Neighborhood Health Plan of Rhode Island Looking for Financial Analyst at Smithfield, RI  Full Time

This role is responsible for providing financial analytics for internal customers including. He/she is responsible to independently complete analytics and articulately present them to customers. Work will be both recurring and ad-hoc as directed by the Supervisor and other Analysis management.

Responsibilities include, but are not limited to the following:

• Performs monthly Incurred But Not Reported (IBNR) liability exposure
• Performs the monthly Risk Share calculation
• Assists in other operational improvement and implementation projects
• Prepare and analyze the quarterly medical expense variance reporting
• Prepare regular and ad-hoc reporting and analysis
• Assist with analytical and data reporting support to internal customers such as Care Management, Claims and Provider partnerships
• Assist with analytical and data reporting support for external entities such as state agencies, commercial accounts, health centers and third party vendors
• Analyze financial impact of hospital and physician contracts
• Assist in the preparation and analysis of the annual medical budget
• Assist in the development and maintenance of provider incentive systems
• Assist in the preparation of work papers for external auditors and actuaries
• Participate in the cross-functional team meetings
• Assist in the preparation and analysis of the monthly financial close
• Assist and maintain provider and hospital fee schedules
• Identify opportunities for improvement in the department
• Other duties as assigned
• Corporate Compliance Responsibility – As an essential function, responsible for complying with Neighborhood’s Corporate Compliance Program, Standards of Business Conduct, applicable contracts, laws, rules and regulations, policies, and procedures as it applies to individual job duties, the department, and the Company. This position must exercise due diligence to prevent, detect, and report unlawful and/or unethical conduct by fellow co-workers, professional affiliates and/or agents.

Grade- F

Range- Min.$54,090, Mid. $70,262, Max. $86,544

Qualifications Required:

• Bachelor’s degree in Business or business related field
• One (1) to Three (3) years relevant professional experience
• Advanced skills with spreadsheets (Excel)
• Independent work style, highly motivated, takes ownership of project/work and a self-starter
• Ability to recommend process/job design improvements and seeks solutions
• Strong analytical and problem solving skills
• Good communication skills

Qualifications Preferred:

• Knowledge of Healthcare (HMO)
• Database proficient (SQL, SAS, Tableau)
• Knowledge of Cognos Business Intelligence software

Neighborhood Health Plan of Rhode Island is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.