Financial Data Analyst

February 12

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Alignment Health

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Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.

Medicare Advantage • Accountable care organization • Population health management • Medicare

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

💰 $135M Series C on 2020-03

📋 Description

• Assist with implementation of new expansion markets (reporting, system configuration, business processes, etc.) • Prepares monthly PCP capitation reports for direct contracted providers, IPA in the new expansion markets • Review and validate “Alignment Provider Management Report” (APMR) internal system reporting data (revenue, capitation, supplemental JSA, claims, pharmacy, etc.) • Maintain IPA/ Hospital/ Supplemental contract types, effective dates, percentages/ PMPM’s for APMR system configuration • Reviews monthly and annual capitation analysis, reconciliations and disbursements to IPA’s, reinsurance providers and ancillary medical service providers • Review allocation of monthly revenue and expense by state and county to support the Accounting Department journal entries into Great Plains • Review and validate “Provider Data Management” (PDM) implementation of new contract configuration setup in EZ-Member cap rate table • Assists with annual budget, bid preparation, and prepare network development rate modeling and analysis • Supports Director and VP of Financial Planning & Analysis on all regulatory audits for CMS, the Department of Managed Healthcare, state, and federal taxing authorities, etc. • Prepares and tracks IPA financial solvency for all affiliated risk-bearing organizations (“RBO’s”) to present and distribute to management team • Monitor affiliated risk-bearing organizations submission of financial statements quarterly & annual within 45 days from the end of the RBO fiscal year • Reviews DMHC’s notifications in regards to Corrective Action Plans (CAP) for existing IPA’s with whom the Company transacts business • Prepares various membership, revenue, and cost analyses by county for the Director and VP of Financial Planning & Analysis on both a monthly and ad-hoc basis • Acts as a liaison to the Information Technology Department for the creation of various database queries on utilization, membership, revenue sources, etc. • Develops and updates policies and procedures (including desktop procedures) for functional areas such as capitation, late enrollment penalties, LICS, etc. • Reports annual membership metrics to regulatory agencies (e.g. – DMHC) on all risk bearing organizations (“RBO’s”) with whom the Company transacts business • Reviews monthly and annual Plan-to-Plan (“P2P”) reconciliations for amounts payable to (and receivable from) other health plans • Prepares and reconciles quarterly amounts received by (and due to) the Company with respect to the Coverage Gap Discount Program including follow up of payment discrepancies • Other special projects as assigned

🎯 Requirements

• 3 years of relevant finance experience • Healthcare experience preferred • Bachelor’s degree in a finance or equivalent work experience • Advanced knowledge of Excel • Excellent communication and interpersonal skills • Ability to explain financial matters in writing • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations • Ability to write reports, business correspondence, and procedure manuals • Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public • Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry • Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form • Good organization skills; ability to handle multiple assignments simultaneously • Good analytical skills • Good interpersonal skills in a business setting • Good business writing skills

🏖️ Benefits

• Equal Opportunity/Affirmative Action Employer • Reasonable accommodations may be made for individuals with disabilities