Financial Analyst II – United States – Remote

At IEHP, we believe in healing and inspiring the human spirit. We invite you to move beyond just a “job” and embrace an authentic experience where you’ll have the opportunity to make a meaningful impact on the lives of our members while growing your career. As a Financial Analyst II in Commercial Finance, you will play a key role in supporting our mission by analyzing and reconciling complex financial data related to premium invoicing, payments, and member accounts.

Position Overview
Under the guidance of the Supervisor of Finance Analytics – Commercial Finance, the Financial Analyst II will be responsible for a variety of financial tasks, including premium invoicing and payments reconciliation, vendor management, cross-departmental collaboration, and ad-hoc analysis related to commercial health plans. This role requires strong analytical skills, proficiency in SQL, and the ability to work with large datasets to ensure financial accuracy and compliance with regulatory standards.

Key Responsibilities

• Premium Invoicing and Payments:
  • Monitor and respond to internal and external inquiries regarding premium invoicing.
  • Analyze overpayments and underpayments, presenting findings and recommendations to leadership.
  • Research member premium issues or discrepancies and provide actionable solutions.
  • Reconcile various revenue streams (e.g., member payments, APTC payments, state credits/subsidies) using SQL queries to ensure accuracy in member accounts.
• Vendor and Payment Issue Management:
  • Resolve payment disputes with merchant services vendors and ensure lockbox decisioning is processed correctly.
  • Collaborate with print vendors to update premium billing and member notices as required by regulatory guidelines.
  • Coordinate with BPO vendors to manage programming adjustments and other business needs.
• Reporting and Financial Analysis:
  • Prepare month-end financial reports and journal entries to meet reporting requirements.
  • Perform detailed analysis of refund requests and overpayments, processing refunds when necessary.
  • Verify the accuracy of broker commission payments and reconcile internal and external records.
  • Ensure compliance with regulatory requirements related to premium billing and revenue reconciliation.
• Continuous Improvement & Team Collaboration:
  • Act as a trusted resource for internal teams, building strong working relationships across departments.
  • Incorporate LEAN principles into daily work processes to drive efficiency and continuous improvement.
  • Contribute to the success of the health plan by performing other duties as needed.

Why Join IEHP?

At IEHP, we are committed to fostering a supportive and inclusive environment for our team members. In addition to the satisfaction of making a difference in the healthcare field, you’ll enjoy a range of benefits, including:

• Full Remote Position: Work from home, with California residency required.
• Competitive Compensation: Annual salary with merit-based increases and team bonus opportunities.
• Retirement & Savings: CalPERS retirement plan, 457(b) with employer matching.
• Comprehensive Benefits:
  • Medical, dental, and vision insurance.
  • Paid life insurance, with additional options.
  • Short-term and long-term disability coverage.
  • Pet care insurance.
  • Flexible Spending Account (FSA) for healthcare and childcare.
• Wellness & Work-Life Balance:
  • Wellness programs to support a healthy lifestyle.
  • Generous paid time off (vacation, holidays, sick leave).
  • On-site fitness center.
• Professional Development: Opportunities for career growth and advancement.

Qualifications & Experience

• Experience:
  • Minimum of 3 years in premium billing, membership reconciliation, or premium reporting, particularly within managed care for commercial products.
  • Experience collaborating with finance teams for monthly financial reporting.
  • Proficiency in working with large data sets and writing moderate SQL queries.
• Education:
  • Bachelor’s degree in Finance, Business Administration, Economics, Healthcare Administration, Accounting, or a related field.
• Skills:
  • Strong knowledge of premium billing practices in healthcare.
  • Familiarity with Generally Accepted Accounting Principles (GAAP).
  • Solid SQL query writing and development skills.
  • Proficiency with Microsoft Excel and Word.
  • Strong communication skills, both written and verbal.
  • Critical thinking, problem-solving, and time-management abilities.

Ready to take the next step in your career and make a lasting impact in healthcare? Apply today to join IEHP and be part of a team committed to inspiring others while advancing your own professional growth!

WhatsApp Telegram Facebook LinkedIn