Healthcare Financial Analyst

About This Job

APLA Health delivers high-quality medical care, essential services, fellowship, empathy, and a supportive atmosphere to every individual entering our facilities. Our devoted healthcare staff is focused on offering individualized and empathetic no-cost and affordable clinical care, designed to address the distinct requirements of every patient. Functioning as a primary medical home, APLA Health delivers a wide range of coordinated services across more than 71,000 billable patient appointments and close to 10,000 supportive services visits annually. Available services encompass primary medical care, dental services, mental health support, and HIV specialty care; pharmacy services; PrEP consultation and oversight; health education and HIV prevention initiatives; along with STD testing and treatment. For individuals with HIV, APLA Health supplies housing assistance; benefits guidance; in-home health services; and the Vance North Necessities of Life Program food pantries; in addition to various other vital support programs.

We provide excellent benefits, competitive compensation, and a positive workplace.

We provide:

• Medical Insurance
• Dental Insurance (no employee cost)
• Vision Insurance (no employee cost)
• Long Term Disability Insurance
• Group Term Life and AD&D Insurance
• Employee Assistance Program
• Flexible Spending Accounts
• 11 Paid Holidays
• 4 Personal Days
• 10 Vacation Days
• 12 Sick Days
• Metro transit reimbursement or complimentary parking
• Employer-Matched 403b Retirement Plan (6%)

This is an excellent chance to create a meaningful impact.

The hourly wage for this role is between $32.27 and $40.45. Compensation aligns with individual experience.

POSITION SUMMARY

Reporting to the Director of Finance, the Financial Analyst delivers extensive financial evaluation with an emphasis on revenue cycle oversight, budgeting, financial reporting, and regulatory adherence. Principal duties involve assessing financial and operational information, creating financial projections, generating financial statements and budgets, and guaranteeing compliance with regulations specific to Federally Qualified Health Centers (FQHC). This position detects cost patterns and devises methods to enhance reimbursement, aiding strategic projects intended to preserve fiscal health and expansion.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Generate monthly, quarterly, annual, and special request financial and operational reports.
• Evaluate performance indicators, including denial percentages, revenue per visit, cost per visit, and patient numbers.
• Produce reports and management summaries for leadership, delivering practical insights.
• Oversee and assess billing, claims, and reimbursement procedures to detect and rectify problems.
• Perform reimbursement studies to find potential enhancements in service scope, rate establishment, and visit frequency.
• Construct financial projections for FQHC collaborations, covering proposals, pro-forma statements, and contract renewals.
• Partner with various departments to synchronize financial key performance indicators with organizational objectives.
• Aid in formulating the yearly operating and capital budgets.
• Create and sustain financial models for budgeting, forecasting, and extended planning.
• Ensure compliance with all applicable federal regulations and internal control measures.
• Analyze operational key performance indicators particular to FQHCs.
• Oversee the compilation and submission of yearly Medi-Cal reconciliation reports, HRSA Uniform Data System reports, HCAI utilization reports, and Medicare cost reports, including managing audits of filed documents.
• Oversee the compilation and submission of Medi-Cal rate setting cost reports and Medi-Cal change in scope of service cost reports, including audits of filed documents.
• Assist the grants management team with budget monitoring and financial reporting for funding entities.
• Supply financial backing for strategic projects, such as service line growth or value-based care frameworks.
• Perform cost-benefit assessments to validate funding choices and suggest enhancements.

OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.

REQUIREMENTS

Training and Experience:

• Bachelor’s degree in accounting or finance from an accredited institution is mandatory.
• At least three years of financial analysis experience within a healthcare environment or FQHC is mandatory.
• Experience with MIP Fund Accounting software is preferred.
• Experience with electronic medical records systems is mandatory.
• Proficiency in Microsoft Office is mandatory.
• Advanced competency in Microsoft Excel is mandatory.
• Experience with revenue cycle management and healthcare reimbursement processes is mandatory.

Knowledge of:

• FQHC operations, including Uniform Data System reporting.
• Federal healthcare regulations and compliance standards.
• Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards.
• Healthcare finance, covering reimbursement models, cost reporting, and regulatory compliance.

Ability to:

• Process and evaluate substantial volumes of intricate data, interpret complexity, and convert results into clear, actionable suggestions.
• Develop sophisticated financial models.
• Cooperate efficiently with billing, finance, and clinic operations staff.
• Handle complicated tasks with minimal oversight.
• Consistently meet strict deadlines.
• Manage competing deadlines across several concurrent projects.
• Handle extremely confidential and sensitive information with integrity.
• Resolve complex issues and employ analytical thinking.
• Perform financial analysis.
• Apply judgment and make autonomous decisions.
• Execute tasks with a high degree of precision.
• Work both independently and collaboratively.
• Comprehend and interpret complex financial transactions.
• Communicate efficiently, convincingly, and professionally in verbal and written forms with internal and external stakeholders.
• Work independently and productively under pressure and adhere to complex instructions.
• Proactively follow up on assignments, demonstrate initiative, self-motivation, and a robust work ethic.

WORKING CONDITIONS/PHYSICAL REQUIREMENTS

This is mainly an office-based role that entails only infrequent bending, reaching, stooping, lifting, and moving of office supplies weighing 25 pounds or less. The position demands daily use of a personal computer and involves entering, viewing, and modifying text and graphics on the computer display and on paper.

SPECIAL REQUIREMENTS

Must hold a valid California driver’s license; provide evidence of automobile liability insurance; and have access to a personal vehicle for work-related activities.

COVID-19 vaccination and booster are required, barring approved medical or religious exemptions.

Equal Opportunity Employer: APLA Health is an Equal Employment Opportunity Employer.

Visit our website at www.aplahealth.org to apply or click the link below: https://www.paycomonline.net/v4/ats/web.php/portal/A5559163F67395E0A2585D2135F98806/jobs/317688