HIPAA

HIPAA Finance Jobs

5 jobs found

1mo ago

Finance Manager / Managed Care Financial Analyst

Alhambra EP, LLC Alhambra, CA

Alhambra, CA

1mo ago Closed

$95k - $140k/yr Full time Manager Accounting Analytical Skills

This position is no longer accepting applications (closed Sep 18, 2026).

Job Description

Alhambra EP, LLC is seeking a Finance Manager / Managed Care Financial Analyst to support the financial operations of an IPA/MSO in Alhambra, CA. This onsite, full-time role focuses on managed care financial workflows, including capitation reconciliation, IBNR analysis, and claims payment oversight, with reporting and analysis that help leadership manage financial performance across plans, providers, and delegated arrangements.

In this position, you will track risk-based healthcare performance, support operational finance activities, and contribute to financial stability through forecasting, modeling, and reconciliation work.

What you’ll do

Support IPA/MSO financial operations by managing capitation reconciliations, IBNR analysis, claims payment oversight, utilization financial reporting, and risk-based healthcare financial operations.
Monitor financial performance across health plans, providers, and delegated arrangements, ensuring accurate reporting, payment processing, and analysis tied to managed care operations, risk pools, and healthcare expenditures.
Assist leadership with financial modeling, forecasting, reconciliation, and operational finance activities that support organizational performance and financial stability.

Minimum qualifications

3–4 years of healthcare finance or managed care financial operations experience required.
Experience in an MSO, IPA, medical group, managed care organization, health plan, or delegated healthcare environment.
Hands-on experience managing or analyzing IBNR reports and healthcare claims financial data.
Experience processing and reconciling capitation payments and provider payment reports.
Experience reviewing healthcare claims payments, utilization reports, and financial variances.
Experience with healthcare financial reporting, including budgeting, forecasting, and reconciliation processes.
Experience with Medicare Advantage, Medi-Cal, or other managed care financial operations.
Experience analyzing claims, encounters, eligibility, and membership data.
Advanced Microsoft Excel skills, including pivot tables, VLOOKUP, formulas, and financial reporting functions; plus experience using financial reporting tools and healthcare databases.
Experience communicating with health plans, providers, finance teams, and operational departments.
Understanding of healthcare reimbursement methodologies, risk arrangements, and delegated models.
Strong understanding of capitation payments, IBNR, claims payments, utilization reporting, and healthcare reimbursement methodologies.
Understanding of Medicare Advantage, Medi-Cal, delegated risk, and value-based payment models.
Strong analytical, financial modeling, and problem-solving skills, including the ability to identify financial variances, trends, and operational risks.
Excellent organization, time management, and attention to detail, including the ability to manage multiple priorities and deadlines in a fast-paced healthcare environment.
Strong written and verbal communication skills.
Ability to maintain confidentiality and comply with HIPAA and healthcare financial data requirements.

Preferred background

Experience with QuickCap, healthcare claims systems, or managed care platforms.
Experience with IBNR forecasting and reserve analysis.
Experience with risk pool settlements and financial reconciliations.
Experience supporting health plan audits and financial reporting requests.
Experience supporting analytics using SQL, Power BI, Tableau, or other healthcare analytics platforms.
Experience supporting capitation and shared savings models.
Experience in delegated risk environments and value-based care organizations.

Education

Bachelor’s degree in Finance, Accounting, Healthcare Administration, Business Administration, or a related field.

Tools and technologies

Microsoft Excel, Outlook, Word
QuickCap, SQL
Power BI, Tableau
HIPAA

Compensation and work setting

Salary: USD 95,000 - 140,000 per year
Location: Alhambra, CA (onsite)
Work type: Full-time

Preferred certifications

Certified Healthcare Financial Professional (CHFP) preferred
Certified Public Accountant (CPA) preferred
HFMA certifications preferred
Advanced Microsoft Excel or financial analytics certifications preferred

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5mo ago

Financial Services Professional

Wisdom Financial Service Carrollton, TX

Carrollton, TX

5mo ago Closed

$4,653+/mo Full time Marketing Benefits Administration Bilingual

This position is no longer accepting applications (closed Apr 18, 2026).

