Professional Capitation Analyst *Hybrid*
Description
Job Title: Professional Capitation Analyst
Department: MSO Operations
About the Role:
We are currently seeking a highly motivated Professional Capitation Analyst. This role will report to the Manager of Capitation Reconciliation and enable us to continue to scale in the healthcare industry.
What You'll Do:
- Prepare monthly, quarterly, and annual PCP and Specialist payments, ensuring that payments are accurate and timely.
- Compile capitation payment data for analysis, forecasting and trending. Identify drivers for unexpected variances and report findings to leadership.
- Maintain data integrity of capitation payments by performing ongoing testing, validation and monitoring revenue data for PCP/Specialist payments and health plan capitation.
- Review and analyze capitation relative to eligibility, providers and expense. Work with health plans and internal organizations to resolve discrepancies and issues.
- Develop and maintain routine and ad-hoc reports for the MSO Finance Dept and Providers.
- Provide analysis reports to various internal departments to support business operations, various audits and objectives.
- Review government healthcare policy directives and collaborate with team for implementation.
Qualifications:
- Bachelor's degree
- 1+ years’ experience in project management, operations, or related fields
- Ability to independently pursue and develop solutions to complex problems
- Effective communication skills
- Extensive experience with Microsoft Office Suite (Word, PowerPoint, Excel)
- Scrappy, eager, positive team player with no ego
- Strong comfort with working in a fast-paced environment
- An authentic passion for improving the lives of underserved patients and advancing value-based care
You're great for this role if:
- Experience working on multiple complex projects end-to-end
- Previous work in capitation analysis, healthcare accounting, or equivalent skillset
- Familiarity with SQL, EZCap a plus
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: $56,000 - $67,000. 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.