Medical Claims FP&A Analyst III at Kforce Inc in Denver, Colorado

Job Description:

RESPONSIBILITIES:

Kforce has a client seeking a highly skilled Medical Claims FP&A Analyst III to join their finance team on a permanent basis. In order to be considered for this position, candidates must reside in Colorado.

Summary:
Our client is a leading healthcare organization dedicated to providing high-quality medical services and they are committed to improving patient care through data-driven decision-making. The ideal candidate will have a strong background in financial planning and analysis, specifically within the healthcare industry, and will be responsible for analyzing medical claims data to support strategic decision-making.

Key Responsibilities:

• Analyze and interpret medical claims data to identify trends, variances, and opportunities for cost savings


• Develop and maintain financial models to forecast medical claims expenses and revenue


• Monitor and report on key performance indicators (KPIs) related to medical claims


• Collaborate with clinical department leadership to drive operational excellence through data analysis, interpretation, and validation


• As a Medical Claims FP&A Analyst, you will maintain and leverage an understanding of healthcare operations and the integrated healthcare model at the clinical level


• Interpret large volumes of complex data (e.g., medical records, financials) to provide detailed operational data for evaluating performance improvement initiatives


• Conduct statistical analyses (i.e., SAS, SQL, etc.) to support data-driven decision-making related to medical claims


• Prepare and present detailed financial reports on medical claims to senior management


• Conduct research and prepare business cases related to medical claims in partnership with department leaders


• Assess and evaluate department operations and workflows to identify opportunities for optimizing efficiencies in medical claims processing


• Apply data modeling concepts to financial scenarios involving medical claims

REQUIREMENTS:

• Bachelor's degree in Finance, Economics, or a related field; MBA is preferred


• Minimum of 5 years of experience in financial planning and analysis, with a focus on medical claims analytics and medical economics


• Candidates must be located in Colorado to be considered


• Proficiency in qualitative financial modeling and data analysis tools (e.g., Excel, SQL, Tableau)


• Strong analytical and problem-solving skills


• Excellent communication and presentation skills


• Ability to work independently and as part of a team in a fast-paced environment


• In-depth knowledge of healthcare industry nuances as it relates to medical claims analysis and cost-savings models

The pay range is the lowest to highest compensation we reasonably in good faith believe we would pay at posting for this role. We may ultimately pay more or less than this range. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. This range may be modified in the future.

We offer comprehensive benefits including medical/dental/vision insurance, HSA, FSA, 401(k), and life, disability & ADD insurance to eligible employees. Salaried personnel receive paid time off. Hourly employees are not eligible for paid time off unless required by law. Hourly employees on a Service Contract Act project are eligible for paid sick leave.

Note: Pay is not considered compensation until it is earned, vested and determinable. The amount and availability of any compensation remains in Kforce's sole discretion unless
and until paid and may be modified in its discretion consistent with the law.

This job is not eligible for bonuses, incentives or commissions.

Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

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