Managed Care Senior Financial Analyst - Managed Care (Hybrid)

Job Description

Grow your career at Cedars-Sinai!

Cedars-Sinai Medical Center has been named to the Honor Roll in U.S. News & World Report’s “Best Hospitals 2024-2025” rankings . When you join our team, you’ll gain access to our groundbreaking biomedical research facilities and sophisticated medical education programs. We offer learning programs, tuition reimbursement and performance-improvement projects so you can achieve certifications and degrees while gaining the knowledge and experience needed to advance your career.

We take pride in hiring the best, most hard-working employees. Our dedicated doctors, nurses and staff reflect the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive for.

What will you be doing:

The Senior Financial Analyst is responsible for assisting with the development, design, maintenance, coordination and implementation of reporting systems for business operations and management. Responsibilities include, but are not limited to, accessing data through a variety of databases and the creation of accurate, meaningful and relevant reports for diverse audiences; assisting with the administration and implementation financial initiatives; assisting in the interpretation of policies/procedures/practices.

Managed Care Reporting:

• Prepare reports and presentations to communicate financial findings and recommendations to senior management.

• Conduct financial modeling and forecasting to assess the impact of proposed contract changes and new initiatives.

• Monitor and evaluate contract performance and financial metrics, identifying trends, variances, and areas for improvement.

• Analyze managed care contracts for compliance and financial performance, identifying areas for optimization.

• Generate regular and ad-hoc financial reports, summarizing key data, trends, and recommendations for decision-makers.

• Lead complex or special assignments related to managed care financial analysis.

• Provide analytic support across various departments and service lines, ensuring data-driven decisions.

• Research and resolve inquiries related to assigned functional areas, offering strategic recommendations.

• Collaborate with finance teams and management to review financial information and forecasts.

• Apply federal and state regulatory requirements, as well as organizational policies and procedures, to all projects.

Qualifications

Experience Requirements:

Five (5) plus years of experience in reviewing and interpreting patient medical records using CPT and ICD10 coding systems.

Technical understanding of Healthcare Data systems is needed. Knowledge of electronic health records (EHR), claims data, and health information systems (e.ge., Epic, Cerner); Familiarity with ICD-10, CPT, and HCPCS codes, as well as other coding standards in managed care.

Education Requirements:

Bachelor’s degree in Finance, Accounting, Healthcare Management, or related field of study

Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.