Job Description

Overview

We are seeking a dynamic and motivated Financial Services Professional to join Wisdom Financial Service in Carrollton, TX. This role offers the chance to deliver comprehensive financial solutions, assist clients with their planning needs, and grow within a supportive environment. The ideal candidate will bring strong communication skills, sales experience, and a dedication to helping clients reach their financial goals. Multilingual abilities and experience in insurance sales or retail sales are highly valued. The position involves engaging with clients through outside sales and telemarketing to expand the client base and provide exceptional customer service. This position offers a rewarding career path for individuals passionate about finance, sales, and helping clients secure their financial future.

Responsibilities

Develop and maintain relationships with clients through outside sales, telemarketing, and community outreach efforts
Identify client needs and recommend suitable financial products and services, including insurance options
Conduct thorough analysis of client financial situations to tailor personalized solutions
Negotiate terms and close sales effectively while ensuring compliance with industry regulations such as HIPAA
Manage sales administration tasks, including documentation, follow-up, and updating client records
Collaborate with marketing teams to promote financial products and services across multiple channels
Provide ongoing customer service support to ensure client satisfaction and retention
Assist with benefits administration for clients, explaining various plans and coverage options
Stay informed about industry trends, product updates, and regulatory changes affecting the financial services sector

Qualifications

Proven experience in outside sales, retail sales, or telemarketing within the financial or insurance industry preferred
Strong negotiation skills and the ability to close deals effectively
Excellent communication skills; bilingual or multilingual abilities are a plus
Knowledge of sales administration processes and analysis skills to evaluate client data accurately
Familiarity with insurance sales, benefits administration, and marketing strategies
Exceptional customer service skills with a professional demeanor
Ability to work independently while collaborating within a team environment
Knowledge of HIPAA regulations related to client confidentiality is advantageous
Previous experience in sales or related roles demonstrating strong interpersonal skills is preferred

Compensation and Location

Pay: From $4,653.00 per month

Location: Carrollton, TX. Work Location: In person

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6mo ago

CFO (Non-Profit)

SNI Companies Branchburg, NJ

Branchburg, NJ

6mo ago Closed

$110k - $115k/yr Full time Accounting Accounts Payable Accounts Receivable

This position is no longer accepting applications (closed Apr 18, 2026).

Job Description

Job Details

Location: Branchburg, NJ 08876

Position Type: Full-Time, Exempt

Salary: $110,000 – $115,000 per year

Reports To: Chief Executive Officer (CEO)

Supervises: Finance Supervisor

Position Summary

The Chief Financial Officer (CFO) oversees all fiscal operations and financial reporting for the Care Management Organization (CMO). This role ensures compliance with applicable state and federal reporting requirements and aligns financial activities with regulatory best practices while embodying the CMO's core values.

Essential Functions

Fiscal Management: Direct and oversee all financial functions, including accounts payable, accounts receivable, and payroll processes.
Financial Reporting: Manage the preparation of monthly and annual financial statements and present findings to the CEO and Board of Trustees.
Budgeting & Strategy: Lead the development of annual and monthly budgets and implement cash management strategies.
Audit & Compliance: Ensure timely completion of annual financial statements, audits, and required state fiscal reports.
Risk Management: Collaborate with insurance brokers and carriers for non-benefit-related coverage.
Cross-Departmental Collaboration: Work with Human Resources to secure and maintain employee benefits and insurance.
Board Relations: Respond to financial data analysis requests from the Board of Trustees and the Fiscal Stability Committee.

Knowledge & Skills

Technical Proficiency: Advanced Excel and strong command of MS Office Suite (Word, Outlook, PowerPoint), SharePoint, and accounting/payroll software.
Communication: Ability to translate complex financial information into clear, accessible insights for non-financial stakeholders.
Leadership: Experience directing, supervising, and evaluating finance staff performance.
Adaptability: Capable of working independently, meeting tight deadlines, and rapidly adjusting to urgent requests.

Standards & Competencies

Compliance: Adherence to HIPAA and strict confidentiality of financial and employee information.
Ethics: Commitment to the highest ethical standards and a collaborative, strength-based approach.

