To support the financial reporting and analytical processes by analyzing complex healthcare
cost drivers. Develops, coordinates, and is directly involved in projects and activities that help
drive business decisions, affect provider reimbursement programs. Plays a key role in the
preparation, analysis, and review of the Rate Development Templates (RDT) and Supplemental
Data Requests (SDR). Applies analytics and research to healthcare related topics such as
homelessness, inpatient hospitalization, and chronic disease to determine financial implications
and areas for potential cost savings/improvement. Works collaboratively with staff in
Finance/Accounting in the ongoing analysis and reporting of all aspects of the income statement
and other operating metrics.

- Develops, interprets, and implements financial models and concepts for financial
planning and analysis.
- Creates, maintains, and updates complex financial analysis and reporting models to
ensure the accuracy, validity, and reliability of the model and the data.
- Adapts the financial analysis and reporting models to meet the growing and changing
needs of the HealthPlan and to reflect changes in the regulatory environment.
- Lead Analyst on the annual RDT and periodic SDR requests from DHCS.
- Assists in the training of other Finance Analysts by serving as an experienced mentor.
- Designs, implements, and improves executive level financial presentations, including
dashboards for executive leadership, Finance Committee and Board of Directors.
- Supports management in making data driven decisions by providing clear and accurate
financial insights.
- Collaborates with management and cross-function teams to understand programmatic
changes along with strategic initiatives.
- Designs and generates decision support tools that focus on membership, utilization,
trends, State capitation rates and provider contracting. Based on detailed analytics,
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creates actionable information that results in identifying trend drivers and opportunities
for improvement.
- Prepares and presents data interpretation and recommendations at a level understood
by diverse audiences including staff, all levels of management, physicians, board of
directors, and external customers.
- Works on complex problems and provides solutions that are innovative and
sophisticated to achieve high quality work process improvements.
- Connects healthcare metrics with fiscal implications and synthesizes findings to identify
major drivers and areas for potential savings.
- Introduces new tools and resources to the Department and Organization for data
modeling and/or presentations.
- Participates in special projects and assignments as needed.
- Other duties as assigned.

All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$136,296.78 - $177,185.82

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.