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Financial Analyst

Company: Gainwell
Location: Newark
Posted on: April 9, 2021

Job Description:

Job Description:The Insurance/Healthcare job family contains positions associated with providing consultancy utilizing knowledge and expertise on insurance and healthcare. Develops and implements general insurance and health policies in accordance with state and federal laws. Provides expertise to investigate and adjudicate claim characteristics that do not match policy provisions. Responds to provider appeals and meets with providers to resolve problems/issues. Provides directions for utilization review. Approves any remedial or recoupment actions associated with escalated claims. Advises provider review councils, state officials and works with organized healthcare groups and associations on various medical issues related to insurance and healthcare programsResponsibilities:* Coordinate and execute all weekly payments on behalf of the State of Delawares Division of Medicaid and Medical Assistance (DMMA)* Ensure the secure receipt, processing, deposit and disbursement of all refunds issued to DMMA.* Responsible for management and oversight of the DMMA owned bank accounts including but not limited to Fed Wire Transfers, Internal Account Transfers, Electronic Funds Transfers, and coordination with the financial institution personnel as needed.* Establish and cultivate a professional relationship with DMMA Financial personnel* Execute financial transactions as requested by DMMA personnel* Act as a liaison between the Gainwell's Financial Operations and Gainwell's Financial Technical Teams in order to maintain open communication channels through which issues may be efficiently addressed and knowledge sharing may be fostered.* Run weekly labor tracking and staffing reports* Create cost models for contract amendments* Create, update and manage purchase ordersExperience Required:* At least 2 years of Medicaid health insurance experience* Financial experience related either to reporting, dispositions, or banking* Able to work independently with limited direction/oversight as well as in a team environment* Strong attention to detail* Strong written and verbal communication skills

Keywords: Gainwell, Newark , Financial Analyst, Professions , Newark, Delaware

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