Job Description

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The Financial Analyst III works collaboratively with internal departments to create timely and actionable information used to improve outcomes, clinical quality management, health management and financial auditing. A Financial Analyst III is expected to have a high level of technical and mathematical proficiency using sophisticated data mining tools, multi-dimensional databases, and best practices to resolve complex issues encountered in accessing, converting, accumulating and processing clinical and administrative data from a wide variety of sources and formats. The Financial Analyst III will participate in the continuous quality improvement process, and develop a working knowledge of current medical terminology, billing and coding standards, technology tools and industry best practices.

• Compile and conduct ongoing analysis and evaluation of claims, revenue, eligibility, expense, and clinical data for forecasting and trending purposes.
• Identify and interpret trends or patterns in complex data sets.
• Present findings in a clear, concise manner in a written, visual, or oral fashion.
• Develops appropriate recommendations and suggestions based on findings and collaborates with management in the development of action plans where required.
• Locate and define new process improvement opportunities.
• Creates, develops, analyzes and monitors new, routine and ad hoc reports for internal management review.
• Able to strategically plan and make logical, thoughtful decisions regarding projects. Has complete understanding of the source files used in the creation of meaningful reports via Excel, Access, and SQL. Able to code algorithms based on complex methodology.
• Provides statistical and financial data files and reports as requested and plans time appropriately to allow for quality checks and variance analysis.
• Acquires data from primary or secondary data sources and maintains databases.

Minimum Education: Bachelor's degree from four-year college or university in statistics, mathematics, computer science or related discipline and/or equivalent training, or equivalent combination of education and experience.

Minimum Experience: Minimum of four (4) years related experience in analytic programming, data extraction, querying databases/data warehouses and data analysis using SQL or an equivalent software product and/or training.

Req. Certification/Licensure: None.

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

• Company 401K
• Medical, dental, vision insurance
• Paid time-off
• Life insurance

Prospect Medical Systems has a zero-tolerance policy regarding the use of drugs and alcohol.  Our Company is committed to maintaining a productive, drug free workplace that keeps employees and patients safe from harm.  For this reason, we require applicants to pass a screening for drug use as a condition of employment.  This includes: alcohol, marijuana, cocaine, opiates and methamphetamines.

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm