Senior Business Intelligence Analyst
Company: Partnership HealthPlan of California
Posted on: May 7, 2022
Overview:To support the financial reporting and analytical
processes by analyzing complex healthcare cost drivers. Develops,
coordinates, and is directly involved in projects and activities
that help drive business decisions, affect provider reimbursement
programs. Plays a key role in the preparation, analysis, and review
of the Rate Development Templates (RDT) and Supplemental Data
Requests (SDR). Applies analytics and research to healthcare
related topics such as homelessness, inpatient hospitalization, and
chronic disease to determine financial implications and areas for
potential cost savings/improvement. Works collaboratively with
staff in Finance/Accounting in the ongoing analysis and reporting
of all aspects of the income statement and other operating
- Develops, interprets, and implements financial models and
concepts for financial planning and analysis.
- Creates, maintains, and updates complex financial analysis and
reporting models to ensure the accuracy, validity, and reliability
of the model and the data.
- Adapts the financial analysis and reporting models to meet the
growing and changing needs of the HealthPlan and to reflect changes
in the regulatory environment.
- Lead Analyst on the annual RDT and periodic SDR requests from
- Assists in the training of other Finance Analysts by serving as
an experienced mentor.
- Designs, implements, and improves executive level financial
presentations, including dashboards for executive leadership,
Finance Committee and Board of Directors.
- Supports management in making data driven decisions by
providing clear and accurate financial insights.
- Collaborates with management and cross-function teams to
understand programmatic changes along with strategic
- Designs and generates decision support tools that focus on
membership, utilization, trends, State capitation rates and
provider contracting. Based on detailed analytics, creates
actionable information that results in identifying trend drivers
and opportunities for improvement.
- Prepares and presents data interpretation and recommendations
at a level understood by diverse audiences including staff, all
levels of management, physicians, board of directors, and external
- Works on complex problems and provides solutions that are
innovative and sophisticated to achieve high quality work process
- Connects healthcare metrics with fiscal implications and
synthesizes findings to identify major drivers and areas for
- Introduces new tools and resources to the Department and
Organization for data modeling and/or presentations.
- Participates in special projects and assignments as
- Other duties as assigned.Qualifications:Education and
Graduate degree in Finance, Accounting, Economics, Statistics or
related field required; minimum eight (8) years' progressive
experience in healthcare FP&A; experience leading and directing
detailed data analysis projects; or an equivalent combination of
education and experience.
Special Skills, Licenses and Certifications
Strong working knowledge of managed care financial principles,
experience with MediCal managed care desired. Detailed knowledge of
healthcare industry reporting requirements, terminology and
policies. Strong data management, audit control, version
management, and reconciliation management skills required. Ability
to conduct statistical analysis and techniques. Advanced experience
working with databases (e.g. SQL Server) and large datasets is
required. In-depth experience in developing and implementing
Business Intelligence solutions (reports, metrics, dashboards, and
scorecards). Programming experience (SAS, Oracle, SQL, R, Python).
Proficient in Tableau or other data visualization programs.
Performance Based Competencies
Must demonstrate strong verbal and written communication skills, as
well as strong presentation skills: ability to clearly communicate
complex information to diverse audiences. Ability to communicate
data needs to various customers (internal and external) in order to
compile and produce necessary reports. Excellent analytical,
problem solving, investigative and research ability. Ability to
work in a team environment, take and give direction, follow through
with tasks and projects, compromise, negotiate and achieve
consensus decisions, support consensus decisions, be flexible and
adaptable to changes in assignments and the work environment, work
independently, manage time efficiently and multi-task effectively.
Ability to determine appropriate courses of action in complex
situations that may not be addressed by existing policies or
procedures. Ability to make decisions that require significant
analysis and investigation with solutions requiring original
Work Environment And Physical Demands
Ability to use a computer keyboard and 10-key calculator. More than
70% of work time in front of a computer monitor. When required,
ability to move, carry, or lift objects of varying size, weighing
up to 10 lbs.
All HealthPlan employees are expected to:
Provide the highest possible level of service to clients;
- Promote teamwork and cooperative effort among employees;
- Maintain safe practices; and
- Abide by the HealthPlan's policies and procedures, as they may
from time to time be updated.
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions,
experience, educational factors and the requirements and conditions
listed in this job description are representative only and not
exhaustive or definitive of the tasks that an employee may be
required to perform. The employer reserves the right to revise this
job description at any time and to require employees to perform
other tasks as circumstances or conditions of its business,
competitive considerations, or work environment change.
Keywords: Partnership HealthPlan of California, Fairfield , Senior Business Intelligence Analyst, Accounting, Auditing , Fairfield, California
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