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Senior Financial Analyst, Financial Operations

Location : Brentwood TN 37027
Job Type : Direct
Hours : Full Time
Travel : No
Relocation : No
Job Industry : Healthcare - Health Services
Job Category : Financial Services

Job Description :


The Senior Analyst, Operations Finance supports the HSC Operations Finance team with RCA maintenance and analysis, monthly preparation and analysis of the ABL borrowing base, RCA/Tableau standard report development and maintenance, internal control monitoring and enforcement, and ad hoc analysis around Accounts Receivable, Cash, and Net Revenue.


ESSENTIAL FUNCTIONS:  To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation. 

  • Provide analytical support to the net revenue oversight program, including creation of hindsight studies, interpretation of hindsight results and ad hoc revenue analysis. Develop expertise with the RCA system.

  • Understand and support critical activities relative to internal control of revenue and receivables accounting. Work with internal and external auditors in the application and walkthroughs of key controls.

  • Assist in the preparation of monthly Cash/AR Realization Analyses: update RCA cash runout documents, complete the 24-month realization and 12-month cash projection, and compile the Debit AR Reconciliation (DAR Analysis) each month. Identify significant variances for further review and analysis.

  • Update the monthly calculation of the borrowing base for the ABL and provide analysis of the major drivers for the change in availability month-over-month. Assist with the annual borrowing base audit.

  • Assist in the update and preparation of the quarterly AR and Net Revenue Memo.

  • Prepare the quarterly AFDA and Bad Debt Analyses and identify causes for variances to trend or expectations.

  • Update meeting materials for the Net Revenue Oversight Committee meeting and monthly Division CFO call.

  • RCA parameters updates for all hospitals and physician network each month: ZBA and hindsight ranges, MRA052 analysis.

  • Complete the RCA GL account balance compliance analysis and compilation of Out-of-Model entry reviews.

  • Monitor compliance with RCA internal control procedures. This includes the quarterly performance of User Access Review and monthly review of certain RCA checklist items for all hospitals.

  • Complete monthly reconciliations for RCA AR ATB, ART, and Gross Charges.

  • Perform ad-hoc reporting and analysis as needed.

  • Regular and reliable attendance.

  • Perform other duties as assigned.

Additional Information:

  • Position primarily serves internal co-workers and may have some interaction with external contractors, and vendors.

  • Position serves both internal co-workers and external customers, clients, patients, contractors, and vendors.

  • Access to and/or works with sensitive and/or confidential information.

  • Exhibit a comprehensive understanding of healthcare regulatory and compliance (e.g., HIPAA). Skilled in the application of policies and procedures. Knowledge of Business Office Standards and Recommended Practices.


Not responsible for supervising employees.


Required Qualifications :

Job Requirements


KNOWLEDGE, SKILLS & ABILITIES: The requirements listed below are representative of the knowledge, skills and/or abilities required.

Education: Bachelor's Degree in Accounting, Finance, Business Administration, or Healthcare

Experience: 3+ years of experience


Skills and Abilities:

Mathematical Skills

  • Business Mathematical Skills -- Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages and to draw and interpret graphs.

Computer Skills

  • Advanced Computer Skills -- Routine use of electronic mail and computer systems. Ability to incorporate complex and complicated functions into documents, spreadsheets, databases, and presentations to support business objectives.


  • Moderate Communication Skills -- Regularly uses moderately complex oral and written skills. May train others in functional areas, interact with others and make presentations to department or middle management.

Decision Making

  • Job Specific Impact -- Decisions generally affect own job or assigned functional area.

Nature of Problems

  • Varied Business Problems -- Problems are varied and complex, requiring analysis or interpretation of the situation. Problems are solved using knowledge and skills, general precedents and practices.

Independent Judgement

  • Moderate Independent Judgement -- Results are defined; sets personal own goals and determines how to achieve results with few or no guidelines to follow; supervisor/manager provides broad guidance and overall direction.


  • Moderate -- Handle multiple tasks simultaneously with moderate complexity.




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