Hours:

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Weekend Requirements:

On-Call Required:

Hourly Pay Range (Minimum - Midpoint - Maximum):

The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.  The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. 

What You Will Do
Responsible for producing reports and preparing data to be used for completion of financial statements, regulatory reporting, external audits, medical cost ratios (MCRs), third party liability (TPL), claims recovery, or other financial information. In addition, responsible for auditing capitation, pharmacy payments, and broker and general agency commissions, as well as support other accounting and finance activities as needed. Accountant will also assist with budget development, refund, and returned check processes.

Required Qualifications

• Associate's Degree Combination of Associate Degree or some college with three years accounting experience acceptable
• 3 Years Experience in an accounting department or an accounting role, preferably in a healthcare setting.

Preferred Qualifications

• Bachelor's Degree Accounting

Essential Functions

• Annual budget
  Assists with the annual budget process via direction from management.
  This will include updating spreadsheets with actual data and budget assumptions determined by management to determine the budgeted amounts.
• Auditing
  Audits critical Plan expenses to include, but is not limited to capitation, pharmacy, and broker and general agency commissions.
  Maintains monthly documentation of the medical groups, rates and dollar amounts that comprise the monthly capitation cost, this spreadsheet is prepared by the third business day every month.
• Claim recovery
  Responsible for posting claims recoveries from recovery vendor to the IDX MCA system by the last day of each month in which the money is received.
  In addition, produces refund requests for payments made to claims recovery vendor in error due to duplicate collection.
  Assists the department assistant in research and resolution of returned claims checks and other claim refunds as assigned, these are to be completed with an average turn-around-time of three days of receipt.
• Customer service
  Provides prompt, accurate and excellent services to internal and external customers.
  Develops solid professional working relationships with various internal departments and units and, as required, vendors, providers, employers, brokers and/or other customers.
• Financial reporting
  Assists in Preparation of Financial Reports
• General support
  Participates in special projects and other duties as assigned.
  These may include, but are not limited to, work groups, proposals, audits and back-up support for other departments.
• Report preparation
  Prepares all assigned regulatory reports including DMHC financial information and informational 990 tax filing to be complete at least three business days before the filing is due.
  Utilizes Data Warehouse (DW) and Excel skills by supplying routine and ad hoc reports per deadlines provided by management.
  Routine reports include: Lawson cleared check info sent to Sharp for updating of Lawson, MCR preparation for underwriting, TPL summaries from DW, and claims expense data gathering and reporting for claims recovery

Knowledge, Skills, and Abilities

• Good communication skills, both written and oral.
• Good documentation skills with the ability to keep neat, accurate and concise records.
• Computer skills, including experience with Excel required.
• Familiarity with automated financial systems desirable.
• Work closely with other Sharp Health Plan department members and Sharp HealthCare department members to ensure efficient communication, operations, and/or issues.
• Exercise discretion regarding the confidentiality of internal and external issues. Initiate actions or make suggestions that may aid or improve the accounting functions for the Sharp Health Plan.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class