Finance Analyst III - Healthcare

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

**Remote role with EST working hours**

Quarterly meetings required in office in NY Long Island City office**

Position Purpose: With the Fidelis of NY Accounting team, you will Compile and analyze financial information for the company. Lead various financial projects.

• Perform financial data analysis (general ledger based) to align with detail data independently extracted from data warehouse, including validation, reconciliation, reasonably resolving the gap. Utilize the data and report to DOH MMCOR application appropriately.

• Getting familiar and fluent with DOH MMCOR reporting guideline sand instruction on assigned (and different) Line of Business (Medicaid, CHP, HARP, MLTC, HBX, EPP, etc.) including revenue by funds type, medical cost by service category, and administration by expense classification. Expect Line of Business rotation periodically (every 3-5 years).

• Instruct and guide MMCOR IT staff to maintain and improve automated data captures of preliminary MMCOR tables data. Create Jira and furnish detail configuration via English writing, team message/email , screen shot visuals. Conduct meeting to explain and resolve issues to ensure thorough completion of table creation, enhancement, correction.

• Collaborate with Encounter team to reconcile difference between MMCOR reporting vs actual claims submission to DOH. This includes providing Supplement E schedule, Non-system Claim survey, etc. based on pre-established process, procedure, and reports.

• Resolve DOH review questions on MMCOR reporting based on pre-established process, procedure, and reports. Provide process correction or streamlined process enhancement incorporating DOH review beforehand.

• Collaborate with Revenue Cycle team, Actuary, Corporate Finance, Provider Reimbursement for detail review of material items on MMCOR reporting to ensure accuracy, and knowledge level set.

• Assistant with Finance Director for ah-hoc based review, paper work reconfiguration, data extraction, or data validation, researching DOH ad-hoc questions.

Education/Experience: Bachelor's degree in related field or equivalent experience. 4+ years of financial or data analysis experience. Advanced skills in Microsoft Excel.

Preferred Skills:

Advanced and comfortable at handling large data extract/links with pre-established tables in MS Excel file. Intermediate Excel formula skills (vlookup, sumifs, index match, pivot table).

Comfortable operating/utilizing Excel simultaneously multiple tabs manipulation (one calculation performed on multiple tabs of data with same patterns).

Intermediate knowledge of financial data (general ledger) on income statement items (revenue, expense, administration).

Fast learning on general basic concept of different claim data (medial, pharmacy, dental, vision).

Pay Range: $68,700.00 - $123,700.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act