of supporting schedules and documentation.
  • Provides regular updates to revenue forecasts, incorporating changes in payer mix, utilization trends, contract terms, and regulatory developments.
  • Supports new business initiatives with revenue expectations and scenario modeling.

Reimbursement & Compliance-10%
  • Assists with establishing physician fee schedules by CPT codes for each cost center and department.
  • Supports reimbursement analysis and regulatory compliance monitoring.
  • Ensures all actions are consistent with applicable government regulations, contractual terms, and internal policies and procedures.
  • Maintains current knowledge of changes to CMS regulations, state Medicaid policy, and managed care reimbursement methodologies.

State & Federal Reporting Requirements-20%
  • Completes the following requirements in a timely manner:
  • CMS Annual Cost Report.
  • Connecticut Hospital Association Surveys.
  • Children's Hospital Association Surveys.
  • DSH Survey.
  • OHS Annual Filing and OHS 12 Month Filing.
  • CHGME Grant:
    • Initial Application.
    • FTE Documentation.
    • Reconciliation Application.
    • Annual Report Facilitation.

Audit Support-10%
  • Directs the preparation of support materials related to DSH audits and other audit requirements as needed.
  • Coordinates with internal departments and external auditors to ensure timely and accurate responses to audit inquiries.

Performs Other Duties as Assigned.

Qualifications

Education and/or Experience Required:
  • Education: Bachelor's degree from accredited college or university.
  • Experience: 5 years' experience in Healthcare Revenue Cycle or Healthcare Finance departments.

License and/or Certification Required:
  • N/A

Knowledge, Skills and Abilities:

Knowledge:
  • ICD-10, CPT coding, and medical terminology.
  • Insurance regulations and reimbursement policies, including managed care, Medicare, and Medicaid.
  • Generally accepted revenue recognition standards specific to the hospital industry.
  • State and Federal reporting requirements applicable to healthcare finance.
  • CMS cost report methodology and DSH program requirements.
  • Healthcare financial management principles, including budgeting and forecasting.
  • Microsoft Word and Excel; experience with healthcare financial systems preferred.

Skills:
  • Strong analytical and financial modeling skills with a high degree of accuracy and attention to detail.
  • Proficiency in data analysis, variance reporting, and revenue reconciliation.
  • Excellent written and verbal communication skills, including the ability to present financial data clearly to varied audiences.
  • Strong organizational and project management skills with the ability to manage multiple deadlines simultaneously.
  • Ability to develop and maintain effective working relationships across departments.

Abilities:
  • Ability to interpret and apply complex regulatory requirements, payer contracts, and internal policies.
  • Ability to work independently under general supervision while exercising sound judgment.
  • Ability to identify problems, analyze root causes, and recommend practical solutions.
  • Ability to adapt to changing priorities in a dynamic healthcare environment.
  • Commitment to maintaining strict confidentiality of all financial and patient-related information.


About Connecticut Children's

Connecticut Children's Careers

There has never been a better time to explore the job opportunities at Connecticut Children's, a leading pediatric healthcare system. As a beacon of innovation and leadership in child health, Connecticut Children's offers a range of career paths for professionals passionate about making a difference in the lives of children.

Work You’ll Do

Join Connecticut Children's dynamic team to contribute to a mission-driven environment where the health and well-being of children come first. The company stands at the forefront of pediatric healthcare, combining clinical expertise with compassionate care. Professionals at Connecticut Children's lead the way in pediatric medicine, not only by providing exceptional care but also by advancing the field through research and innovation. The team's dedication to growth and learning ensures that every member has the opportunity to expand their skills and advance their career.

Explore Job Opportunities and Internships

Connecticut Children's offers a variety of positions and internships that cater to a wide range of professional skills and interests. From clinical roles to administrative positions, the company is always looking for dedicated individuals to join their team.

Innovative Work Environment

Connecticut Children's fosters an environment of innovation where team members from diverse backgrounds bring their unique perspectives to solve challenges. This collaborative atmosphere is pivotal for developing solutions that enhance patient care and operational efficiency.

Commitment to Diversity and Professional Development

The commitment to diversity and professional development at Connecticut Children's is evident through comprehensive diversity training programs and leadership development opportunities. These initiatives ensure that all team members are equipped to lead, innovate, and grow within the company.

Benefits and Culture

Employees at Connecticut Children's enjoy a supportive culture that values work-life balance, along with a competitive benefits package that supports both personal and professional growth. The company's culture is built on a foundation of respect, integrity, and a shared commitment to improving the lives of children.

Join the Team

Connecticut Children's is actively hiring and encourages interested candidates to apply. Prospective team members are invited to explore open positions that match their skills and interests. The hiring process at Connecticut Children's is designed to be transparent and engaging, starting from the initial application to the interview and eventual onboarding.

Stay Connected

Stay informed about new job opportunities, company updates, and industry insights by joining Connecticut Children's professional network. Engaging with Connecticut Children's through various networking events can provide valuable connections and insights into the company's operations and culture.

Career Advancement

With a strong emphasis on career advancement, Connecticut Children's supports its employees through ongoing training, mentorship, and access to cutting-edge resources. Whether you are just starting your career or looking to take it to the next level, Connecticut Children's provides the tools needed to succeed in a competitive healthcare environment.

Apply Today

Ready to make a significant impact in pediatric healthcare? Review the list of available positions, tailor your resume, and prepare for a rewarding journey at Connecticut Children's. Discover how your expertise can contribute to a healthier future for children.

SEARCH CONNECTICUT CHILDREN'S JOBS

Keep Up to Date

For career tips, success stories, and a deeper look into the life-changing work at Connecticut Children's, read the Careers Blog. Gain insights that can help propel your career forward in pediatric healthcare.

READ CAREERS BLOG

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