Job Details

A bit about us:

We are a comprehensive, physician-led healthcare organization dedicated to serving communities across California's Coachella Valley and the Morongo Basin. We are currently seeking a Managed Care Financial Analyst to support our leadership team by delivering actionable insights and data-driven analysis to inform key financial decisions and improve overall operational performance.

Why join us?

• Free medical insurance with low copays and an annual out-of-pocket maximum
• Pharmacy coverage with low-cost prescriptions at local pharmacies
• Dental insurance (HMO or PPO) with orthodontic coverage and low deductibles
• Vision insurance covering glasses, lenses, and contacts
• Voluntary life and AD&D insurance up to 5x salary (maximum $500,000), with portable coverage
• Long-term disability coverage replacing up to 60% of monthly base pay (max $6,000)
• Flexible Spending Accounts (FSA) for health, dental, vision, and dependent care expenses
• 401(k) retirement plan with a company match of $0.25 per $1, up to 1% of compensation
• Access to financial advisors and a range of investment options
• Paid time off (PTO) starting on day one, increasing with tenure; usable after 90 days
• Additional paid leave for jury duty, bereavement, and sick time (up to 3 days annually)
• Employee Assistance Program (EAP) offering confidential counseling and support
• Onsite wellness programs including yoga, walking groups, and health education classes
• Onsite Weight Watchers meetings and fitness resources
• "Wall of WOW" peer recognition program with points-based rewards
• Supplemental insurance options through Aflac and Legal Shield
• Family coverage available for medical, dental, vision, pharmacy, and life insurance

Job Details

Key Responsibilities

• Compile and analyze financial and operational healthcare data from multiple sources to support informed decision-making.
• Monitor and stay current on industry trends, regulatory updates, and performance measures relevant to healthcare finance and operations.
• Conduct contract cost reviews, evaluate provider performance, and provide recommendations for contract optimization.
• Reconcile and classify hospital claims data in coordination with the claims department; ensure updates are reflected in analytics systems.
• Apply Medicare pricing methodologies to outpatient claims for internal pricing models and payment validation.
• Use provider, facility, and ancillary contract data to support modeling of both capitated and fee-for-service (FFS) arrangements.
• Assist in monthly capitation deduction processing, exclusion tracking, and CPT code maintenance; support contract language clarification with contracting teams.
• Contribute to the automation of logic for capitation processing and participate in related system improvements.
• Work with reporting teams to validate and reconcile newly developed SSRS reports.
• Prepare regulatory reports, such as annual submissions for state-level planning and development agencies.
• Create and maintain operational dashboards and financial performance reports for internal departments.
• Collaborate cross-functionally to maintain data accuracy and consistency across reports and systems.
• Fulfill ad-hoc data and research requests as needed.
• Participate in a collaborative and service-oriented team environment by offering support to colleagues and taking ownership of assigned work.

Required Qualifications

• Bachelor's degree in Business Administration, Finance, Economics, or a related discipline
• 2-3 years of experience in a healthcare finance or accounting role
• Experience within an IPA or Managed Care setting preferred
• Proficiency in Microsoft Excel; familiarity with data visualization tools such as Tableau, Power BI, or Power Query preferred
• Working knowledge of SQL, including data extraction, temporary tables, and query development
• Basic programming knowledge in Python or R preferred
• Strong analytical thinking, organizational skills, and attention to detail
• Ability to work independently, meet deadlines, and manage competing priorities
• Effective communication and collaboration skills across various departments and roles
• Commitment to problem solving and continuous improvement
• Position may be eligible for hybrid or remote work, subject to management approval

Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.