Healthcare Financial Analyst Resume Samples

Description :

1. Reviewed vouchers and associated documentation before payment.
2. Supported internal and external bureau meetings by assisting with facilitation, meeting notes, and action item lists.
3. Assisted in the development of quarterly financial reports to collect financial information from the Medicaid Managed Care Organizations (MCOs) in NY inclusive of Medical Loss Ratio reporting and oversight
4. Reviewed and oversaw timely filing and accuracy of all MCO's financial reporting.
5. Conducted reviews of MCOs' financial reporting and operating status, including compliance with Public Health Laws, regulations, and policies as well as federal regulations.
6. Communicated findings and collaborate with MCOs to improve the accuracy of financial reporting.
7. Reviewed and evaluated MCO expansions, mergers, and acquisitions for MLTC and Mainstream plans.

Experience

5-7 Years

Level

Executive

Education

BS Finance

Description :

1. Reviewed provider risk contracts (including VBP), Management Service Agreements (MSAs), intercompany agreements, and Care Management Administrative Services (CMAS) agreements for the assigned MCOs as to their compliance with financial rules and policies.
2. Assisted in automating and standardizing financial reports for analysis of the fiscal status of the MCO.
3. Developed ad-hoc financial reports extracting data, as necessary.
4. Performed research and comparison of applicable State and Federal rules and study best practices.
5. Monitored plan financial solvency, as well as responsible for the evaluation of MCO Service Area Expansions, addition of new lines of business, and mergers and acquisition applications.
6. Assimilated data from various systems to create dashboards, update KPIs, and statistical analysis for the CEO, CFO, and partners.
7. Monitored trends in the data, distinguishing between rate, volume, and modality impacts.

Experience

7-10 Years

Level

Senior

Education

MHA

Description :

1. Analyzed payer reimbursement, adherence to payer contracts, and service line profitability.
2. Worked with leaders of the organization to develop new dashboards.
3. Reviewed cost of care and makes recommendations for efficient cost management.
4. Responsible for creating ad hoc reports in various systems.
5. Used critical thinking skills to identify relevant data and escalate findings.
6. Developed and implemented comprehensive reporting and analytics solutions:
7. Collaborated with stakeholders to gather business needs, document requirements, and identify data sources.

Experience

2-5 Years

Level

Junior

Education

BS Accounting

Description :

1. Created reports or interactive dashboards to educate and engage stakeholders.
2. Analyzed data to identify trends, opportunities, and areas for improvement:
3. Conducted advanced, timely, and relevant analyses to support business strategies and objectives.
4. Interpreted data findings and communicated insights in a clear and actionable manner.
5. Provided comprehensive financial analysis and recommendations on a routine and ad hoc basis for organizational, service line, and project-specific business decisions.
6. Provided market and financial analysis for enhancing strategic growth and measuring profitability to identify opportunities for margin improvement.
7. Evaluated the financial performance of new and existing programs and services.

Experience

7-10 Years

Level

Senior

Education

MBA

Description :

1. Utilized data technical architecture and implemented BI solutions using various tools (Infor, Strata, Symplr, Tableau).
2. Responsible for identifying and managing data quality issues impacting analytics.
3. Monitored and tracked industry trends and economic factors that may impact the company's financial outlook.
4. Participated in the annual budgeting and planning processes, providing insights and recommendations to optimize resource allocation and financial targets.
5. Assisted in the preparation and delivery of client invoices and supported both internal and external stakeholders with financial analysis.
6. Evaluated financial data and market trends to develop recommendations for cost reduction, revenue enhancement, and operational efficiency improvements.
7. Assisted in the development of financial models, scenarios, and projections to support strategic decision-making, capital allocation, and resource planning.

