HCRA Analyst I​/II​/III

Job Description

The HCRA Analyst is responsible for administering, monitoring, and analyzing activities of the Lifetime Healthcare Companies related to the New York State Health Care Reform Act (HCRA), Federal Affordable Care Act (ACA), extraterritorial state surcharges and assessments, New York State patient centered medical home incentive payments (PCMH), New York State MCO tax, health risk-based capital filings, and group capital calculation for respective entities.

This role ensures compliance with state regulations, supports accurate surcharge and covered lives reporting, reconciles financial data, prepares regulatory submissions, and collaborates with internal and external stakeholders to resolve reporting and reimbursement issues. The analyst serves as a subject matter expert for HCRA regulations and helps identify opportunities to improve reporting accuracy and operational efficiency. This role performs basic financial analysis and/or assists in complex financial analysis for supervisory review throughout the organization.

The HCRA Analyst is responsible for administering, monitoring, and analyzing activities of the Lifetime Healthcare Companies related to the New York State Health Care Reform Act (HCRA), Federal Affordable Care Act (ACA), extraterritorial state surcharges and assessments, New York State patient centered medical home incentive payments (PCMH), New York State MCO tax, health risk-based capital filings, and group capital calculation for respective entities.

This role ensures compliance with state regulations, supports accurate surcharge and covered lives reporting, reconciles financial data, prepares regulatory submissions, and collaborates with internal and external stakeholders to resolve reporting and reimbursement issues. The analyst serves as a subject matter expert for HCRA regulations and helps identify opportunities to improve reporting accuracy and operational efficiency. This role performs basic financial analysis and/or assists in complex financial analysis for supervisory review throughout the organization.

• Prepares, validates, and submits HCRA surcharges, Covered Lives counts, Non-NY surcharges, assessments, and other required regulatory filings in compliance with state requirements.
• Analyzes member eligibility, enrollment, and product data to determine reporting obligations and assessment requirements.
• Calculates, validates, and reconciles HCRA surcharges, assessments, and Covered Lives obligations to ensure reporting accuracy.
• Monitors HCRA surcharge activity and ensure accurate assessment, payment, reporting, and regulatory compliance.
• Reconciles reporting data across enrollment, premium billing, membership systems, general ledger accounts, and regulatory submissions.
• Researches and resolves discrepancies related to membership counts, reporting classifications, surcharge calculations, and financial balances.
• Prepares accruals, account reconciliations, financial analyses, management reports, variance analyses, and ad hoc reporting requests related to HCRA obligations.
• Partners with Finance, Accounting, and internal stakeholders to ensure accurate recording of liabilities and expenses and support month-end close activities.
• Utilizes accounting systems, Cognos, and SAS to analyze claims and membership data, develop reporting solutions, and maintain supporting documentation, controls, and procedures.
• Identifies process improvement and automation opportunities, perform trend analyses, and support system testing and implementation of regulatory and process updates.
• Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs.
• Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
• Regular and reliable attendance is expected and required.
• Performs other functions as assigned by management.

• Evaluates financial performance by comparing and analyzing actuals results with plans and…