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Fallon Health Senior Accountant - Growing Healthcare Organization in Worcester, Massachusetts


About Fallon Health

Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org.

Brief Summary of Purpose :

The Financial Reporting and Planning Sr. Analyst (FRPSA) is a strategic partner to personnel across the organization. The role requires a strong knowledge of budgeting, planning, accounting, reporting, financial modeling and analytics. The FRPSA will support both corporate overhead and business segment management as Fallon Health continues to ensure the long term fiscal viability of its organization. In addition to preparing standard financial reports, the Sr. Analyst will be required to prepare ad hoc management analysis and aid in developing budgets and forecasts as part of the strategic planning cycle. In order to ensure compliance with State and Federal statute, the FRPSA will prepare all necessary regulatory reports and support those upon audit as necessary. The Sr. Analyst will interact with both internal and external auditors and will make certain to operate within a strong control environment.

The Sr. Analyst will employ a developed expertise in exercising their finance duties as they contribute to the execution of corporate strategy and objectives. They will use their knowledge base to address a diverse range of moderately complex problems, gather and analyze relevant data and exercise judgement in the development of appropriate recommendations and solutions. The Sr. Analyst works with established direction and within well-defined policies and practices. They have knowledge of principles, theories and concepts and will work with other FRP&A team members to ensure that their assigned work objectives are accurate and adequately satisfied. The Sr. Analyst will contribute to a high performing team and erroneous judgment may require the allocation of corporate resources to achieve their goals. It is important, therefore, for the Sr. Analyst to work collaboratively with internal and external customers on routine matters. It is expected that the successful candidate will be able to provide guidance to any FRP&A Analysts that require their assistance.


The successful candidate will exhibit the required degree of proficiency in the following:

Technical competence:

Works proficiently within the general ledger system to record I approve transactions in order to appropriately report the financial activity of the organization

Perform moderately complex internal account reconciliations with a high degree of accuracy

Prepare a statement of financial position, a statement of operations and change in net assets as well as other financial management and Board documents associated with the monthly, quarterly and annual financial statement close process

  • 2+ years of experience and a full understanding of GAAP concepts, practices and procedures

  • 2+ years of experience and a full understanding of State specific accounting concepts, practices and procedures necessary for regulatory reporting (STAT)

  • 2+ years of experience and a full understanding of consolidation accounting concepts, practices and procedures

Extract data from internal and external systems and analyze financial results - is comfortable modifying and executing basic data scripts and queries in order to ensure appropriate support for key financial figures

Report financial results to management and offer strategic insight relative to revenue maximization, cost containment (medical and SG&A) and general resource consumption

Develop and present actionable recommendations and solutions to management that will impact results

Collaboratively partner with personnel across the organization to quantify the resources required to achieve strategic initiatives and capital investment goals during budget and forecast cycles

Evaluate trends, costs, revenues, financial commitments and obligations incurred to predict and model future revenues and expenses

Analyze results and evaluate against underlying assumptions used to forecast and budget performance

Design and populate financial models that will assist management in strategic decision making

  • 2+ years of experience and a full understanding of specific business models and practices

  • 2+ years developing integrated revenue I expense analysis, projections, reports and presentations

  • 2+ years of experience performing financial forecasting and budgeting

Prepare, analyze and file cost reports and settlements as necessary to ensure compliance with State and Federal regulations

Understand new accounting pronouncements and emerging guidance- make recommendations regarding company policy and practice

A key resource for both internal and external audit processes- ensure organization and delivery of key requirements, prepare financial statements to ensure they are free of material misstatement, aggregate and/or prepare appropriate supporting documentation, assist in the creation of required footnote disclosures and operate within an environment of strong internal controls



Bachelor’s degree in accounting or finance (other relevant majors will be considered).


  • Demonstrated proficiency in performing budgeting, planning, accounting, reporting, financial modeling, and analytic assignments

  • Bachelor's degree in accounting or finance (other relevant majors will be considered)

  • At least 2-4 years of experience in a managed care environment (will consider other relevant health care, social service, insurance or not-for profit experience)

  • Experienced user of software applications necessary to achieve job requirements (ex. Oracle, Adaptive Insights, Business Objects, etc .)

  • Microsoft Office proficiency

Specialized Knowledge:

  • Strong knowledge of the following:

  • GAAP and STAT reporting requirements

  • Rolling forecast and budget practices

  • Consolidation accounting and advanced accounting concepts

Working knowledge of the following:

  • Medicare, Medicaid (ACO I MCO) and other government programs

  • Commercial and ASO Insurance programs

  • TPA services

  • Tax preparation I filing requirements

  • ACA reporting and expense requirements

  • Actuarial concepts such as IBNR claims and PDR

  • MAR, Independent Financial and SOC 1 audit requirements

  • Risk adjustment and encounter data

  • ORSA and enterprise risk management practices


Job ID 5592

# Positions 1

Category Finance