Astrana Health Careers

Description

Job Title: Health Plan Capitation Analyst

Department: Finance

About the Role:

We are currently seeking a highly Health Plan Capitation Analyst. This role will report to Revenue Cycle Manager and enable us to continue to scale in the healthcare industry.

What You'll Do:

• Review monthly capitation flux reports and research capitation variance across all IPAs.
• Maintain Maternity Kick AR schedule, keep 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 rate change across all IPAs on monthly basis and verify with the corresponding contracts.
• Help eligibility team to maintain updated and accurate member database.
• Prepare monthly cap summary reports for accounting team by the deadline.
• Review and reconcile eligibility and capitation payments and follow up with HPs for missing cap issue.
• Prepare Profit & Loss report for various criteria per request
• Assists with ad-hoc procedures and tasks as requested from management

Qualifications:

• Bachelor's degree
• Effective communication skills
• Scrappy, eager, positive team player with no ego
• Strong comfort with working in a fast-paced environment
• Ability to work independently and manage multiple tasks simultaneously

You're great for this role if:

• Minimum of 3-5 years of experience in Healthcare Management industry.
• Accounting background is highly preferred.
• Excellent analytical and problem-solving skills.
• Proficient in Microsoft Office Suite, particularly Excel.

Who We Are:

Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

Our platform currently empowers over 10,000 physicians to provide care for over 1 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

Our Values:

• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity & Excellence
• Be Innovative
• Work As One Team

Environmental Job Requirements and Working Conditions:

• Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1668 S Garfield Avenue, Alhambra, CA 91801
• The total compensation target pay range for this role is: $60,000 - $65,000. The salary range represents our national target range for this role.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), 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. All 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.

Additional Information:

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.