Claims Financial Analyst

Description:

JOB SUMMARY

The Claims Financial Analyst supports the financial integrity, accuracy, and timely execution of claims and capitation payments to LSMA Management, Inc.’s contracted healthcare provider network. Working closely with the Finance Department and Claims Operations, this position validates high-volume payment activity, performs detailed financial reconciliations, researches variances, and prepares reliable payment and exception reporting.

The position helps safeguard provider reimbursement processes through disciplined transaction review, documentation, compliance with established controls, and recommendations for workflow improvement. The role supports operational and financial decision-making by identifying trends and exceptions and escalating material issues to appropriate leadership.

Requirements:

MINIMUM & PREFERRED QUALIFICATIONS

Education

Minimum: Associate’s degree in Accounting, Finance, Business Administration, or a closely related field.

Preferred: Bachelor’s degree in Accounting, Finance, Business Administration, or related discipline.

Experience

Minimum: Demonstrated experience with financial transactions, payment reconciliation, accounting support, or related financial operations sufficient to independently perform the core duties.

Preferred: Experience in healthcare finance, claims operations, provider reimbursement, capitation, MSOs, IPAs, or medical groups.

Skills, Knowledge & Abilities

• Working knowledge of fundamental accounting principles, including GAAP concepts, transaction controls, and reconciliation practices.
• Ability to validate, balance, and investigate high-volume financial data with exceptional accuracy and attention to detail.
• Working knowledge of EFT, ACH, check processing, and payment exception workflows.
• Proficiency in Microsoft Excel and standard reporting tools, including the ability to organize and analyze complex data sets.
• Clear written and verbal communication; effective collaboration across Claims and Finance functions.
• Ability to prioritize deadlines, maintain audit-ready records, protect sensitive information, and escalate issues appropriately.
• Preferred Technical Capabilities: Intermediate-to-advanced Excel skills (pivot tables, lookups, reconciliation formulas); experience with ERP, payment platforms, or claims administration systems; familiarity with provider reimbursement and capitation methodologies; experience supporting audits and workflow improvements.

PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS

The physical demands described here are represented by those that must be met by an employee to successfully perform the essential functions of this job. There will be prolonged periods of sitting and working on a computer. Frequent use of hands and fingers to operate a computer, keyboard, and office equipment. While performing the duties of this job, the employee will regularly be required to walk, stand, bend, lift and/or move up to 15 pounds. Ability to work extended hours during peak periods or audit timelines, as needed. Requires visual acuity to review financial data and reports.

PAY RANGE

$75,000.00 - $80,000.00 / annually