DEPARTMENT: MANAGED CARE (600 W. Jackson, Chicago IL 60661)
Under the direction of the Director of Finance or designee, assists with the preparation and administration of the Health Plan Services financial statements, annual budget, reporting and analysis. Calculates baseline and trend metrics, i.e. per member per month (PMPM) and utilization per 1,000 for targeted lines of business, geographies and segments. Analyzes memberships, revenue and cost trends; makes recommendations to improve process. Works with Information Technology (IT) and data warehouse to develop and design data sets and reports. Assists in the development and reporting of performance measures, benchmarking and surveying, research of programs, special tasks and projects. Prepares and tracks invoices and payments. May perform other duties as assigned.
This position is exempt from Career Service under the CCH Personnel Rules.
Assists with the preparation and administration of the CountyCare Health Plan financial statements, annual budget, reporting and analysis.
Prepares analyst of utilization and financial trends, costs, revenues, financial commitments and obligations incurred to predict future revenues and expenses
Prepares the development of memberships projections and medical expense forecast and budget; monitors monthly variances to identify trends
Performs reconciliations of large data sets from internal and external sources such as reconciling enrollment to reimbursement files
Calculates baseline and trend metrics, i.e. PMPM and utilization per 1,000 for targeted lines of business, geographies and segments
Analyzes memberships, revenue and cost trends; makes recommendations to improve processes
Works with Information Technology (IT) and data warehouse to develop and design data sets and reports
Develops presentations and provides briefings to key stakeholders including senior management
Assists in the development and reporting of performance measures, benchmarking and surveying, research of programs, special tasks and projects
Prepares and tracks invoices and payments
May perform other duties as assigned
Bachelor's Degree from an accredited college or university with two (2) years of full-time paid work experience as a Financial Analyst or similar role in a hospital, healthcare or managed care organization (Must provide official transcripts at time of interview)
Master's Degree in Finance, Economics or related quantitative field from an accredited college or university with full-time paid work experience as a Financial Analyst or similar role in a hospital, healthcare or managed care organization (Must provide official transcripts at time of interview)
Knowledge and proficiency with SQ
Knowledge, Skills, Abilities and Other Characteristics
Knowledge of fiscal impact, statistical and financial analysis techniques for managed care organizations including utilization/1,000, PMPM and cost averages
Knowledge of business, finance and budgeting practices and legal requirements
Proficiency using Microsoft Office Suite including complex formulas in Microsoft Excel such as V-Lookups and Pivot Tables
Excellent verbal and written communication skills necessary to communicate with all levels of staff and a patient population composed of diverse cultures and age groups
Demonstrate attention to detail, accuracy and precision
Ability to analyze and reconcile large data sets
Ability to quickly gain a thorough understanding of the business
Ability to multi-task and meet deadlines in a fast paced and stressful environment
Ability to adhere to department policies and standards utilizing best practices
Ability to maintain a professional demeanor and composure when challenged
Ability to function autonomously and as a team member in a multidisciplinary team
When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service
To take advantage of this preference a Veteran must:
Meet the minimum qualifications for the position.
Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"
Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable
A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.
If items are not attached, you will not be eligible for Veteran Preference
VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW.
Medical, Dental, and Vision Coverage
Basic Term Life Insurance
Deferred Compensation Program
Paid Holidays, Vacation, and Sick Time
You may also qualify for the Public Service Loan Forgiveness Program (PSLF)
MUST MEET ALL REQUIRED QUALIFICATIONS AT TIME OF APPLICATION FILING.
*Degrees awarded outside of the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U. S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.
*Please note all offers of employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.
*CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.
COOK COUNTY HEALTH & HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER.
ABOUT COOK COUNTY HEALTH (CCH)
The Cook County Health’s mission is to deliver integrated health services with dignity and respect regardless of a patient’s ability to pay; foster partnerships with other health providers and communities to enhance the health of the public; and advocate for policies that promote the physical, mental and social wellbeing of the people of Cook County.
CCH is comprised of two hospitals, John H. Stroger, Jr. Hospital and Provident Hospital, a robust network of more than a dozen community health centers, the Ruth M. Rothstein CORE Center, the Community Triage Center, the Cook County Department of Public Health, Cermak Health Services, which provides health care to individuals at the Cook County Jail and the Juvenile Temporary Detention Center, and CountyCare, a Medicaid managed care health plan.
The system cares for more than 300,000 patients each year and its physicians are experts in their fields, committed to providing their patients with comprehensive, compassionate and cutting-edge care. Today, CCH is transforming the provision of health care in Cook County by promoting community-based primary and preventive care, growing an innovative, ...collaborative health plan and enhancing the patient experience.
COOK COUNTY HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER