Healthfirst

The Finance Operations Analyst is responsible for handling all finance operations functions which include issuing & researching payments for claims, capitation, vendor refunds, and analysis.

This is a Hybrid-NY role, located at 100 Church Street, requiring three days per week in the office (Tues//Wed//Thurs).

Scope of Responsibilities:

• Create service forms for returned checks and vendor refunds in PEGA.

• Process Medical Home, Member Refund, FQHC, and other ad-hoc transactions in Workday.

• Responsible for voiding and reissuing checks upon request, abandoned property issues, provider refunds and returned checks.

• Perform stop payment requests to be handled by the Treasury department to send to the bank.

• Data entry of check information for returned checks and vendor refunds as received.

• Oversee and create monthly reporting on issued payments and ensure that payment detail files are generated & available for payees.

• Perform reconciliation and analysis of all (claims, capitation, vendor payments, and etc) payments.

• Creation of monthly reports of data related to payments for all lines of business.
  

• Special projects as determined by management.

  
  

  
  

Minimum Qualifications:

• High School Diploma or GED from an accredited institution.

• Experience with accounting functions within a health insurance payer platform.

• Ability to analyze financial information & reports.

• Experience with computers, including knowledge of Microsoft Word, Outlook, and Excel required.

Preferred Qualifications:

• Associate's degree from an accredited institution.

• Experience with SAS or SQL reporting (i.e. running queries).

• Experience with Workday.

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $58,900 - $80,070

• All Other Locations (within approved locations): $51,000 - $74,880

  As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

  In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

  *The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.