Fallon Health

  • Oracle Fusion Financial Analyst - Want A Successful Career? Join Fallon Health Insurance!

    Location US-MA-Worcester
    Posted Date 3 months ago(8/31/2018 2:20 PM)
    Job ID
    # Positions
  • Overview

    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:
    This role is the functional lead responsible for supporting a number of our critical business applications. Specifically, this position will support our implementation and ongoing maintenance of Oracle Fusion, a system that is critical to the financial reporting, planning and budgeting process of Fallon Health.  Other business applications that support Premium, Cost of Benefit, SG&A and compliance reporting are also in scope. This key role will build strong collaborative relationships with department leaders and teams, guiding them in effectively managing their business applications to meet strategic objectives by providing knowledge and expertise to process owners.  They will work in concert with Fallon’s internal IT staff and all required third party vendors to ensure that the system is operating as expected bringing innovative design and solutions that constantly improve effectiveness and efficiency. 

    In this role, you will be responsible for the day-to-day maintenance, design, administration, and overall management of the Oracle Financial Cloud environment. As member of the Finance team, you will partner with business leaders to review upgrades / release notes, perform necessary testing and deployment activities, develop helpful reports, improve internal controls, and maintain relevant policies and procedures while ensuring system compliance, security, and peak performance.


    Primary Job Responsibilities:

    • Identify and lead initiatives focused on the design, implementation of new modules and enhancements in the Oracle Financial (ERP and PBCS) Cloud environment
    • Provide project leadership in planning, design, implementation and support of business applications
    • Work independently with business process owners to understand new requirements and then translate and communicate those into an action plan, either for yourself, fellow team members or external vendors
    • Manage integrations with ancillary systems while ensuring data integrity
    • Create or modify reports in Oracle Financials (ERP and PBCS) Cloud, using OTBI, BI Publisher or FRS
    • Act as liaison between business users and technical resources to facilitate large and small scale system changes and resolve problems
    • Manage vendor relationships and managed service contracts for key business applications to ensure service level agreements are met and all required services are provided
    • Test, QA and update software products, new releases, enhancements, fixes and maintenance
    • Extract data from internal and external systems and analyze results – is comfortable executing data scripts and queries in order to ensure appropriate support for key initiatives and confirmation of expected outcomes
    • Monitor software requirements, determine application utilization, and recommend upgrades/enhancements as needed
    • Perform as a business analyst to manage ongoing customer support and proper maintenance of the Oracle Fusion Cloud Platform
    • Work with vendor to resolve and escalate issues as necessary
    • Monitor and respond to application problems using appropriate problem determination tools; track problem occurrence and resolution; identify, diagnose and repair complex problems
    • Develop and present actionable recommendations and solutions to internal and external constituents that will impact systems and data flow
    • Create advanced business models, integrated revenue / expense analysis, projections, reports and presentations
    • Assist in providing user training, as appropriate

    • Independently research and understand new accounting pronouncements and emerging guidance – modify system and apply within company policy and practice
    • Perform administrative and management tasks required to establish and maintain compliance with various regulatory standards, including MAR, GAAP and SOC1
    • Prepare and maintain all department workflows, policies and procedures ensuring they are properly designed, documented and catalogued
    • Act as a critical member of the audit support team and, as necessary, report to Internal Audit or the Audit and Compliance Committee
    • Perform other related duties as assigned



    Has previously performed system and process enhancements as part of a complex organization.  Understands all elements of planning, accounting, reporting, financial modeling, and analytic assignments. Is able to effectively operationalize concepts and create reports that will improve efficiency and accuracy using automated processes. 

    • Experienced user of software applications necessary to achieve job requirements (ex. Oracle, Hyperion, Essbase, SQL, Business Objects, Alteryx)
    • Microsoft Office proficiency
    • Advanced knowledge of the following:
    • Critical system maintenance and administration – review release notes, evaluate business impact, performing testing and launch processes
    • Perform queries, run scripts and develop models / reports
    • Internal controls, workflow documentation, develop policies and procedures
    • GAAP and STAT reporting requirements
    • Rolling forecast and budget practices
    • Consolidation accounting and advanced accounting concepts
    • MAR, Independent Financial and SOC 1 audit requirements
    • Project management
    • Working knowledge of the following:
    • Medicare, Medicaid (ACO / MCO) and other government programs
    • Commercial and ASO Insurance programs
    • TPA services
    • Actuarial concepts such as IBNR claims and PDR
    • Risk adjustment and encounter data
    • ORSA and enterprise risk management practices



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