Financial Analyst or Strategic Finance Analyst

The position can be located in our four Cambia states – OR, WA, ID or UT

At Cambia, our members need us more than ever, and to continue serving them, we need to be vaccinated. Following federal mandate, all Cambia Health Solutions employees, including 100% remote workers, need to be fully vaccinated for COVID-19 by 1/1/22.

The Financial Analyst or Strategic Finance Analyst—Value Based Arrangements– will serve as a trusted Finance business partner to calculate, analyze and report on provider payments related to our Value Based Care arrangements. Responsible for coordinating with multiple departments and validating data used in the settlement and payment processes. Reads provider contracts and produces contractually required reporting and settlements in a timely, accurate and easy to understand format for internal and external provider audiences. Provides financial guidance, oversight and supports process improvement efforts. Presents settlements to management for review and approval.

Minimum Requirements:

• Demonstrated skills in analytic programming tools and methods required. (SAS and SQL preferred).

• Demonstrated expertise in the use of spreadsheet software and relational databases (expertise in Tableau and Excel highly preferred).

• Knowledge of health plan operations or value based care, data sources, and data structures preferred.

• General knowledge of business principles, theories and concepts.

• Effective verbal and written skills.

• Ability to effectively work with a broad range of stakeholders, including the ability to influence where applicable.

• Ability to develop, document and adhere to department policies and procedures.

• Ability to conceptualize solutions to complex problems; readily anticipates problems and identifies solutions.

• Ability to present financial settlements to management.

• Articulates complex and/or complicated issues with a high level of skill, including listening and influence.

Normally to be proficient in the competencies listed above

The Financial Analyst or Strategic Finance Analyst (will have a bachelor’s degree in business, accounting, finance, economics, mathematics, computer science, management information systems, health informatics, data science or statistics plus 2-4 years of experience in health insurance or related field or equivalent combination of education and experience.

We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

Job Requirements:

Responsibilities:

• Plans, organizes, schedules, coordinates and monitors work streams.

• Provides training and consulting expertise to other departments, analysts and external stakeholders.

• Calculates and analyzes contracts and applies appropriate terms to ensure providers get appropriate payment for any risk sharing arrangements they have with Regence.

• Supports Division’s network and reimbursement related projects through data analysis, research activities and/or project management.

• Uses modeling tools to measure provider contract effectiveness.

• Participates in quality improvement efforts.

• Perform acceptance testing of new reports, programs and models.

• Document business requirements and methods used to generate work output.

• Develops financial models and analysis using advanced analytical techniques and complex financial systems

• Primarily responsible for the timeliness, accuracy and completeness of provider settlements.

• Develop and maintain settlement workbook setup and definitions. Meet with provider group representatives to define and verify setup.

• Communicate regularly regarding settlement reporting status and results with internal departments involved with risk arrangements. This includes provider network contractors, actuaries, finance and management.

• Serve as a participant or consultant on projects and committees related to risk sharing products.

• Work with IT to ensure settlement data is working accurately, and necessary enhancements are defined and implemented as needed.

• Work with Network Management team on defining standard definitions and reports where possible.