Salary Range:  $67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.)

 

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
 

Job Summary

The Financial Analyst I will ensure the daily management of SAP Premium Billing Module to confirm and monitor member account balances. This position will also ensure that all member payment sources activities are processed into the members accounts in SAP and that updates are reflected in QNXT Enrollment System.  The Financial Analyst I will ensure accurate and timely performance of daily/monthly activities. This position tracks and monitor member premium reimbursements, fulfill requests for information, resolve member inquiries and CoveredCA escalation cases through to resolution, communicate reconciliation issues with Covered CA, manage requests for 1095 tax forms and provide information to internal and external customers.  This position prepares Ad Hoc reporting upon requests, participate in the completion of all assigned special projects and recommend process improvements to build efficiencies.

Duties

Ensure the daily management of the SAP Premium Billing Module

 

Perform daily and monthly premium billing activities accurately and timely.

 

Prepare ad hoc reporting upon request.

 

Maintain database to support annual 1095 submissions and member requests for 1095B tax forms.

 

Prepare and participate in the completion of all assigned special projects.

 

Recommend process improvements to build efficiencies.

 

Perform other duties as assigned.

Duties Continued Education Required Associate's DegreeIn lieu of degree, equivalent education and/or experience may be considered.Education Preferred Bachelor's DegreeExperience

Required:
At least 4 years working in a Healthcare Finance setting. 

Skills

Required:
Proficient in spreadsheets, databases, MS Office and financial software applications.

 

Outstanding presentation, reporting and communication (verbal and written) skills.

Licenses/Certifications Required Licenses/Certifications Preferred Required Training Physical Requirements LightAdditional Information

Area Specifics:

 

Medical Payment Processing

Additional Duties and Responsibilities:

Assists management with reports, reconciliations, and monthly closings.

Process payment accurately and timely according to contractual requirements.

Prepare Journal Entries.

Respond to Levy request from state for federal requests.

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.  The range is subject to change.

 

L.A. Care offers a wide range of benefits including

Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)