Job description
At Brown & Toland we’re the people behind the scenes who make sure our Physicians have the time and support to do what they do best- care for our members. Together, we form one of the most recognized medical groups in the California. We are 2,700+ local physicians, working in 38 cities in California, caring for more than 350,000 patients. If working with highly competent, hard-working, thoughtful clinicians who value good ideas and are passionate about reshaping healthcare excites you, then we’re thrilled to welcome you to your new career.
POSITION SUMMARY:
This position will support the FP&A (Enterprise Analytics) function by performing financial analysis and modeling. Additional areas of focus include the annual budget process, financial reporting and forecasting, payment integrity, utilization, claims and cost analysis and evaluation of new lines of business. The position will support strategic initiatives and health plan negotiations, assessing impact of contract changes on financial performance.
SUPERVISION:
This position does not supervise staff.
ESSEN TIAL JOB FUNCTIONS :
Assist team with aspects of financial planning, budgeting and forecasting. Provide analysis of market activity on membership, revenue and healthcare costs.
- Support negotiations with health plans during benefit design, product pricing and bid development. Assist in P&L analysis of health plans and products to determine areas for improvement and make recommendations to management.
Aid in constructing contract language and financial modeling to achieve organizational product revenue requirements under certain cost and trend assumptions while mitigating risk.
Assist in healthcare cost analysis by creating or enhancing reports that monitors trends in cost and utilization.
- Work closely with the business to develop, recommend and establish strategies, plans, and processes to improve profitability and cost efficiencies.
Develop and maintain detailed financial models in support of forecasting and annual budgeting processes
Understand and incorporate industry specific metrics into reports to highlight relevant trends and support fact-based business decisions
This position will also perform various other analyses as needed.
MARGINAL FUNCTIONS:
Accept and perform other duties as assigned.
QUALIFICATIONS & REQUIREMENTS:
Job related Knowledge, Skills, and Abilities, including Documentation, if pertinent.
̶ Knowledge of accounting principles for the purpose of creating forecasts and business models. Knowledge of managed care industry, including knowledge in all facets of commercial and government revenue and reimbursement methodologies (Medicare fee schedules, CPTs, DRGs, case rates, etc.)
- Ability to work independently; ability to work with all levels of personnel. Proficient using databases, Word and Access, Powerpoint required. Expert in Microsoft Excel, rudimentary understanding of databases and different data architecture.
Creative, Problem-solving, and Innovation Skills.
̶ Detail oriented, accurate, and proven analytical skills.
̶ Manage development of sophisticated financial models from initial assumptions through financial reporting output, sensitivity and scenario analysis.
- Ability to identify data anomalies, and research and investigate the underlying drivers.
- Capable of building creative approaches to complicated problems.
Customer Focused and Communication Skills.
̶ Excellent verbal and written communication skills. Able to convey complex concepts and issues to non-finance stakeholders in clear concise fashion. Ability to establish and maintain effective internal and external relations. This position will have interactions with all levels of individuals including managers and staff from other departments, and also senior management. Capable of managing multiple, competing high priority deliverables and consistently meet internal and external deadlines in a fast paced, evolving environment.
EDUCATION AND/OR TRAINING:
Bachelor’s degree or higher in finance, mathematics, actuarial science, statistics, or economics from an accredited program required
EXPERIENCE:
Candidate must possess a minimum of three years in an actuarial, business or financial analyst role. Proven experience with budgeting, forecasting, product design/pricing or claims reserve models. Preferred experience with interpreting and working with CMS benchmark data, healthcare cost modeling and forecasting. Preferred experience in analyzing utilization and claims data, especially hospital and ancillary services. Preferred experience in analyzing contracts. The role requires healthcare industry experience working in a hospital, health plan or managed care environment.
PERSONAL ERGONOMICS:
Complies with policies and procedures, equipment orientation and workspace set up to ensure personal safety and well being as it relates to ergonomically sound usage, reporting immediately to management any complications or difficulties regarding appropriate usage of workplace and equipment.
OTHER CRITERIA:
Motivated individual desired who takes initiative and approaches work with enthusiasm in a team environment. Complies with policies and procedures; performs job professionally with respect to others, to property, and to individual safety; works effectively with others to encourage teamwork and productivity. Maintains strict confidence of client information, ensuring client's privacy, and does not discuss internal business with external entities.
WORKING CONDITIONS :
Normal office environment with little exposure to excessive noise, dust, temperature and the like.
OTHER REQUIREMENTS:
None
PRE-EMPLOYMENT :
A pre-employment background check will be conducted for all positions. All offers of employment are made on a contingency basis. All prospective employees must pass a medical exam (fitness for duty) and also provide proof of American citizenship, or legal resident status and the legal right to work in the United States.
Prospective employees with patient contact are also required to submit and successfully pass a medical examination, drug test and TB (PPD) test by our designated physician. Brown & Toland reserves the right to rescind the contingent offer of employment to any prospective employee when the results of pre-employment checks or tests are not acceptable to Brown & Toland.
SCOPE OF JOB DESCRIPTION AND MODIFICATIONS:
This job description does not limit the tasks that an employee may reasonably be requested to perform. Substantive changes to this job description may be necessary to meet the changing business needs of the firm. Notwithstanding this Job Description, all Brown & Toland employees are at-will employees – each may resign at any time and the firm is free to terminate the employee at any time, with or without cause and with or without notice.
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