Senior Financial Analyst

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The Company:

AlohaCare is a local, non-profit health plan serving Hawai`i’s low-income residents with free Medicaid and dual Medicare health insurance coverage. Our members include children, seniors and adults residing on all islands. We provide comprehensive benefits and managed care services with an emphasis on healthy living habits and preventive primary health care. Our approach is to meet the whole-person health and social needs of members. Through our community partnerships we offer innovative services such as connection to social service agencies, Native Hawaiian healing services and in-home primary care for qualified members. Our mission is to serve in the true spirit of aloha by ensuring and advocating for access to quality health care for all. We are Hawaii’s third-largest health plan and offer a wide network of quality primary care, specialists, hospitals, pharmacies and among many other providers across the state.

The Culture:

AlohaCare employees have a passion for helping Hawai`i’s most underserved communities. Our caring culture is fundamental to our company-wide team approach to providing high-quality services. We support our employees with a supportive and positive work environment, healthy work-life balance, continuous communication, and a generous benefits package.

AlohaCare’s leadership empowers and engages its employees by recognizing outstanding job performance and collaboration. We share organization-wide updates during quarterly All Staff meetings. We encourage participation in volunteer and educational opportunities. We put a high value on honesty, respect, and trust-building. We encourage open-door, two-way, and frequent communication.

AlohaCare’s comprehensive benefits package includes low-cost medical, dental, drug and vision insurance, paid time-off, 401k employer contribution, referral bonus and pretax transportation and parking program.

The Opportunity:

The Senior Financial Analyst is responsible for directly supporting the overall financial success of the organization by providing senior level, actionable analysis of financial and operating results, as well as other routine and ad hoc retrospective and prospective financial and operational analysis.

Primary Duties and Responsibilities:

• Perform cost of care analysis – identifies key cost drivers and ongoing monitoring of financial trends.
• Deliver analysis of core product financial indicators for recurring and ad hoc research.
• Develop financial reporting.
• Assist with preparation of internal financial and operating reports, including monthly financial statements, KPIs, Finance Committee and Board of Director reports, etc.
• Assist with preparation of external financial and operating reports, including Quarterly and Annual regulatory (HI DOI, HI DHS MED-QUEST, and NAIC) reports.
• Assist with preparation of supporting schedules and analysis for annual financial and regulatory audits.
• Prepare analysis in support of provider network contract negotiations, including provider reimbursements, P4P programs, withholds, and risk share programs.
• Participate in development of annual operating budget.
• Participate in periodic development of financial forecasts.
• Prepare monthly calculations and reconciliations of provider “pass-throughs”; ensure timely processing of pass-through payments.
• Support preparation of Risk Based Capital (RBC), statutory required capital reserves, and regulatory performance bonds calculations; ensure regulatory compliance.
• Provide comprehensive support to the reinsurance programs, including monthly reconciliation of reinsurance receivables, and timely processing of recoveries.
• Develop detailed drill-down analysis to provide corrective actionable insights to Executive Council and Medical Management leadership for total cost of care and administrative expense initiatives.
• Lead the development, maintenance, and optimization of the Finance data warehouse, ensuring the integrity, availability, and accessibility of financial data to support reporting, forecasting, budgeting, regulatory requirements, and strategic decision-making. Provide analysis to support annual negotiations with DHS MED-Quest to ensure adequate capitation rates. Support development of annual Medicare program bid. Support monthly detailed reconciliation of membership and capitation revenues to ensure accuracy of premium revenues to organization. Support preparation of monthly provider risk pool statements and timely, accurate annual provider risk pool settlements.
• All other duties assigned.
• Adhere to regulatory compliance and quality guidelines as well as AlohaCare policies and procedures.
• Responsible for maintaining AlohaCare’s confidential information in accordance with AlohaCare policies, and state and federal laws, rules and regulations regarding confidentiality. Employees have access to AlohaCare data based on the data classification assigned to this job title.

Requirements:

• Bachelor’s degree with emphasis in computer science, information systems, mathematics, statistics, public health, health sciences, data analysis, accounting or health care administration or equivalent combination of education and experience.

• Minimum of 3 years of professional work experience, which demonstrates the ability to perform the duties required for the position.
• Experience using Access, SQL, and other statistical/analytical/reporting tools (Stata, SAS, SPSS, etc.).
• Knowledge of relational databases.

• Achieves results, builds trust, communicate effectively, customer and quality focused.
• Strong interpersonal and facilitation skills with the ability to communicate with all levels of the organization.
• Strong, effective, and precise written and oral communication skills; speak clearly and persuasively in positive or negative situations.
• Professional telephonic etiquette skills.
• Ability to solve problems, analyze, think critically and make good judgment.
• Strong customer service skills and be able to work in a diverse, demanding and evolving environment with strong conflict and problem resolution skills.
• Able to work independently with minimal supervision.
• Able to effectively work in a fast-paced and changing environment, manage multiple projects and priorities across multiple teams/projects and in a matrixed environment.

• Possesses excellent time management and organizational skills; is dependable, enthusiastic, self-starting, and self-motivated. Uses time effectively, reacts professionally under pressure.
• Data entry experience with a high degree of accuracy and attention to detail.

• Excellent computer skills and able to learn new systems efficiently.

Advanced skills in Microsoft Programs, including Word, Excel, Access, Outlook and PowerPoint.

• Experience in the operation of general office equipment to include PC, fax/copy machine and phone system.

Preferred Requirements:

• Health care industry experience within managed care, hospital, medical office, or equivalent.
• Knowledge of health research methodology, biostatistics, and medical terminology.

Mental, Physical and Environmental Demands:

• Sedentary Work: Exerting up to 20 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.
• In office working environment.
• May require prolonged sitting up to 4 hours.
• Requires prolonged operation of a computer workstation, including the ability to type for extended periods of time on a keyboard during the scheduled workday.?

Salary Range: $67,000 - $81,500 annually

AlohaCare is committed to providing equal employment opportunity to all applicants in accordance with sound practices and federal and state laws. Our policy prohibits discrimination and harassment because of race, color, religion, sex (including gender identity or expression), pregnancy, age, national origin, ancestry, marital status, arrest and court record, disability, genetic information, sexual orientation, domestic or sexual violence victim status, credit history, citizenship status, military/veteran status, or other characteristics protected under applicable state and federal laws, regulations, and/or executive orders.