Experience

2-5 Years

Level

Junior

Education

BA Economics

Description :

1. Conducted thorough financial analysis, including but not limited to budgeting, forecasting, and variance analysis, to provide insights into the company's financial performance and trends.
2. Prepared and presented comprehensive financial reports, dashboards, and presentations to management, highlighting key performance indicators, risks, and opportunities.
3. Collaborated with various departments to gather relevant data and information, ensuring accuracy and consistency in financial analysis.
4. Used healthcare utilization history and cost data, estimated monthly reserves required for incurred but not reported (IBNR) claims, and reported to management.
5. Supported completion of governmental reporting to the Centers for Medicare and Medicaid Services (CMS) and Californias Department of Health Care Services (DHCS) on healthcare cost expenditures and trends.
6. Investigated, understood, and communicated the drivers of healthcare costs and utilization.
7. Provided analytic or data manipulation support to departmental colleagues.

Experience

0-2 Years

Level

Entry Level

Education

MS HCM

Description :

1. Answered SMEs questions by formulating queries, identifying the root causes of problems, and offering potential solutions.
2. Estimated the costs or utilization associated with healthcare benefits or programs and supported team colleagues in developing recommendations for the organization.
3. Oversaw and contributed to monthly, quarterly, and annual budget preparation and evaluation.
4. Supervised and communicated ad-hoc analyses for special projects and executive requests.
5. Responsible for reviewing forecasts from other departments and creating bridge plans.
6. Responsible for directing forecasting and goal-setting efforts for financial plans.
7. Supported the finance department with budgeting, financial reporting, and capital budgets.

Experience

5-7 Years

Level

Executive

Education

BS Statistics

Description :

1. Interpreted raw financial data to recommend changes to business processes. 
2. Assisted in negotiating financial terms for vendor contracts, ensuring that terms align with the organization's financial goals.
3. Accumulated and reported on various financial and volume key indicators.
4. Prepared Pro forma for existing and anticipated service lines and procedures.
5. Responsible for participating in the review and establishment of charge item prices.
6. Developed and maintained complex financial models to forecast revenue and expenses, ensuring accurate budgeting and financial planning for the healthcare organization.
7. Performed variance analysis to compare actual financial performance against budgeted figures, identifying discrepancies and recommending corrective actions as necessary.

Experience

0-2 Years

Level

Fresher

Education

MPH

Description :

1. Prepared and distributed standard monthly financial reporting including rolling forecasts and analysis to medical group leadership.
2. Provided clarity of financial performance for the medical group including volume-based reporting.
3. Provided qualitative and quantitative financial analysis in reporting patterns, growth insights, and trends seen within the financials to decision-makers.
4. Provided analytical support for physician compensation models and analytics including biweekly, monthly, quarterly, and annual preparation of variable physician compensation calculations.
5. Ensured accurate and timely payment of physician compensation productivity bonuses and related analytics.
6. Participated in the preparation of the annual financial plan and budget including the development of volume and revenue budgets, annual operating expenses, and related reporting.
7. Supported, reviewed, and prepared portions of the Monthly Operating Reviews (MORs) and communicated significant variances on a timely basis, including coordinating with finance and accounting adjustments when needed.

Experience

7-10 Years

Level

Senior

Education

MS Finance

Description :

1. Collaborated with cross-functional teams to ensure accurate and timely delivery of financial reports.
2. Prepared, analyzed, and reported financial results (monthly, quarterly, and annual) while working closely with the operating divisions, corporate functional groups, and other shared services.
3. Conducted Balance Sheet reviews including analytical reviews and inquiries within the organization to ensure completeness, accuracy, and compliance with the Accounting Standards.
4. Assisted with projects relating to financial reporting and accounting operations initiatives, as assigned, such as working capital analysis and balance sheet cleanup.
5. Gathered and interpreted financial information effectively and formed data into meaningful and concise analyses for decision-making and corrective actions.
6. Responded to inquiries from various functional areas as needed and prepared and assisted in the preparation of required reports for management.
7. Supported external audits and internal audits by providing requisite details for the successful completion of the audit.

Experience

2-5 Years

Level

Junior

Education

BBA