Lead SUD Financial Operations Analyst

This is a fully remote position, open to applicants in California.

📋 Description

• Supervise daily financial operations of DMC-ODS across various county jurisdictions

• Review, verify, and process reimbursement requests and financial transactions from providers

• Oversee county-specific invoicing and reconciliation tasks

• Track financial activities from multiple funding sources

• Manage payment workflows for providers along with necessary documentation

• Handle financial components of provider contracts and payment methods

• Monitor and track non-DMC expenditures, including room-and-board and other non-claimable services

• Analyze service utilization, reimbursement patterns, and spending trends

• Reconcile claims, provider invoices, county billings, and accounting records

• Assist with cost centers and project accounting structures

• Ensure financial records and supporting documentation are audit-ready

• Assess denied services, payment differences, and reimbursement inconsistencies

• Create executive and operational reports regarding financial performance and trends

• Aid in the development of financial policies, procedures, contract terms, and workflow documentation

• Support the implementation and management of DMC-ODS financial systems and reporting tools

• Examine provider financial records and compliance documentation

• Help counties meet financial reporting obligations for delegated DMC-ODS functions and Medi-Cal Administration and QA/UR claiming

• Identify opportunities for enhancing operational efficiency, internal controls, and financial transparency

• Collaborate with county fiscal personnel, providers, auditors, consultants, and CalMHSA leadership

• Offer technical advice and financial expertise

• Act as the main resource for financial operations related to provider reimbursement, county billing, and reconciliation

• May oversee fiscal analysts and coordinate the financial operations team

• Perform additional duties as assigned

⛳️ Requirements

• A Bachelor’s degree in Accounting, Finance, Public Administration, Health Care Administration, Business Administration, Economics, or a related field is required

• A minimum of five (5) years of progressively responsible experience in behavioral health finance, managed care operations, healthcare reimbursement, county government finance, Medicaid/Medi-Cal administration, or similar areas

• Proven experience with reimbursement systems, provider payments, financial analysis, financial oversight, budgeting, accounting principles, and operational finance

• Experience managing financial reconciliations, cost accounting, and contract fiscal oversight for behavioral health or Medi-Cal programs

• In-depth knowledge of DMC-ODS and Medi-Cal financing, provider reimbursement, county billing, reconciliation, and delegated administrative roles

• Advanced skills in Microsoft Excel, including pivot tables, complex formulas, financial modeling, and reconciliation tools

• Proficiency in Microsoft Word and relevant financial or data management systems, such as EHR and claims or billing platforms

• Ability to recognize confidential and sensitive information and handle it with discretion

• Strong analytical, problem-solving, presentation, as well as written and verbal communication abilities

• Capability to clearly explain intricate financial concepts to county leadership, provider representatives, fiscal staff, and diverse audiences

• Ability to exercise independent judgment, conduct research, and pose relevant probing questions

• Capacity to manage multiple priorities and concurrent projects while collaborating with both internal and external stakeholders

• Comfortable utilizing virtual collaboration tools like Teams, Zoom, and SharePoint

• Detail-oriented and organized, with a strong commitment to accuracy, financial integrity, and best practices

• Demonstrates initiative, independence, sound judgment, and resourcefulness

• Adaptable in a fast-paced, high-stakes environment

• Comfortable working remotely and maintaining accountability to leadership

• Willingness to travel as required

• Ability to meet the specified physical, sensory, and mental demands

• Capable of driving a motor vehicle on public roads and highways

🏝️ Benefits

• Fully remote work arrangement

• Flexible work schedule based on business needs

• Standard company operating hours from 8:00am to 5:00pm, Monday to Friday

• Access to virtual collaboration tools, including Teams, Zoom, and SharePoint

• Travel support for county partners and for meetings or training sessions