Job Summary
The IHP Clinically Integrated Network (CIN) Financial Analyst is responsible for supporting the network population health management and value-based care/payment strategies. This role is responsible for analyzing financial data inclusive of company expense and revenue data, claims cost and utilization data, market intelligence data, and electronic medical record data. The position will partner with the CIN Business Analyst, who develops network advanced analytics and reports to drive network change. The position will be responsible for developing financial reports to tell the story of performance of key indicators for network financial performance of all managed care contracts inclusive of the full professional risk agreements and capitation agreements. In addition, this position will collaborate with leadership to monitor financial performance and recommend and implement opportunities for best practices, revenue generation, and cost-saving opportunities.
Essential Job Functions
· Analyze and trend large data sets inclusive of company financials, claims (cost/utilization) quality, EMR, utilization (cost), and budget
· Build models for claims pricing, capitation, risk-adjustment, and emerging cost trends
· Identify trends and forecast cost and/or patient utilization data for cost and/or chronic condition trending
· Identify potential solutions for negative trends of cost, utilization, or disease profiles (revenue generating or cost saving opportunities)
· Evaluate the financial impact of payer contracts, provider network performance, and value-based care incentives
· Partner with the family of companies (FOC) Enterprise Data Warehouse (EDW) team to ensure consistency and compliance across financial data sources
· Utilize advanced analytics platforms to create reports for executive leadership review and/or committee, board, member health centers
· Present actionable, data-driven insights to the EVP to influence strategic decisions
· Collaborate with PHIT, Operations, and Clinical departments to identify process improvement initiatives or best practices
· Partner with the Management Service Organization (MSO) to utilize existing reports or data sets through PowerBI or Tableau
Qualifications
Skills
· Innovation and ability to critically think
· Able to manipulate and analyze large files and data sets
· Able to utilize advanced analytics platforms for data analysis or visualization
· Effective verbal and written communication skills
· Excellent interpersonal skills
· Ability to remain focused and motivated with large projects and tight timelines
· Ability to work independently and productively in remote setting
· Intermediate to advanced skills with Microsoft Office Products (particularly with Word and Excel)
Education/Experience
· Requires a bachelor’s degree in finance, health informatics, data science, actuarial science, economics, or related fields
· Requires at least 3 years of healthcare analytics or economist experience
· Working knowledge of business intelligence tools such as PowerBI and/or Tableau[AS1]
· Extensive knowledge of Excel
· Ability to simplify complex datasets or problems utilizing Microsoft Office tools such as PPT, Excel, etc.
Physical Requirements
· Ability to sit or stand for long periods of time
· Ability to reach, bend and stoop
· Physical ability to lift and carry up to 20 lbs.
Geographical Location, Standard Business Hours, and Travel Requirements
· Remote work from home.
· Must have internet service with suitable performance, availability, and security.
· Business hours are generally 8:00-5:00 Pacific time. Actual hours to be arranged with supervisor.
· Approximately 5% travel is required.
HIPAA/Compliance
· Maintain privacy of all patient, employee and volunteer information and access such information only on as need to know basis for business purposes.
· Comply with all regulations regarding corporate integrity and security obligations. Report Unethical, fraudulent or unlawful behavior or activity.
· Upon hire and annually attend HCP’s HIPAA training and sign HCP’s Confidentiality & Non-Disclosure Agreement and HIPAA Privacy Acknowledgment
· Upon hire and annually read and acknowledge understanding of HCP’s HIPAA Security Policies and Procedures
· Adhere to HCP’s HIPAA Security Policies and Procedures and report all security incidents to HCP’s Privacy & Security Officer
Benefits & Perks
We offer a comprehensive and highly competitive benefits package, including:
Health & Financial Benefits
- 100% employer-paid employee medical premium and 60% coverage for dependents
- 100% employer-paid employee premium dental and vision insurance 60% coverage for dependents
- 100% employer-paid life insurance ($50,000)
- 100% employer-paid long-term disability (LTD)
- 100% employer-paid short-term disability (STD) (for applicable states)
- 403(b) retirement plan with company match
- Health Savings Account (HSA) contributions
- Flexible Spending Account (FSA) contributions
Paid Time Off & Leave
- 14 company-paid holidays annually: Including company closure from Christmas Eve through New Year’s Day
- Paid Time Off (PTO)
- Company-paid sick leave
- 8 weeks of paid family medical leave
Work-Life Balance & Additional Perks
- 9/80 Alternate Friday off schedule
- Monthly internet stipend
- Cell phone stipend
Voluntary Benefits
- Aflac supplemental insurance plans
- Pet insurance
Additional Information:
This job description is intended to describe the general nature of the role and may be modified based on organizational needs.
Please note:
“We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law”.
*Compensation will vary based on location, experience, and qualifications. The range reflects the full compensation band for the role, with placement within the range based on overall alignment to the position.
Pay: $90,384.00 - $124,278.00 per year
Benefits:
- 403(b)
- Bereavement leave
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible schedule
- Flexible spending account
- Health insurance
- Health savings account
- Internet reimbursement
- Life insurance
- Paid parental leave
- Paid time off
- Parental leave
- Retirement plan
- Vision insurance
- Volunteer time off
- Work from home
Application Question(s):
- Please describe your experience analyzing healthcare financial, claims, utilization, or population health data. What types of reports, analyses, or dashboards have you developed, and who were your primary audiences?
- Tell us about your experience supporting value-based care, managed care contracts, capitation, risk-sharing arrangements, or population health initiatives. What was your role, and what types of financial or operational analyses did you perform?
- Describe a time when your analysis identified a financial, utilization, or performance trend that led to a business decision, cost-saving opportunity, or process improvement. What was the outcome?
Work Location: Remote