Requirements

Additional prerequisites include maintaining a valid driver’s license in good standing and having a vehicle available for business use.

Eligibility

Must be eligible to work in State DCF and Medicaid-funded programs.

Qualifications

Education: Minimum bachelor’s degree in Finance, Business, Accounting, or a related field; master’s degree preferred.
Experience: At least ten years of progressive accounting/finance experience, including five years in a leadership role within a nonprofit environment.

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6mo ago

Financial Analyst Senior - Finance

Christus Health Irving, TX

Irving, TX

6mo ago Closed

Full time Senior Analyst Benchmarking

This position is no longer accepting applications (closed Apr 18, 2026).

Job Description

Summary

Conducts research and analysis related to budgeting, financial trends, performance metrics, and forecast data.

Responsibilities

Designs data collection surveys, selects research techniques, interprets data, and defines the analytical methods used for analysis.
Applies statistical and financial principles to prepare reports and provide recommendations on financial trends, business forecasts, and clinic performance; identifies remedial actions as needed.
Acts as project lead, directing tasks, coordinating efforts, and reporting progress upon completion.
Interviews individuals, conducts investigations, researches topics, gathers data, and documents findings.
Evaluates processes, budgets, programs, and practices to maximize operational efficiency.
Prepares documentation to ensure regulatory compliance.
Communicates findings to internal and external stakeholders through presentations supported by charts and graphs.
Prepares and reports on provider performance measures and benchmarking, including compensation reviews and analyses.
Assists in reviewing and analyzing annual budget submissions.
Attends required meetings and serves on committees as requested.
Engages in in-service meetings and educational programs to enhance professional growth.
Follows CHRISTUS Physician Group HIPAA guidelines to prevent or detect unauthorized disclosure of Protected Health Information (PHI) and maintains strict confidentiality.
Uses clear oral and written communication that aligns with the CHRISTUS Mission.
Maintains adherence to CHRISTUS Physician Group policies, procedures, objectives, quality assurance, safety, environmental practices, and infection control.
Executes responsibilities in a manner consistent with the CHRISTUS Mission and Code of Ethics, supporting the group’s cultural diversity objectives.
Supports and adheres to the CPG Service Guarantee.
Performs other related duties as required.

Requirements

Bachelor's Degree

Work Details

Work Schedule: 5 Days - 8 Hours
Work Type: Full Time

Location

Irving, TX 75039

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6mo ago

Financial Analyst Senior - Finance

Christus Health Irving, TX

Irving, TX

6mo ago Closed

Full time Senior Analyst Benchmarking

This position is no longer accepting applications (closed Apr 18, 2026).

Job Description

Summary

Performs research and analysis related to budgeting, financial trends, performance metrics, and forecast information to support informed financial decision making.

Responsibilities

Defines data collection plans, research methods, data interpretation techniques, and analytical approaches to use for analysis projects.
Utilizes statistical and financial principles to prepare reports, identify trends, project business performance, and assess clinic operations. Recommends corrective actions when needed.
Serves as project lead, directing work, assigning duties, coordinating efforts, and tracking completion.
Interviews individuals, conducts investigations, gathers data, and documents findings.
Evaluates processes, budgets, programs, and practices to maximize operational efficiency.
Prepares documentation to ensure regulatory compliance.
Communicates findings internally and externally through presentations that incorporate charts and graphs.
Produces provider performance measures and benchmarking reports, including compensation analysis.
Supports the review and analysis of annual budget submissions.
Attends required meetings and participates in committees as requested.
Engages in professional growth through in-service sessions and educational programs.
Adheres to CHRISTUS Physician Group HIPAA guidelines to prevent unauthorized disclosure of Protected Health Information (PHI) and maintains strict confidentiality.
Maintains compliance with CHRISTUS Physician Group policies, procedures, objectives, quality assurance, safety, environmental, and infection control standards.
Communicates ideas clearly and professionally, aligning with the CHRISTUS Mission.
Supports and adheres to the CPG Service Guarantee.
Performs other related duties as required.

Requirements

Bachelor's Degree

Work Schedule

5 Days - 8 Hours

Work Type

Full Time

Location

Irving, TX 75039

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HIPAA Finance Jobs

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