GENERAL SUMMARY
Conducts complex technical analysis and economic research to report on the Company’s future and current operational and financial performance. Analyzes trends and variances. Generates and presents timely and accurate reports and recommendations to management.
ESSENTIAL RESPONSIBILITIES
- Evaluates complex financial and utilization information for analysis including but not limited to risk-share reconciliation, specialty capitation contracts, utilization statistics, medical expenses, group revenues, cash flows, operating results, and business plans. Interprets trends to identify variances and causes of variances. Reports analysis to management.
- Develops and implements the methods used to build models required for consistent reporting of riskshare reconciliation, specialty capitation contracts, market expansion studies, and related projects.
- Performs financial due diligence as needed and makes recommendations regarding viability of potential acquisitions. Analyzes transactions for acquisitions and determines allocation of purchase price.
- Coordinates the analysis of hospital, volume-tiered reconciliation.
- Analyzes actual versus projected rating assumptions on large dollar cases. Performs actuarial and rating analysis.
- Reviews provider contracts, analyzes risk pools, and prepares provider settlements.
- Performs special projects and other duties as required.
Qualifications:
JOB SPECIFICATIONS
- Bachelor’s degree or equivalent experience. Master’s degree or CPA preferred.
- Previous (5-7 years) directly related financial analysis experience.
- Significant knowledge of generally accepted finance and accounting principles, applications, and systems.
- Thorough understanding of managed care industry requirements.
- Proficient with database software, spreadsheet software, and accounting systems.
- Excellent communication, analytical, and report writing skills required.
Coventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.
Job: Professionals
Primary Location: Harrisburg, PA, US
Organization: 37200 - Coventry Product Services, Inc
Schedule: Full-time
Job Posting: 2012-10-22 00:00:00.0
Job ID: 1211910