APLA Health
Overview
Under the direction of the Director of Finance, the Financial Analyst provides comprehensive financial analysis, focusing on revenue cycle management, budgeting, financial reporting, and regulatory compliance. The role analyzes financial and operational data, develops financial models, prepares financial reports and budgets, and ensures adherence to FQHC-specific regulations and requirements. The analyst identifies cost trends and strategies to optimize reimbursement and supports strategic initiatives to maintain financial stability and growth. Responsibilities
Prepare monthly, quarterly, annual, and ad-hoc financial and operational reports. Analyze performance metrics, such as denial rates, revenue per visit, cost per visit, and patient volume. Generate reports and executive summaries for leadership, providing actionable insight. Monitor and analyze billing, claims, and reimbursement processes to identify and resolve issues. Conduct reimbursement analysis to identify opportunities for improvements in scope, rate setting, and visit volume. Develop financial models for FQHC partnerships, including proposals, pro-Forma, and contract renewals. Collaborate with teams to align financial KPIs with organizational goals. Assist in preparing the annual operating and capital budgets. Develop and maintain financial models for budgeting, forecasting, and long-term planning. Ensure adherence to all relevant federal guidelines and internal controls. Analyze operational KPIs (key performance indicators) specific to FQHCs. Lead the preparation and submission of annual Medi-Cal reconciliation reports, HRSA UDS (Uniform Data System) reports, HCAI utilizations reports, and Medicare cost reports, including managing audits of submitted reports. Lead the preparation and submission of Medi-Cal rate setting cost reports and Medi-Cal change in scope of service cost reports, including audits of submitted reports. Support the grants management team through budget tracking and financial reporting for funders. Provide financial support for strategic initiatives, such as service line expansion or value-based care models. Conduct cost-benefit analyses to justify funding decisions and recommend improvements. Qualifications
Bachelor’s degree in accounting or finance, from an accredited college required. A minimum of 3 years of financial analysis experience, in a healthcare setting or FQHC, required. Experience with MIP Fund Accounting software, preferred. Experience with electronic medical records systems required. Proficiency in Microsoft Office required. Advanced skills in Microsoft Excel required. Experience with revenue cycle management and healthcare reimbursement processes required. Knowledge Of FQHC operations, including UDS reporting. Familiarity with federal healthcare regulations and compliance standards. Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Healthcare finance, including reimbursement models, cost reporting, and regulatory compliance. Ability To Work with and analyze large amounts of complex data and translate findings into clear, actionable recommendations. Develop complex financial models. Collaborate effectively with billing, finance, and clinic operations teams. Manage complex assignments with minimal supervision. Meet tight deadlines regularly and consistently. Prioritize deadlines across multiple projects simultaneously. Handle highly confidential and sensitive information with trustworthiness. Solve complex problems and think analytically. Conduct financial analysis. Exercise judgment and make independent decisions. Complete tasks with a strong attention to detail. Work independently and within a team environment. Understand and interpret complex financial transactions. Communicate effectively, persuasively, and professionally both verbally and in writing with stakeholders, internally and externally. Work independently and effectively under pressure and follow complex directions. Proactively follow-up on assignments, exhibits initiative, self-motivation, and a strong work ethic. Working Conditions
This is primarily an office position that requires only occasional bending, reaching, stooping, lifting, and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and involves entering, viewing, and revising text and graphics on the computer terminal and on paper. Special Requirements
Must possess a valid California driver’s license; proof of auto liability insurance; and have the use of a personal vehicle for work-related purposes. COVID vaccination and booster required or medical/religious exemption. APLA Health is an EEO Employer.
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Under the direction of the Director of Finance, the Financial Analyst provides comprehensive financial analysis, focusing on revenue cycle management, budgeting, financial reporting, and regulatory compliance. The role analyzes financial and operational data, develops financial models, prepares financial reports and budgets, and ensures adherence to FQHC-specific regulations and requirements. The analyst identifies cost trends and strategies to optimize reimbursement and supports strategic initiatives to maintain financial stability and growth. Responsibilities
Prepare monthly, quarterly, annual, and ad-hoc financial and operational reports. Analyze performance metrics, such as denial rates, revenue per visit, cost per visit, and patient volume. Generate reports and executive summaries for leadership, providing actionable insight. Monitor and analyze billing, claims, and reimbursement processes to identify and resolve issues. Conduct reimbursement analysis to identify opportunities for improvements in scope, rate setting, and visit volume. Develop financial models for FQHC partnerships, including proposals, pro-Forma, and contract renewals. Collaborate with teams to align financial KPIs with organizational goals. Assist in preparing the annual operating and capital budgets. Develop and maintain financial models for budgeting, forecasting, and long-term planning. Ensure adherence to all relevant federal guidelines and internal controls. Analyze operational KPIs (key performance indicators) specific to FQHCs. Lead the preparation and submission of annual Medi-Cal reconciliation reports, HRSA UDS (Uniform Data System) reports, HCAI utilizations reports, and Medicare cost reports, including managing audits of submitted reports. Lead the preparation and submission of Medi-Cal rate setting cost reports and Medi-Cal change in scope of service cost reports, including audits of submitted reports. Support the grants management team through budget tracking and financial reporting for funders. Provide financial support for strategic initiatives, such as service line expansion or value-based care models. Conduct cost-benefit analyses to justify funding decisions and recommend improvements. Qualifications
Bachelor’s degree in accounting or finance, from an accredited college required. A minimum of 3 years of financial analysis experience, in a healthcare setting or FQHC, required. Experience with MIP Fund Accounting software, preferred. Experience with electronic medical records systems required. Proficiency in Microsoft Office required. Advanced skills in Microsoft Excel required. Experience with revenue cycle management and healthcare reimbursement processes required. Knowledge Of FQHC operations, including UDS reporting. Familiarity with federal healthcare regulations and compliance standards. Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Healthcare finance, including reimbursement models, cost reporting, and regulatory compliance. Ability To Work with and analyze large amounts of complex data and translate findings into clear, actionable recommendations. Develop complex financial models. Collaborate effectively with billing, finance, and clinic operations teams. Manage complex assignments with minimal supervision. Meet tight deadlines regularly and consistently. Prioritize deadlines across multiple projects simultaneously. Handle highly confidential and sensitive information with trustworthiness. Solve complex problems and think analytically. Conduct financial analysis. Exercise judgment and make independent decisions. Complete tasks with a strong attention to detail. Work independently and within a team environment. Understand and interpret complex financial transactions. Communicate effectively, persuasively, and professionally both verbally and in writing with stakeholders, internally and externally. Work independently and effectively under pressure and follow complex directions. Proactively follow-up on assignments, exhibits initiative, self-motivation, and a strong work ethic. Working Conditions
This is primarily an office position that requires only occasional bending, reaching, stooping, lifting, and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and involves entering, viewing, and revising text and graphics on the computer terminal and on paper. Special Requirements
Must possess a valid California driver’s license; proof of auto liability insurance; and have the use of a personal vehicle for work-related purposes. COVID vaccination and booster required or medical/religious exemption. APLA Health is an EEO Employer.
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