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- Reporting, Research & Analysis
- Runs reports assisting analysis of premium revenue, risk adjustment payments, and other revenue streams related to lines of business.
- Gathers and validates financial and enrollment data from internal and external sources.
- Supports RAF and financial data needs of program through data collection and organization.
- Runs data for models to assess the impact of regulatory changes, enrollment trends, and market dynamics on revenue.
- Variance analysis: identify variances between actual and projected revenue, providing follow up opportunities for further research.
- Compliance & Documentation
- Reconciles that reporting adheres to internal policies and regulatory guidelines.
- Builds and maintains conceptual level knowledge of revenue structures and regulations.
- Follows appropriate documentation of desktop procedures for reconciliation and audit needs.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
#LI-Hybrid
Qualifications
- Bachelor's degree and three years of related experience; or an equivalent combination of education and related work experience.
- Effective verbal and written communication skills.
- Intermediate working knowledge of Microsoft Office applications, including but not limited to Word, Excel, Outlook, and PowerPoint.
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