Capitation Analyst I
Posted on: 3 Oct 2021
Orange, CA
Job Description
Job Responsibilities/Duties
Requires experience and extensive knowledge in each of the following areas: PCP Payments – Candidate needs to understand how PCP capitation payments are made. Specialist Capitation Payments – Needs to understand how payments are made and calculated
Compiles capitation payments data for analysis and trending purposes. Identifies key capitation data shifts and presents findings.
Responsible for the monthly maintenance and data integrity of the capitation. On-going testing, validation, monitoring and financial reporting of the capitation module with continued efforts relating to processes improvement.
Creates monthly, quarterly, and annual PCP and Specialist payments for internal review. Develops new, routine and ad hoc reports for Providers and Finance Department for PCP and Specialist Capitation payments.
Actively participate in supporting internal departments with analysis and reports.
Other duties as assigned.
Qualifications
Minimum Education: Bachelor's degree or equivalent education and experience in Finance or related field preferred.
Minimum Experience: Experience with capitation processing in an HMO managed services organization preferred. Some financial analysis experience in the health care environment preferred.
Req. Certification/Licensure: None.
Employee Value Proposition
Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:
Company 401K
Medical, dental, vision insurance
Paid time-off
Life insurance
Southern California Hospital
Culver City, CA
From the day it opened as an eight-bed clinic in 1925, Southern California Hospital at Culver City (SCH-CC) has dedicated itself to providing quality care to the culturally diverse populations of the Culver City and West Los Angeles communities. SCH-CC is part of the Southern California Healthcare System, which includes Southern California Hospital at Hollywood and Southern California Hospital at Van Nuys. With a combined bed capacity of over 570 beds, the three-hospital system represents the fourth-largest combined facility in the greater Los Angeles region.
Now at 420 beds, SCH-CC is a general acute care hospital that utilizes many of the latest medical treatments and technologies. The hospital offers a wide range of inpatient and outpatient acute care services, including an orthopedic center, cardiovascular services, acute rehabilitation, sub-acute care, psychiatric care and chemical dependency programs. Additionally, SCH-CC operates a 24-hour emergency services center, which serves as a paramedic receiving station and is staffed by board-certified emergency physicians and nurse specialists.
Our Mission
To improve the healing and wellness of the patients and communities we serve.
Our Vision
To serve our community with distinction through excellence in health care.
Our Values
Leadership
Accountability
Service
Excellence
Caring
Respect
Patients come first in everything we do. Our primary focus is on the complete care of the patient—in a healing environment, with compassionate hospitality and a collaborative team approach to ensure the best outcomes for our patients. You can be confident you are being taken care of by an expert medical staff utilizing some of the most advanced diagnostic and treatment technologies available. Yet, we never lose sight of the intangibles—from the friendly and helpful people in the admitting office to our dedicated staff members.
Our team of professionals is dedicated to providing for your health and comfort. You are not just our patient, you are our guest.
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IndustryHealthcare
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No. of Employees1001 to 5000
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Website
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Jobs Posted58
