Campus Pride Jobs

The Managed Care Solutions (MCS) Financial/Data Analyst Manager performs professional work under the supervision of the MCS Administrator.   This is a key role in overall financial management of the HealthChoices program.   Primary responsibilities include: analyzing financial data for the purpose of budget management, capitation development, financial reporting, provider network;  managing MCS data warehouse; preparing/reviewing contractual reporting; monitoring HealthChoices financial and data system requirements; assessing/validating data for accuracy; developing data business flows and systems to meet the needs of members and program requirements. 

Financial/Administration Management:

• Lead role in managing and coordinating MCS contracts including the Request for Proposal function.
• Key role in the development and monitoring of DHS Capitation rates and County Budget.
• Provide financial support to program staff.

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``` - Provides support and assistance to financial staff for financial reports, reinvestment reporting and other special reporting to DHS.  Prepares financial reports in the absence of Accountant. - Provides assistance in development of Provider budgets, rates and billing practices for new and expanding services.

  Compliance Auditing/Monitoring:

• Responsible for the compliance monitoring of MCO Claims Processing; Management Information Systems/Encounter Data Reporting; Financial Management of program.
• Oversight of eligibility data and provider enrollment.
• Ensures compliance to Program Standards.

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``` - Key role in the annual independent audit.  Ability to demonstrate through documentation the financial activities necessary to satisfy financial monitoring standards within DHS contract.

  Analytics:

• Lead role in analyzing medical claims data for development of IBNRs (Incurred but not received claims) and ensuring financial reporting is accurate.  Comparing results by BH-MCO and Actuary.
• Key role in receiving all program statutory and special DHS reports for analyzing, accepting and warehousing.
• Lead role in the maintenance of MCS Data Warehouse and development of reports.

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``` - Develops and Maintains reports for management- demographic, membership, utilization, financial, performance, value-based performance and social determinants of health. - Reconciles and analyzes financial and program data. - Identifies resources and technology necessary to provide information to management staff that is used to meet business objectives and establish priorities for project deliverables. 

Other duties as delegated.

• Bachelor's Degree in accounting, business, computer science or a related field.
• 5 years experience in healthcare, financial management and/or data analytics.
• Strong analytical and problem solving skills essential.
• Prefer experience in database design and management, dashboard and report writing.
• Ability to understand human services business and program functions.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to stand; walk; sit; and talk and hear.  The employee frequently is required to taste or smell. The employee is occasionally required to use hands to finger, handle or feel objects, tools or controls; reach with hands or arms; and stoop, kneel, crouch or crawl.  The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision and depth perception.* *

WORK ENVIRONMENT: The work environment characteristics described here are representative of tho e an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.  The noise level in the work environment is usually moderate.

TO APPLY FOR A POSITION YOU MAY COMPLETE THE ON-LINE APPLICATION, FAX COUNTY APPLICATION TO 610-292-2160 OR MAIL APPLICATION TO THE ADDRESS BELOW. A LETTER OF INTEREST AND RESUME MAY ALSO BE INCLUDED WITH THE COUNTY APPLICATION.

County of Montgomery

Department of Human Resources

PO Box 311

Norristown, PA 19404-0311

(610) 278-3052

*If you are contacted for an interview and need accommodations for the interview due to a Disability, please advise the interviewer of the accommodations you require well in advance of the scheduled date. *

*If you need help to fill out this application form or during any phase of the application, interview or employment process, please contact Human Resources or the Hiring Manager of the department.  *

EQUAL OPPORTUNITY EMPLOYER