Capitation Analyst, Insurance Services

Capitation Analyst

All positions are located in Fresno / Clovis CA.

Opportunities for you!

• Consecutively recognized as a top employer by Forbes
• Vacation time starts building on Day 1, and builds with your seniority
• Tuition reimbursement, education programs, and scholarships
• 403(b) retirement plan with up to 8% matching contributions
• Free parking and electric charging
• Great food options with on-demand ordering

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.

We know that our ability to provide the highest level of care is through taking care of our incredible teams. Want to learn more?

Responsibilities

The Capitation Analyst supports financial operations for both capitated and non-capitated functions at Community Care Health (CCH). This role is responsible for performing budgeting, forecasting, cost analysis, and reporting activities related to capitation revenue, provider payment systems, and the financial performance of risk-based agreements. The Capitation Analyst collaborates with cross-functional teams to assess financial impacts, provide analytical support for rate negotiations, and ensure compliance with applicable regulations.

Qualifications

Education

Bachelor's Degree in Accounting, Finance, Actuarial Science, or Business Administration required Master's Degree in Business Administration (MBA) preferred

Experience

2 years of experience in healthcare finance, financial analysis, or capitation-related functions required Experience working with capitation and value-based reimbursement structures preferred

Licenses and Certifications

CPA - Certified Public Accountant License preferred

Disclaimers

Pay ranges listed are an estimate and subject to change. If any bonuses are noted, they are only applicable to external hires meeting criteria.