Senior Government Accounting & Reporting Analyst

Employment Type

Full-time

Exempt or Non-Exempt

Exempt

Job Summary

• Hybrid Work Environment - Must reside in Hawaii **
  
  
  

Pay Range: $68,000 - $133,000

Note: Individuals typically begin between the minimum to middle of the pay range

Responsibilities

Performs advanced accounting and financial functions to support HMSA programs with a concentration on government plans. Responsibilities include (but are not limited to), the following:

• Independently manage complex accounting processes, reporting activities, reconciliations, audits, and cross-functional projects.
• Serves as a subject matter resource for government program accounting and reporting, provides day-to-day guidance and training.
• Prepare complex journal entries and reconciliations, analyze financial transactions to ensure accuracy, and report findings to management.
• Monitor enrollment, utilization, and costs of contracted providers and government health plans.
• Provide necessary information to facilitate negotiations with contracted providers and ensure that the cost of those contracts falls within the expected government health plans' budgets.
• Monitor all incoming payments (i.e., capitation) and other settlements according to the provider or government contract terms, as well as HMSA operating expenses and premium billing, reconciliation, and collections.
• Initiate and track payments to vendors, hospitals, government entities and others in accordance with contract terms.
• Assume ownership of MicroStrategy reports and periodically run reports for various teams.
• Ensure that government plans' financial transactions are being coordinated and reported properly to impacted departments (primarily Underwriting and F/A)
  
  
  

Minimum Qualifications

• Bachelor's degree and two years related work experience; or an equivalent combination of education and work experience.
• Knowledge of Generally Accepted Accounting Principles (GAAP)
• Project Management Skills: Demonstrated ability to coordinate complex projects and assignments with formatted output, narrative and data interpretation.
• Financial Skills: Demonstrated ability to prepare financial analyses and cost-benefit studies with design requirements, output format and analysis of results.
• Accounting Skills: Demonstrated ability to properly record financial transactions and prepare financial statements.
• Presentation Skills: Strong oral and written skills for presentation to Executive staff.
• Advanced working knowledge of Microsoft Office applications, including but not limited to Word, Outlook, Excel, and PowerPoint
• Database manipulation software familiarity or relevant experience with data entry
  
  
  

Duties And Responsibilities

• Ensure proper recording and reporting of various financial transactions for the Association and government lines of business. Communicate with other F&A staff and internal departments to record and reconcile the following:
• Prepare and post accruals for various general ledger accounts on a monthly basis. Develop estimates for accruals as needed by using source documentation and settlements amounts. Resolve discrepancies with appropriate staff/departments timely.
• Research, analyze, and resolve complex accounting issues, unusual transactions, and significant reconciliation variances.
• Lead accounting activities associated with government programs including Medicare, Medicaid, Federal Programs, and other assigned initiatives.
• Maintaining various schedules and ledgers for the Association's general ledger accounts, including special reserves, state risk sharing receivables, etc.
• Create and run ad-hoc system reports to summarize transactions in the general ledger. Perform research and initiate adjustments if errors are identified.
• Design, develop, and implement standard plans or provider financial and operational reports in response to customer requirements and business needs:
• Lead and implement financial internal controls and risk management.
• Facilitate definition of data and other information requirements.
• Define efficient data assembly methods.
• Maintain adequate documentation for general reference and audit purposes.
• Analyze complex financial and operational data and present findings, risks, and recommendations to management.
• Own assigned reporting processes and ensure timely, accurate completion of deliverables.
• Recommend and implement reporting enhancements and process efficiencies.
• Lead, coordinate, and participate in projects; function as project manager and leader for business and system projects; facilitate definition of project requirements and deliverables; influence the progress of team activities and the successful implementation of the project. Document and share project activities, analyses, and decisions. Develop, analyze, recommend, and enhance workflow processes related to project deliverables. Evaluates alternative solutions/decisions in light of the potential impact on internal/external resources; understands the resource implications of solutions and makes other potential recommendations
• Validate and maintain quality and consistency of data and reporting; on a proactive basis identify and isolate potential problems and work with staff within and outside of the department to develop and implement resolutions; develop and communicate data adjustments and workarounds. Evaluate root causes of data and reporting issues and implement corrective actions. Propose these resolutions to management to clearly define the increase in value and productivity associated with the changes.
• Develop, analyze, recommend, and monitor reimbursement and provider contracting strategies; prepare reports that measure the effectiveness of reimbursement and contracting terms and the influence they may have on overall program/plan cost and utilization.
• Performs all other miscellaneous responsibilities and duties as assigned or directed.