Financial Analyst

SCAN

. Assist the manager in leading the department to ensure accurate system configuration, capitation payment processing, accruals, shared risk pool calculation, and claims expense recording.

Posted 9/22/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $60,400 - $92,602 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in capitation payment processing, data analysis, and compliance with CMS guidelines. Capable of leading departmental initiatives, mentoring team members, and ensuring data integrity for audits and financial forecasting.

Highest-signal resume keywords

Capitation Payment ProcessingData AnalysisContractual Agreement InterpretationAdvanced Analytical SkillsMicrosoft Office Suite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

System ConfigurationClaims Expense RecordingAccruals ManagementShared Risk Pool CalculationFinancial Data AnalysisProcess ImprovementAudit SupportContract EvaluationCapitation Module TestingData Integrity Assurance

Soft Skills

LeadershipCoachingCommunicationInterpersonal SkillsProblem-Solving

Certifications & Qualifications

Associate's DegreeTechnical Degree

Industry Keywords

CMS GuidelinesGAAPHealth Care InformaticsNetwork ManagementClaims Management

About the role

Key responsibilities & impact

Assist the manager in leading the department to ensure accurate system configuration, capitation payment processing, accruals, shared risk pool calculation, and claims expense recording.
Interpret contractual agreements to ensure system accuracy and compliance.
Manage databases and ensure provider payments are accurate.
Ensure data integrity for audit and bid processes for all entities.
Facilitate and lead intradepartmental meetings for audits, accruals, data analysis, annual CMS bids, capitation, and claims reserves.
Oversee timely and accurate shared risk pool settlements and provide guidance on contract language.
Liaise with Network Management, Shared Services, Claims, Legal, Actuary, Compliance, and Enrollment.
Test, validate, monitor, and report on the capitation module; improve processes and support CMS guidelines and system upgrades.
Maintain capitation and shared risk modules through configuration, analysis documentation, and system testing.
Mentor team members and assist with escalated issues and tasks.
Assure timely and accurate monthly provider capitation payments.
Create system documentation, process flows, and desktop procedures.
Evaluate contractual agreements related to payment methodologies for capitated and shared risk arrangements.
Respond to and resolve Network Management inquiries.
Assemble and analyze historical financial data, identify trends, provide forecasts, explain processes, recommend actions, and improve departmental processes.
Provide detailed capitation and accrual data for CMS bids on a GAAP-to-incurred basis.
Provide analytical support to Finance, Network Management, Pharmacy, and Health Care Informatics departments.
Compile and present complex capitation information, assumptions, and recommendations.
Initiate membership and payment audits and ensure capitation process efficiency.
Support SCAN’s Vision and Goals and perform other duties as assigned.

Requirements

What you’ll need

Associate's Degree or Technical Degree or equivalent experience.
3-5 years of related experience.
Performs work under minimal supervision.
Handles complex issues and problems, and refers only the most complex issues to higher-level staff.
Possesses comprehensive knowledge of subject matter.
Provides leadership, coaching, and/or mentoring to a subordinate group but does not directly supervise.
Advanced analytical skills.
Basic problem-solving skills.
Good communication and interpersonal skills.
Microsoft Office Suite at advanced level required.
A background check is required.

Benefits

Comp & perks

An annual employee bonus program
Robust Wellness Program
Generous paid-time-off (PTO)
Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
Excellent 401(k) Retirement Saving Plan with employer match and contribution
Robust employee recognition program
Tuition reimbursement
Equal pay, employee resource groups, inclusive benefits, and more