Financial Analyst, Experienced at Blue Shield of California summary:
The Experienced Financial Analyst in the Self-Funded Finance team is responsible for managing claims billing and supporting financial operations. This role involves summarizing financial data, producing performance reports, and ensuring compliance with accounting standards. The analyst collaborates with various departments to maintain financial models, conduct audits, and manage client accounts effectively.
Your Role
The Self-Funded Finance team who handles the claims billing for all Self-Funded groups. The Financial Analyst, Experienced will report to the Self-Funded Finance Manager. In this role you will be Assisting with Group set ups from implementation to go live. Assist with ad-hoc reporting and various Self-Funded projects. Assist with department audits, month end reporting, and other various tasks.
Your Work
In this role, you will:
- Summarize detailed revenue/expense data and compare summarized claim data against fee schedules and contracts
- Produce contract performance reports, modeling of reimbursement rates, evaluation of financial contract modifications and compiling and monitoring key managed care statistics
- Collect and evaluate data, develop and maintain financial models, analyze results and conduct scenario analyses to forecast balance sheet, cash flow and regulatory capital
- Follow and conduct audit processes and review internal controls to ensure financial transactions are accurate, timely and comply with accounting standards, principles and company policy
- Provide policy guidance and interpretation to ensure financial records are consistent and comply with company policies and GAAP
- Analyze and audit weekly client invoices
- Manage set ups, active accounts, and termination for assigned clients
- Perform weekly and monthly reconciliation of banking, and claims activity
- Maintain and create department desk level procedures
- Partner with IT to resolve systematical issues
Your Knowledge and Experience
- Requires a bachelor's degree or equivalent experience
- Requires at least 3 years of prior relevant experience
- Facets claims system experience desired
- Claims knowledge desired
Pay Range: The pay range for this role is $71,280.00 to $99,770.00 for California.
Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.
Keywords:
Financial Analyst, Self-Funded Finance, claims billing, financial models, audits, revenue management, GAAP compliance, data analysis, contract performance, account reconciliation