Financial Analyst, Sr - TCHP at Texas Children's Hospital

Bellaire, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

11 Sep, 26

Salary

0.0

Posted On

13 Jun, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Financial Analysis, Accounting, Budget Preparation, IBNR Calculation, Financial Reporting, Regulatory Reporting, Reconciliation, Data Validation, Cash Monitoring, General Ledger

Industry

Hospitals and Health Care

Description

We are searching for a Senior Financial Analyst — someone who works well in a fast-paced setting. In this position, you will assist in maintaining the financial and statistical records of the Health Plan, ensuring that executives, management and the board can continuously measure Health Plan performance relative to its goals and strategies. Think you’ve got what it takes? Job Duties & Responsibilities · Ensure that monthly source data validates current membership, retroactive membership adjustments and payment amounts, according to contracted rates and membership distribution · Review monthly membership and payment amounts to resolve errors and discrepancies, and identify and analyze issues or trends that need attention · Reconcile claims expense to lag schedules · Research and correct any discrepancies. · Calculate IBNR in accordance with TCHP procedure using reconciled lag and payment schedules · Reconcile accrual-based expense totals to actual cash distribution · Ensure that payments are made in timely fashion · Coordinate with Treasury to monitor available cash against expected cash requirements · Analyze and resolve issues that create discrepancies among revenue membership and eligibility membership · Reconcile revenue amounts reported for general ledger, financial reporting, decision support, and regulatory reporting · Review reporting requirements to identify supporting schedules needed. · Prepare schedules as assigned for monthly, quarterly and annual financial and regulatory reporting packets. · Research and respond to inquiries from management and other departments. · Assist with preparation of annual budget. Assists managers and directors in comparing budget to actual performance Skills & Requirements · 5 Years Accounting Or Analytical Work Experience Required · Bachelor's degree in Accounting, Finance, Or Business Administration Required · Master’s degree may substitute for two years of the required experience · A Certified Public Accountant (CPA) license issued by the Texas State of Public Accountancy, or equivalent state Board for out of state residents, may substitute for two years of the required experience. Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area. To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Responsibilities

Maintain financial and statistical records for the Health Plan to measure performance against goals and strategies. Responsibilities include reconciling claims expenses, calculating IBNR, and preparing monthly, quarterly, and annual regulatory reporting packets.