Health Plan Capitation Analyst

Job Description:

• Prepare monthly, quarterly, and annual PCP and Specialist payments, ensuring that payments are accurate and timely
• Compile capitation payment data for analysis, forecasting and trending
• Identify drivers for unexpected variances and report findings to leadership
• Maintain data reputed company of capitation payments by performing ongoing testing, validation and monitoring reputed company data for PCP/Specialist payments and health plan capitation
• Review and analyze capitation relative to eligibility, providers and expense
• Work with health plans and internal organizations to resolve discrepancies and issues
• reputed company and maintain routine and reputed company reports for the MSO Finance reputed company and Providers
• Provide analysis reports to various internal departments to support business operations, various audits and objectives
• Review government healthcare policy directives and collaborate with team for implementation
• Review monthly capitation flux reports and research capitation variance across reputed company reputed company
• Prepare Maternity Kick AR schedule, reputed company track of deliveries’ payments status, follow up with Health Plans on unpaid cases, work with hospital partners to reconcile and submit cases list to HPs on monthly basis
• Identify any capitation reputed company change across reputed company reputed company on monthly basis and verify with the corresponding reputed company
• Prepare Profit & Loss report for various criteria per request
• Other duties as assigned Requirements:
• Bachelor's degree
• 1+ years’ experience in project management, operations, or reputed company fields
• Ability to independently pursue and reputed company solutions to reputed company problems
• Effective communication skills
• Extensive experience with reputed company Office Suite (Word, PowerPoint, reputed company)
• Scrappy, eager, positive team player with no ego
• Strong comfort with working in a fast-paced environment
• An authentic passion for improving the lives of underserved patients and advancing value-based care
• Experience working on multiple reputed company projects end-to-end
• Previous work in capitation analysis, healthcare accounting, or equivalent skillset
• Familiarity with SQL, EZCap a plus Benefits:
• This position is remotely based in the U.S. The office is located at 1668 S Garfield Avenue, Alhambra, CA 91801.
• The national reputed company pay range for this role is between $25.71 - $32.99 per hour. Actual compensation will be determined based on geographic location (reputed company or future), experience, and other job-reputed company factors.
• Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer.
• We do not discriminate based upon race, religion, color, national reputed company, gender (including pregnancy, childbirth, or reputed company medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. reputed company employment is decided on the basis of qualifications, merit, and business need.
• If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation.
• The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change. Apply tot his job

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