Finance Analyst III at Centene in Bedford, NH

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ProfessionalThe Financial Analyst is responsible for the monthly management of financial activity including creation of capitation payments for multiple Community Mental Health Centers (CMHCs), Shared Risk Analysis, claims analysis, journal entry support preparation, account analysis, month-end reconciliations and preparation of financial reporting tools for contracted CMHCs for our Medicaid line of business. Interfaces and serves as liaison with multiple departments and with Community Mental Health Center personnel in regard to capitation and state required certifications.
  • Produce and manage monthly capitation payments for Community Mental Health Centers
  • Prepare quarterly and annual capitation reports per the contract
  • Prepare supporting performance review packets
  • Monitor costs and trends by Community Mental Health Center and identify root cause of developing trends
  • Understand and analyze impacts of new program changes such as new benefits or new populations.
  • Prepare monthly analysis for analytic meetings.
  • Respond to requests for analysis and provide analytic support to the CMHC capitation contract and clinical and network management departments
  • Pull data from TeraData warehouse using Structured Query Language (SQL) code and generate reports
  • Keep abreast of New Hampshire Medicaid reforms and their impact on Medicaid benefits and Community Mental Health Centers.
  • Work with our internal actuarial team to create new capitation rates by CMHC annually
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