Sr Financial Analyst – El Segundo, CA

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The financial analyst will have a pivotal role in the Health Plan Analysis team and collaborate with multiple departments such as Accounting, Payor Contracting, and FP&A. This position will primarily be responsible for high dollar claims audit, capitation deductions audit, capitation revenue processing, payment integrity and validation, and providing real time reporting to management. This role will work with month end close and closely with teammates and management to meet deadlines with accuracy across the southern California markets.

If you are located in El Segunda, CA, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Understand capitation revenue payments from multiple health plans and lines of business, such as HMO, Medi-Cal, and Medicare
• Monthly high dollar claims’ accruals, including estimating medical expenses, interpretating
• Hospital contract rates and payment policies to project claim cost
• Read and understand contractual language regarding revenue definitions
• Work in SQL to pull data and create basic queries
• Work in Excel, Word, PowerPoint. Must be proficient in Excel for reporting and analytics
• Communicate effectively in written and verbal forms with partnering teams
• Comprehend forecast and timing within the business
• Provide accurate reporting for management to make key business decisions. This includes membership, revenue, and PMPMs
• Detail oriented individual who can work in a team setting as well as independently
• Translate complex concepts in ways that can be understood by variety of audiences
• Understand health plan data file layouts along with data dictionaries with an in depth knowledge of what each spec means
• Work in a fast-paced environment to meet month end close deadlines and ad hoc requests
• Assist with SOX audits and capitation validation by health plan and product. Prepare SOX packages monthly and keep all files in an inventory and organized fashion
• Positive attitude, ability to adapt, and be flexible as the business and organization changes

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
 

Required Qualifications:

• Experience with large data sets
• Experience with SQL to pull data and create basic queries
• High proficiency in Microsoft (Outlook, Word, Excel, PowerPoint)
• Communicate verbally and written exceptionally well. Speak and present in meetings
• Fast learner with ability to adapt
• Self-motivated, organized, and possesses a high degree of autonomy and maturity
• Ability to multi-task and operate at a high-level under pressure

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.