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More Than 100 Years of Earning Trust
Accounting, Financial Vendor Analyst
Location
New Jersey
Posted
4 days ago
Salary
$87.3K - $119.1K / year
Seniority
Senior
Job Description
Accounting, Financial Vendor Analyst
NJM Insurance Group
• Serve as a subject matter expert on vendor analytics (cost, quantity, services, contract (terms, timelines, deliverables) and performance (SLA & Penalties)) and retrospective and prospective target analytics for risk adjustment programs. • Perform vendor and risk analytic studies which involves manipulating large amounts of data. • Create retrospective and prospective target lists for risk adjustment programs. • Support EDGE supplemental submission. • Identify patterns and trends in diagnostic coding practices in conjunction with risk score measurement. • Provide complete and accurate information for vendor audits (costs) and government audits (CMS) related to Risk Adjustment. • Conduct ad-hoc analysis like gap and root cause. • Periodically update process flow charts for business stakeholders. • Identify problems within Enterprise Resource Planning (ERP) system such as reporting limitations and recommend solutions. • Research, analyze, validate, and prepare data across multiple system platforms and sources for use in monitoring and reporting. • Build reports for internal customers to track various risk adjustment activities and fulfill business needs.
Job Requirements
- High School Diploma/GED required
- Bachelor degree in Accounting, Finance, Mathematics, Statistics, Economics, Actuarial Science or other analytical field preferred or relevant experience in lieu of degree
- Requires a minimum of 4 years’ experience in accounting
- Proficient in at least one programming language (VBA, SQL, SAS, R)
- Additional licensing, certifications, registrations: CPA or ASA preferred
- Knowledge of accounting entries/accruals/month-end close process.
- Knowledge of data analysis and Actuarial principles.
- Knowledge of database applications.
Benefits
- Comprehensive health benefits (Medical/Dental/Vision)
- Retirement Plans
- Generous PTO
- Incentive Plans
- Wellness Programs
- Paid Volunteer Time Off
- Tuition Reimbursement
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