Mgr, Acct & Financial Analysis – The University of Iowa – Iowa City, IA

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The University of Iowa

The Holden Comprehensive Cancer Center (HCCC) at the University of Iowa is seeking a Finance Manager to provides systematic oversight and enhancement of all financial activities related to the delivery of clinical services at HCCC. The Finance Manager prepares sections of the hospital budget and prepares reports to monitor and trend clinical performance to budget over time, including the development of proformas for new service proposals. The Finance Manager conducts process improvement and reconciliation of clinical financial activities as it relates to budget standards; provides recommendations and analysis on the adoption and performance within oncology payment models; supervises preauthorization staff, including training, scheduling, assigning and evaluating work. The incumbent provides expertise for data analysis, trending and payer regulations/policies; Designs, plans, promotes and provides education and training for authorizations; conducts quality assurance reviews; liaises with Patient Financial Services (PFS) and other departments to assist with revenue cycle activities.
Duties Include:
  • Assist with the preparation of the budget for clinical services on main campus and network locations
  • Monitor performance to budget of clinical services associated with specific targets and trends.
  • Reconcile expense and revenue to assure transactions are aligned with budgeted expectations and operational initiatives.
  • Provide input in the development of dashboards to track key performance indicators related to financial metrics.
  • Collaborate with PFS, medical team and other key stakeholders to provide financial reports illustrate the service line’s ability to adhere to oncology payment model standards.
  • Monitor statistical data including work queues and authorization data in order to recommend and implement operational procedures and protocols to improve services.
  • Model proformas to support implementation of new clinical service proposals.
  • Monitor preauthorization and related insurance activities through quality assurance reviews to ensure compliance with all regulations and billing practices; provide education and training when deficiencies are identified or new processes are implemented.
  • Assist in assignment of CPT, HCPCS and/or ICD-10 codes for new services and projection of estimates for patient financial consideration.
  • Review and apply third party payor (Medicare, Medicaid, Wellmark, etc) preauthorization regulations and compliance program standards.
  • Manage workflow for financial approval and assure appropriate individuals are included.
  • Approve purchases entered by others supporting clinical services.
  • Identify positional needs; develop and/or modify position descriptions to recruit and manage staff.
  • Communicate staffing needs and model requirements to administration and leadership.
  • Interview, select and evaluate the performance of staff, including training, promotion and disciplinary actions as needed.
  • Approve remote work agreements and monitors staffs performance and productivity in relation to agreements.
The information contained herein is not intended to be an exhaustive list of all responsibilities required of individuals performing this job.

University of Iowa Hospitals & Clinics—recognized as one of the best hospitals in the United States—is Iowa’s only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives.®

Holden Comprehensive Cancer Center is Iowa’s only NCI-designated comprehensive cancer center. The NCI designation recognized our cancer center, and its research scientist, physicians, and other health care professionals, for their roles in advancing cancer research that impacts on our ability to prevent, detect and treat our patients with cancer. Not just a floor, or a building, or even confined to a single college. Holden Comprehensive Cancer Center coordinates all cancer-related research, education, and patient care by faculty from 41 departments and six colleges, as well as UI Hospitals and Clinics and UI Children’s Hospital.
Percent of Time: 100%
Schedule: Monday through Friday, 8:00 AM to 5:00 PM
Benefits Highlights:
  • Regular salaried position located in Iowa City, Iowa
  • Fringe benefit package including paid vacation; sick leave; health, dental, life and disability insurance options; and generous employer contributions into retirement plans
  • For more information about Why Iowa?, click here


  • Bachelor’s degree in business administration, finance or related field or an equivalent combination of related education and experience.
  • Minimum 3 years of working experience in a healthcare setting related to business administration, finance or healthcare operations
  • Proficiency with computer software applications (such as MS Office Suite or comparable programs).
  • Excellent and professional verbal, written and interpersonal communication skills.
  • Ability to prioritize and coordinate inquiries from patients, staff and administration.
  • Demonstrated outstanding customer service skills.
  • Strong attention to detail.


  • Master’s in Health Administration, Business Administration or Finance.
  • Supervisory experience in a healthcare setting.
  • Certification as RHIT or RHIA or coding certification (i.e. CPC, CCS, etc) through a nationally recognized credentialing body such as AHIMA or AAPC or eligible to receive in 2-3 years.
  • Experience in medical coding and billing.
  • Experience working with prior authorizations, work queues and revenue cycle.
  • Experience working with Epic
  • Experience working with Tableau
  • Knowledge, understanding and experience with CMS regulations or industry standards.
  • Knowledge of oncology medical terminology.
  • Excellent analytical skills.
  • Knowledge of University of Iowa policies, procedures and regulations.

Application Process: In order to be considered, applicants must upload a resume and a cover letter (under submission relevant materials) that clearly address how they meet the listed required and desired qualifications of this position.

Job openings are posted for a minimum of 14 calendar days.

Successful candidates will be subject to a criminal background check.