Healthfirst

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

Hybrid Work Schedule:

• This consists of reporting to 100 Church Street, NYC 3 days a week.

Duties & Responsibilities:

• Create service forms for returned checks and vendor refunds.

• Post vendor refunds to the vendors’ account in MHS.

• Process Home Medical, Interest Penalty, Member Refund, FQHC, and other incentive 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.

• Review vendor refunds to be deposited weekly.

• Special projects as determined by management.

• Oversee and create monthly reporting on payments issued and ensures that detail files are provided to support manual.

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

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

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Minimum Qualifications:

• High School Diploma or GED from an accredited institution.

• Intermediary to Advanced Excel skills, Power Point and Word.

• Ability to perform various critical thinking analyses.

• Strong communication capabilities.

Preferred Qualifications:

• Associate's degree from an accredited institution.

• Experience with Workday.

• Experience with accounting functions within Managed Healthcare System (MHS).

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

• Understanding of medical claims processes.

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $57,408 - $76,960

• All Other Locations (within approved locations): $49,795 - $72,800

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.