Job description

We are hiring IMMEDIATELY for a Rate Development Analyst to join one of our community mental health providers!

Job Summary

This position is responsible for actively participating in the rate development process. This includes assisting in the Medicare bid development process, developing Medicare financial forecasts, and serving as one of the financial representatives on the Medicare team. Additionally, the position supports the Rate Development Manager throughout the Medicaid Rate Cycle, including providing analysis of rates, trends, and spending components.

Essential Responsibilities

• Participate in the rate development process for its CCOs.
• Support the Manager’s work with the CCOs and the Metro integrated community network to communicate rate updates and their implications.
• Support the work of the internal behavioral health, dental, and NEMT leaders, and other external related organizations.
• Support the work with actuaries and the State’s Office of Actuarial and Financial Analytics team to ensure fair rates.
• Serve as a resource for its CCOs and the State’s Office of Actuarial and Financial Analytics.
• Work closely with Health Share of Oregon CCO’s staff and external actuaries to ensure fair rates for all Health Share of Oregon CCO partners.
• Work closely with the Financial Planning and Analysis team and other Finance and actuarial staff to ensure rate updates are communicated timely.
• Hand-off rates information to the Information Services department for 820 programming
• Forecast Medicaid membership for each of the CCO’s.
• Develop the Medicare administrative bid components.
• Prepare periodic Medicare financial forecasts and advise management on its implications
• Serve as one of the financial representatives on the Medicare team.
• Assist in the reinsurance processes and RFPs as needed.
• Prepare reports, updates and presentations as requested.

Organizational Responsibilities

• Perform work in alignment with the organization’s mission, vision and values.
• Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
• Strive to meet annual business goals in support of the organization’s strategic goals.
• Adhere to the organization’s policies, procedures and other relevant compliance needs.
• Perform other duties as needed.

Experience and/or Education

Required

• Minimum 2 years’ financial analysis experience

Preferred

• Rate development experience in Healthcare, Medicare and Medicaid
• Bachelor’s degree in Accounting, Finance, Healthcare Administration, or related field

Knowledge, Skills and Abilities Required

Knowledge

• Basic understanding of medical costs and trends
• Understanding of the Medicaid and Medicare business

Skills and Abilities

• Growing modeling skills and strong mathematical skills utilizing software such as Excel, Axiom, etc.
• Intermediate spreadsheet and data analysis skills
• Intermediate word processing skills
• Proficient written and verbal communication skills
• Ability to effectively collaborate with multiple stakeholders
• Ability to handle multiple tasks
• Ability to problem solve, analyze, and provide written documentation of analysis
• Ability to communicate project status and issues to manager timely
• Ability to work effectively with diverse individuals and groups
• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress
• Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day
• Ability to hear and speak clearly for at least 3-6 hours/day

"Careers and companies flourish when staff, clients, and candidates truly believe in the mission, know the role they play, and humbly reflect, evaluate, and act for the best interest of the communities served".

Proof of COVID-19 vaccination.

Job Type: Full-time

Pay: $75,000.00 - $85,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift

Education:

• Bachelor's (Preferred)

Experience:

• financial analysis: 2 years (Required)

Work Location: One location

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