Sr. Financial Analyst - Markets
Role and Responsibility:Responsible for analyzing utilization and financial trends, costs, revenues, financial commitments and obligations incurred to predict future revenues and expenses; understand financial impacts of decisions and communicate those to managementManage the development, production, and validation of reports from detailed claims, eligibility, pharmacy and clinical dataCompile and analyze financial and clinical information, including but not limited to preparing the evaluation of medical contracts, product lines, generating and managing medical and administrative cost saving initiatives, etc.Ensure integrity of information obtained for analysis; keep an up–to–date knowledge of the computer information systemDevelop competitive analysis and present findings to senior management Responsible for the development of membership projections, medical expense forecast and budget and monitor monthly variances to identify trendsProactively identify trends and patterns using standard departmental reports and databases as well as leveraging other processes and data sources for data miningEvaluate and make appropriate improvements to internal analysis processes ensuring that practices are in line with the overall goals of the organizationSupport the financial control environment by reconciling internal data sets vs information provided by the state (such as, reconcile enrollment files to reimbursement records, etc.)Utilize key analysis experience and knowledge to analyze and report medical, contract and administrative activityMake appropriate changes to ensure compliance with MAR, regulatory and other organization requirementsPerform any other job related instructions as requested RequirementsEducation/Experience:Bachelor of Science/Arts Degree in accounting, finance, economics, computer sciences or related field or equivalent work experience is requiredMaster of Business Administration (MBA) or other related post–graduate degree is preferredMinimum of four (4) years of experience in finance, accounting, or other professional role with a focus on data manipulation and analysis is requiredManaged Care or healthcare experience is preferred Required Competencies/Knowledge/Skills:SQL and/or SAS experience strongly preferred Advanced proficiency level with Microsoft Excel Proficient with Microsoft Office Suite, including Outlook, Power Point, Access and WordFamiliar with a variety of analysis concepts, practices and procedures Relies on extensive experience and judgment to plan and accomplish goals Ability to lead and provide subject matter expertise to less experienced analysts in the departmentWide degree of creativity and latitude (independent judgment) is required Ability to work with others and work independently Demonstrates analytical/problem solving skills to perform a variety of complicated tasksPossesses critical thinking/listening skills Ability to communicate with all levels of management Detail oriented Licensure/Certification:Association for Financial Professionals (AFP) FP, or related certification is preferred, but not requiredWorking Conditions:General office environment; may be required to sit or stand for long periods of timeMay be required to travel occasionally This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer, including disability and veteran status. We are committed to a diverse and inclusive work environment.This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer, including disability and veteran status. We are committed to a diverse and inclusive work environment.