Revenue Analyst II

Reporting, Research & Analysis

• Analyses and forecasts premium revenue, risk adjustment payments, and other revenue streams related to lines of business using prescribed guidelines or policies.
• Gathers, validates, and interprets financial and enrollment data from internal and external sources.
• Supports RAF and financial data needs of program driving accurate coding and documentation to optimize revenue from evaluation and interpretation of the information.
• Runs and maintains financial models to assess the impact of regulatory changes, enrollment trends, and market dynamics on revenue.
• Variance analysis: identify and explain variances between actual and projected revenue.
• Collaborates with actuarial, finance, compliance and operations teams to ensure accurate revenue recognition and reporting.

• Ensure all revenue analysis and reporting adhere to internal policies and regulatory guidelines.
• Develops and maintains appropriate documentation of desktop procedures for reconciliation and audit needs.
• Maintains working level knowledge of revenue structures and regulations.

• Identify gaps and assist in implementing process enhancements to improve the accuracy and efficiency of revenue analysis.
• Provide informal guidance to new team members.

• Performs all other miscellaneous responsibilities and duties as assigned or directed.