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New hospital coming in early 2024

Finance

Financial Analyst - Health Plan

Houston, TX, US
    Position: Financial Analyst - Health Plan
    Talent Area: Finance
    Full/Part Time: Full time
    Location: Houston, TX, US
    Regular/Temporary: Regular
    Department: Admin - HP Finance
    Shift: 8am-5pm
    Job ID: 405835

We are searching for a Financial Analyst – someone who works well in a fast-paced setting. In this position, you will assist he Chief Financial Officer and Finance Manager in maintaining a framework in which the Health Plan's financial and statistical performance can be continuously measured against quantifiable targets that are established by and acceptable to the various levels of authority, including Health Plan management and the Board.

 

Skills & Requirement

  • Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees unless approved for a medical or religious exemption.
  • Required bachelor's degree in finance or accounting, or related business field
  • Required 1 years’ experience in finance or accounting
  • A master's degree in Finance, Accounting or Business Administration OR a Certified Public Accountant (CPA) license will substitute for the one year of experience required
  • ERP experience, Oracle, SAP, Smart View, Excel proficient.

Job Duties & Responsibilities

  • Maintains an audit recovery plan for TCHP’s contracts to monitor revenue and expenses that affect the bottom line. Each task is performed monthly
  • Compares the capitation membership against the claims data to check for any discrepancies in which TCHP is not receiving capitation dollars on their members or are paying claims for members that are not their responsibility.
  • Tracks, organizes, and reviews all capitation revenue and membership received for reporting purposes.
  • Collects all claim information from four sources. Which includes running reports in R & R. 
  • Processes quarterly payments to the reinsurer which includes a prior quarter true-up
  • Responsible for formatting and translating all electronic data into usable formats that is sent from each of TCHP’s contracts.
  • Assists in the preparation of monthly, quarterly, and annual financial reports for internal and statutory purposes.
  • Participates and contributes to routine projects or assignments due to particular items going on at TCHP at certain times.
  • Facilitates the automation and improvement of TCHP Finance departmental processes. 
  • Works closely with fellow employees and management at TCHP as well as contractual contacts to stay on top of issues that arise from daily activity.

About Texas Children’s

Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.

To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.

Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

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