Job description

Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Revenue Financial Analyst III is responsible for the daily management of financial activity of the Revenue received by L.A. Care. These duties include revenue reconciliation, premium billing, monitoring the enrollment/disenrollment policies and procedures, journal entry preparation, heavy account analysis, month-end reconciliations and preparation of financial reporting tools and audit schedules. This position interfaces and serves as a liaison with multiple internal departments and external contacts. Acts as a Subject Matter Expert, serves as a resource and mentor for other staff. Duties Responsible for the reconciliations of multiple revenue streams. Ensure disenrollment policy and procedures are practiced and monitored for accuracy. Responsible for preparation of multiple billing and analysis of multiple Revenue streams. Responsible for maintaining multiple schedules to track contract rate changes and ensure correct rate adjustment. Accurate regulatory requirements interpretation. Prepare month end reporting management tools accurately and analyze in a timely manner. Prepare daily, weekly and/or monthly financial reports as assigned. Prepare Journal Entries and perform related General Ledger analysis and reconciliation. Prepare audit schedules. Prepare and participate in the completion of all assigned special projects. Master the QNXT Enrollment and Claims Module. Master SAP FS-CD and FI-GL Modules. Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business performance. Consults across business operations, providing mentorship, and contributing specialized knowledge. Ensures that the facts and details are correct so that the project’s/program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provides training, recommends process improvements, and mentors junior level staff, department interns, etc. as needed. Perform other duties as assigned. Duties Continued Education Required Bachelor's Degree in Finance or Related Field In lieu of degree, equivalent education and/or experience may be considered. Education Preferred Master's Degree in Finance or Related Field Experience Required: At least 4 years of experience as a financial analyst or similar role in a finance/accounting environment. Preferred: At least 4 years of experience in a managed healthcare setting (HMO and IPA). Skills Required: Strong accounting, analytical, and problem-solving skills. Excellent oral and written communication skills. Excellent data management/ database skills. Must have advanced PC Skills (Excel, Word, Access), SAP, and Structured Query Language (SQL). Extensive knowledge of premium billing. Preferred: Medi-Cal and Medicare and Covered California knowledge. QNXT application knowledge. Licenses/Certifications Required Licenses/Certifications Preferred Certified Public Accountant (CPA) Required Training Physical Requirements Light Additional Information Area Specifics: Medi-Cal Revenue Additional Duties and Responsibilities: Preparation of the Supplemental submission for MediCal to California Department of Health Care Services (DHCS). Preparation of the Plan Partners’ monthly capitation payments. Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including • Paid Time Off (PTO) • Tuition Reimbursement • Retirement Plans • Medical, Dental and Vision • Wellness Program • Volunteer Time Off (VTO)

Requirements

Must-haves

Responsible for the reconciliations of multiple revenue streams.
Ensure disenrollment policy and procedures are practiced and monitored for accuracy.
Responsible for preparation of multiple billing and analysis of multiple Revenue streams.
Responsible for maintaining multiple schedules to track contract rate changes and ensure correct rate adjustment.
Accurate regulatory requirements interpretation.
Prepare month end reporting management tools accurately and analyze in a timely manner.
Prepare daily, weekly and/or monthly financial reports as assigned.
Prepare Journal Entries and perform related General Ledger analysis and reconciliation. Prepare audit schedules.
Prepare and participate in the completion of all assigned special projects.
Master the QNXT Enrollment and Claims Module.
Master SAP FS-CD and FI-GL Modules.
Perform other duties as assigned.
Duties Continued
Education Required
Bachelor's Degree in Finance or Related Field
In lieu of degree, equivalent education and/or experience may be considered.
Master's Degree in Finance or Related Field

Nice-to-haves

Education Preferred
Medi-Cal and Medicare and Covered California knowledge.
QNXT application knowledge.
Licenses/Certifications Preferred
Certified Public Accountant (CPA)
Physical Requirements
Additional Information

Application prep

Use the role’s language and application details while tailoring your materials.

Keywords to mirror

sql

Platform: successfactors
Effort: medium

Benefits

Benefits detected in the listing.

Dental

Vision

Pto

Paid Time Off

Wellness