Healthcare Informatics Financial Analyst II

Job Description

Job Description

Healthcare Informatics Financial Analyst II

Location: Birmingham, AL

Work Schedule: Hybrid schedule with some onsite work at the VIVA HEALTH corporate headquarters and some work-from-home opportunities.

Why VIVA HEALTH?

VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.

VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.

Benefits

• Comprehensive Health, Vision, and Dental Coverage
• 401(k) Savings Plan with company match and immediate vesting
• Paid Time Off (PTO)
• 9 Paid Holidays annually plus a Floating Holiday to use as you choose
• Tuition Assistance
• Flexible Spending Accounts
• Healthcare Reimbursement Account
• Paid Parental Leave
• Community Service Time Off
• Life Insurance and Disability Coverage
• Employee Wellness Program
• Training and Development Programs to develop new skills and reach career goals
• Employee Assistance Program

See more about the benefits of working at Viva Health -

Job Description

The Healthcare Informatics Financial Analyst II utilizes their skills with people, technology, data, and finance to support the organization’s need for analytics concerning overall corporate financial performance. This position collaborates with internal and external customers by researching, providing, and interpreting key utilization and cost metrics. This position will use critical thinking and problem-solving skills to assist in developing new approaches to complex business problems.

The Healthcare Informatics Financial Analyst II is responsible for quantitative analysis related to a variety of areas including but not limited to premium revenue, fee-for-service medical expense, capitated medical expense, and provider contracts for multiple business lines including Commercial and Medicare Advantage. This role will support the Company’s need for analytics regarding overall corporate financial performance to assist with planning, budgeting, and cost control. This position may also assist in conducting research, preparing incurred but not reported analytics, ad hoc reports, and plans of a financial nature.

The Healthcare Informatics Financial Analyst II is involved with data trending, historical comparative financial analysis, financial projections, and works to solve problems under critical time constraints. This individual will work heavily with healthcare data and be able to use querying tools, primarily SQL, to pull the data, interpret it, and visualize it for internal and external audiences, using Excel, Tableau, and other platforms.

Key Responsibilities

• Present analysis to senior-level department staff and internal business partners, as well as having the ability to communicate effectively with external stakeholders.
• Perform provider contract analysis for both fee for service and capitated agreements; analyze incremental cost or savings related to proposed changes to existing provider contracts.
• Perform drill down analysis on specific high-cost areas to identify primary drivers and potential solutions.
• Perform various analytical functions for multiple lines of businesses including but not limited to Medicare, Commercial, Medicaid, and Self-Insured accounts.
• Prepare information and statistics as needed for annual Centers for Medicare and Medicaid Services (CMS) bid work.
• Assist with special projects and proposals that could include preparing reports, maintaining schedules, and performing data drill-down as needed, particularly in the area of fee-for-service medical expense.
• Maintain fluency in the use and distribution of monthly reports from VIVA HEALTH’S analytics and predictive modeling tools to identify negative trends, cost drivers, and savings opportunities that can vary by business line or provider organization.
• Maintain and oversee vendor management system to ensure claims are uploaded to the vendor applications appropriately, as well as ensuring member risk information has been appropriately captured.

REQUIRED:

• Bachelor's Degree
• 3 years of experience with financial analysis
• Ability to work under minimal supervision
• Ability to work in a team and influence others to drive change
• Excellent oral and written communication skills
• Very strong background in creating models that utilize financial and non-financial data
• Strong understanding of accounting concepts including accruals, revenue/expense recognition, budgeting, etc.
• Excellent oral and written communication skills
• Ability to handle multiple projects simultaneously and meet strict deadlines with a very high level of accuracy
• Willingness to work evenings and overtime to meet project deadlines
• Excellent customer service skills and a desire to be a team player
• Leadership capability and technical proficiency
• Proficient in the Microsoft Office suite of products
• Strong data querying and analytical skills using SQL
• High-level analytical skill set required with previous experience pulling, querying, and analyzing very large amounts of data

PREFERRED:

• Master’s in Business Administration, Finance, Public Health, MIS, CIS, or related field
• Experience in the insurance or health care field, particularly in Medical Economics or Informatics
• Proficiency with SQL and Tableau or other similar tools
• Experience with other productivity tools such as Crystal Reports