Senior Analyst, Managed Care Patient Finance

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.

The Managed Care Patient Financial Senior Analyst will analyze financial and health information to develop insights that support business decision-making related to healthcare revenue, cost, and clinical outcomes, specifically within the managed care industry. The position will prepare and complete all aspects of Managed Care reporting including, but not limited to, auditing capitation revenue; PCP and specialty cap; preparing risk pool and incentive summaries; assisting in risk pool auditing and analysis; identifying revenue capture opportunities such as; health plan capitation revenue underpayments, specialty claims overpayment, leakage claims, and billable services; and participating in annual budgeting. Additionally, this position will compile financial analysis and other reporting on a recurring and/or as-needed basis, relevant to healthcare, utilization, and financial management for AltaMed IPA.

• Bachelor’s degree in accounting, finance, business, or other related areas with a minimum of 5 years' experience in financial analysis and database reporting in the health care or managed care industry required, or Master’s degree in a related field with 3 years of relevant experience.

• Experience with databases and data analysis technology. Microsoft Access is a must.

• EZ Cap and SQL experience is highly desirable.

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.