Lead Financial Analytics Consultant

Lead Financial Analytics Consultant

Location : Mariposa County, California; Merced County, California; Monterey County, California; San Benito County, California;

Santa Cruz County, California

We have an opportunity to join the Alliance as a Lead Financial Analytics Consultant in the Financial Planning and Analysis Department.

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Financial Planning and Analysis Director, this position :

• Functions as a strategic consultant to Alliance executive leadership in the areas of medical cost analysis and the development of improvements, solutions and recommendations related to analytics and medical cost improvement opportunities
• Advises Alliance executive leadership on organizational decision making through the performance of complex financial and data analysis related to industry trends, operational impacts, and modeling of financial scenarios
• Acts as a subject matter expert and lead to subordinate Financial Analytics Consultants

ABOUT THE TEAM

The Financial Planning & Analysis Department ensures the Alliance's stewardship of appropriate use of public funds through recoveries, coordination of benefits, contract negotiations and insurance.

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description, and list of requirements click here .

• Knowledge of :
• Research, medical cost analysis and reporting methods
• General health service research, outcomes reporting / analytics and program outcomes evaluation
• Healthcare industry specific terms and healthcare related data types and structures, including member, claims, clinical and provider data
• Budgeting and forecasting methodology
• Quantitative data analysis methodologies and analytical tools related to reporting medical cost analysis
• Healthcare industry and healthcare information standards such as HL7, LOINC, FHIR, ICD 9 / 10 and CPT codes, industry standard groupers, such as ETGs, DRGs, and DCGs
• Ability to :
• Collect, interpret, and evaluate data, detect patterns, brainstorm solutions, consider multiple factors when making decisions, and project consequences of recommendations
• Develop data-driven and outcome-based initiatives to improve business decision making
• Translate data into understandable information and deliver solutions that improve business processes
• Apply analytical skills to the collection and analysis of information, problem solving, and decision making
• Lead, train, mentor and motivate staff, and promote an atmosphere of teamwork and cooperation Ability to organize and prioritize the work of others and follow up on work assignments
• Learn and apply Medi-Cal and / or Medicare specific regulations and processes and function as a Medi-Cal and / or Medicare subject matter expert
• Education and Experience :
• Bachelor's degree in Economics, Finance, Business, Healthcare Administration, Quantitative Analysis or a related field
• A minimum of twelve years of related experience, including a minimum of eight years of financial analytics experience which included a minimum of five years of experience in a healthcare finance setting, three years of Medicare program experience, and some experience providing strategic advice to executive leadership (a Master's degree may substitute for two years of the required experience);

or an equivalent combination of education and experience may be qualifying

OTHER INFORMATION

• We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
• While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
• In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.

The full compensation range for this position is listed by location below.

The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).

Compensation Range

$112,472 - $197,766 USD

OUR BENEFITS

Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees.

These benefits are unavailable to temporary employees while on an assignment with the Alliance.

• Medical, Dental and Vision Plans
• Ample Paid Time Off
• 12 Paid Holidays per year
• 401(a) Retirement Plan
• 457 Deferred Compensation Plan
• Robust Health and Wellness Program
• Onsite EV Charging Stations

ABOUT US

We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation.

We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.

Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work.

As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties.

To learn more about us, take a look at our Fact Sheet .

The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status.

We are an E-Verify participating employer

At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.