Financial Analyst, Optum MA HCE at Atrius Health in Newton, Massachusetts

Job Description:

Atrius Health is a nonprofit healthcare leader delivering a system of connected care that enables us to know our patients better so that we can serve them well. Across 32 clinical locations, more than 50 specialties and 825 physicians, we provide proactive, customized care to more than 720,000 adult and pediatric patients across eastern Massachusetts.

The Atrius Health practices including Dedham Medical Associates, Granite Medical Group, Harvard Vanguard Medical Associates and PMG Physician Associates – together with VNA Care – work in collaboration with hospital partners, community specialists and skilled nursing facilities, to develop innovative and effective ways of delivering care in the most appropriate setting, making it easier for patients to be healthy.

We believe that by establishing a solid foundation of knowledge, understanding and trust with each of our patients, we enrich their health and enhance their lives.

The Financial Analyst Healthcare Economics Optum Massachusetts provides analytical, project management and database support. Gathers, compiles, organizes, and documents financial information. Conducts research on background informational material and relevant financial data. Works with supervisor to determine appropriate approach and type of analysis needed and then analyzes, consolidates, and interprets the data. Assists in conducting and documenting financial analyses and forecasting projects and studies for use in the development of business strategies and tactics. Builds financial models to support operational initiatives and analytical endeavors. Performs a variety of ad hoc data and financial analysis requests on behalf of the practice sites, central departments, or management. Works under supervision on routine but productive assignments.

GENERAL DUTIES AND RESPONSIBILITIES

· § Supports on-going analyses of financial, budgetary, or medical claims data, through forecasting, statistical analyses, trending, regression analyses, risk assessment, and utilization assessment. Uses professional concepts and internal policies and procedures to solve problems. Identifies key issues and trends and brings them to the attention of higher-level staff members.

· § Generates analysis, forecasts, and financial models; assemble and distributes management reporting packages to be utilized by executive and management teams. Collaborates with management at all levels to drive the preparation and analysis of the operating budget, business planning, and new proposals.

· § Supports the build of financial models for operational initiatives. Consolidates a wide range of operating and financial projections for the development of short- and long-term business plans. Provides on-going financial analyses. Tests and reconciles all financial models and analytic results.

· § Assists in cost reduction and profit maximization studies, cost-benefit analyses, projected profitability, and cash flow analysis.

· § Ensures accuracy and integrity of all financial, operational, and statistical data.

· § Identifies, researches, and validates significant data integrity issues, follow up to resolve issues where necessary.

· § Identifies trends and suggests opportunities for improvement in financial or operational performance for senior and middle management.

· § Performs routine financial reports and analysis, as well as completes ad-hoc requests received from management.

· § Consistently audits and cross-reference reports to ensure data consistency, accuracy, and integrity.

· § Supports Consultant and Associate Director in managing departmental workload. Work on complex financial analysis projects under supervision. Monitors, analyzes, and evaluates complex data using statistical tools to identify variances, problems, and trends. May be responsible for smaller or less complex projects.

· § Assists in the development and monitoring of annual and multi-year budgets, projections, forecasts, and trends. Maintains financial records as needed.

· Performs other duties as assigned.

EDUCATION/LICENSES/CERTIFICATIONS

Bachelor’s degree (or equivalent education, training, or experience) required, preferably in accounting or finance.

EXPERIENCE

A minimum of 1 to 3 years of experience in financial or data analyses required. Experience in healthcare preferred. Knowledge of general accounting principles, auditing/reconciliation methodologies, data collection and analysis, financial modeling.

SKILLS

Analytical and quantitative skills including statistical analyses and forecasting. Detail oriented with strong technical writing, communication, and presentation skills. Must have strong computer skills, including Microsoft Excel and SQL. Communication, interpersonal, analytical, and organizational skills.

OTHER REQUIREMENTS

Able to use all electronic tools and applications relevant to the performance of the duties of the position, including but not limited to phone, keyboard, computer, and computer applications.

Performs all job functions in compliance with applicable federal, state, local and company policies and procedures.

Accesses only the minimum necessary protected health information (PHI) for the performance of job duties. Actively protects the confidentiality and privacy of all protected health information they access in all its forms (i.e., written, verbal, and electronic, etc.) taking reasonable precautions to prohibit unauthorized access. Complies with all Optum Massachusetts and departmental privacy policies, procedures, and protocols. Follows HIPAA privacy guidelines without deviation when handling protected health information.

This addendum may be attached to the approved Job Description to provide additional details.

The addendum lists specific job expectations and goals of the position. These may change, be modified or deleted. It is recommended that this list be reviewed and presented to incumbents each year.

SUMMARY

§ Run lags, and data quality checks.

§ Outside medical expenses reporting (HO, OU, Rx) - create consistent monthly narrative for the market, highlighting areas of opportunities and concern; monitor other TME accounts: discounts, truncation, recoveries, Rx rebates, and others as applicable.

§ Responsible for quarterly forecasts of all outside medical expense accounts, and related deliverables (bridges, trend reporting, supplemental schedules as applicable); Atrius forecast model for medical expense rates; creation of trends to ascertain yoy changes, experience, etc.

§ Collaboration with Optum actuarial team, Optum HCE, Office of Population Health, local Contracting, other members of HCE, FPA and Accounting.

§ Long range planning model for outside medical expenses.

§ Reconciliation to payor dashboards and settlements on a regular basis.

§ Use of Axiom Healthplan budgeting module (Reliant; eventually Atrius) for medical expense rates.

§ Internal reporting: HBI, forecast model.

§ Coordinate and administer reinsurance process for the market.

Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of Atrius Health will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation and gender identity and/or expression, or other dimensions of diversity.

Benefits Include:

· Up to 8% company retirement contribution,

· Generous Paid Time Off

· 10 paid holidays,

· Paid professional development,

· Generous health and welfare benefit package.

External Description

Atrius Health is an equal opportunity/affirmative action employer and does not discriminate in recruiting, hiring, training, promoting or any other employment practices on the basis of race, color, religion, sex, marital status, age, sexual orientation, gender identity, national origin, military service or application for military service, veteran or disability status.

Applicants have rights under Federal Employment Laws: Family and Medical Leave Act (FMLA);Equal Employment Opportunity (EEO); and Employee Polygraph Protection Act (EPPA).

VEVRAA Federal Contractor

Request Priority Protected Veteran & Disabled Referrals for all of our locations within the state

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