Neighborhood Health Plan Of Ri - Smithfield, RI
posted 3 months ago
The Lead Revenue Analyst at Neighborhood Health Plan of Rhode Island will play a crucial role in the financial operations of the organization. This position involves utilizing the organization's financial systems, including the general ledger, to reconcile and analyze revenue streams. The analyst will frequently interact with key stakeholders to ensure accurate reconciliation of member-level information across various departments, the Executive Office of Health and Human Services (EOHHS), and other external entities as necessary. The responsibilities of the Lead Revenue Analyst include verifying the accuracy of revenue from external sources such as the State of Rhode Island, HealthSourceRI, and the Centers for Medicare & Medicaid Services (CMS). The analyst will be responsible for understanding new rate contracts with EOHHS and CMS, conducting rate comparison analyses, and collaborating with the Enrollment and Medical Management teams on activities related to member-level data reconciliation that impacts revenue recognition. In addition to these tasks, the Lead Revenue Analyst will serve as the Revenue Lead for all audits, which includes meeting with external auditors. The role also encompasses leading the preparation of budget and quarterly forecast activities, inputting all revenue changes into Oracle EPM, and assisting with quarterly revenue reporting to the State of Rhode Island and Milliman US, the organization's actuarial firm. The analyst will prepare the monthly revenue reporting package, update policies and procedures, and participate in team projects as assigned. Compliance with the Neighborhoods Corporate Compliance Program, Standards of Business Conduct, and applicable laws and regulations is also a critical aspect of this role. This position is hybrid, requiring four days in the office and one day working from home, with less than 5% domestic travel required.