Job Description

Your Role

The Operations Finance team is responsible for financial analysis, budget preparation, financial control, forecasting, reporting and for evaluating alternate financial plans.. The Lead Finance Analyst will report to the Manager, Operations Finance. This individual contributor will ensure financial stewardship over operations and serve as the trusted advisor to the executive operations leadership. This includes analysis of key strategic initiatives to drive business results and operating leverage. This position will assist in generating and compiling management/executive reports, graphs and presentations, progress reports, or other ad hoc requests.

Your Work

In this role, you will:

• Summarize detailed revenue/expense data and compare summarized claim data against fee schedules and contracts
• Produce contract performance reports, modeling of reimbursement rates, evaluation of financial contract modifications and compiling and monitoring key managed care statistics
• Collect and evaluate data, develop and maintain financial models, analyze results and conduct scenario analyses to forecast balance sheet, cash flow and regulatory capital
• Follow and conduct audit processes and review internal controls to ensure financial transactions are accurate, timely and comply with accounting standards, principles, and company policy
• Provide policy guidance and interpretation to ensure financial records are consistent and comply with company policies and GAAP
• Partner with management, cross-functional operations teams, and senior finance personnel to understand strategic initiatives and how they impact the budget
• Quarterly forecast updates and annual planning; effective communication and presentation of financial plan to senior management, with interpretation of strategic goals and detail needed to support achievement of those goals
• Work with team members to effectively track budget and forecast details, results, explain variances, identify risks/opportunities and solutions
• Enable management to make data driven decisions by providing clear and accurate financial summaries in support of achieving financial and operational targets

Your Knowledge and Experience

• Requires a bachelor's degree or equivalent experience
• Requires at least 7 years of prior relevant experience
• Excellent analytical and problem-solving skills
• Demonstrated advanced proficiency with Microsoft Excel (Pivot Tables, VLookups), Word, Access, and PowerPoint
• Requires deep knowledge of Finance and Accounting typically obtained through advanced education combined with experience
• Typically, viewed as a specialist within Finance and Accounting
• May have broad knowledge of project management
Experience with specific systems key to the role (e.g., Oracle, Essbase)

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

ABOUT THE TEAM
About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Our Values:

• Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
• Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
• Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

• For most teams, this means coming into the office two days per week.

• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.

• For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

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