Financial Analyst

Job description

We are searching for a Financial Analyst — someone who works well in a fast-paced setting. In this position, you will assist the Chief Financial Officer and Finance Manager in maintaining a framework in which the Health Plan's financial and statistical performance can be continuously measured against quantifiable targets that are established by and acceptable to the various levels of authority, including Health Plan management and the Board. Think you’ve got what it takes? Job Duties & Responsibilities: Maintains an audit recovery plan for TCHP’s contracts to monitor revenue and expenses that affect the bottom line. Each task is performed monthly. Compares the capitation membership against the claims data to check for any discrepancies in which TCHP is not receiving capitation dollars from their members or is paying claims for members that are not their responsibility. Checks the membership aid categories to ensure that TCHP is not carrying a member not included in their contract and provides communication to provider services. Notifies TCHP’s medical management department of non-delegated claims on members that incur high dollar claims so that they can check to see if their servic...