Finance Director (Medicare/Medicaid) - REMOTE

Molina Healthcare; Grand Rapids (MI); Remote; USD 107,000 - 209,000; Full time

Job summary

A healthcare company in Grand Rapids, MI, is seeking a financial analyst responsible for analyzing Medicaid and Medicare financial reports. The role includes budget preparation, trend analysis, and collaboration with actuarial teams. The ideal candidate will hold a bachelor's degree in Math, Finance, or Accounting and have over six years of experience in financial analysis. The position offers a competitive salary range of $107,028 - $208,705 annually.

Qualifications

• 6+ years of relevant experience in financial reporting and analysis.
• Preferred experience of 8+ years in related financial fields.
• CPA designation is preferable.

Responsibilities

• Analyze Medicaid and Medicare financial reports to identify trends.
• Prepare annual budget and forecasts per corporate guidelines.
• Collaborate with actuarial staff on financial estimates.
• Design and perform actuarial studies related to costs.
• Research and present reports for senior management.

Skills

Financial analysis

Actuarial studies

Budget preparation

Trend analysis

Communication skills

Collaboration with teams

Education

B.A./B.S. Degree in Math, Finance or Accounting

Graduate Degree

Job description

Job Summary

Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and recommendations relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects or programs. Duties include gathering, interpreting, and evaluating financial information across the organization; generating forecasts and analyzes trends; Creating financial models for future business planning decisions in areas such as new product development, new marketing strategies, etc.

Knowledge/Skills/Abilities

• Prepares Annual Budget and Quarterly Reforecast according to Corporate guidelines.
• Collaborate with Actuarial staff to review IBNR estimates and rate adequacy studies.
• Analyze results to identify early signs of trends or other issues related to medical care cost.
• Design and perform actuarial studies related to medical care costs and trends.
• Research and develop reports and analysis for senior management, effectively presenting and communicating results.
• Works closely with operational management to identify saving opportunities and areas of medical utilization concerns.
• Provide support to financial closing process regarding estimated settlements and risk corridor calculations.
• Pricing and tracking of capitation arrangements.
• Stay abreast of professional developments and industry trends.
• Provide guidance and mentorship to staff member.
• Coordinate the month-end close with Accounting staff. Review actuarial developed accruals

Job Qualifications

Required Education

B.A./B.S. Degree in Math, Finance or Accounting

Required Experience

6+ Years

Preferred Education

Graduate Degree

Preferred Experience

8+ Years

Preferred License, Certification, Association

CPA

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $107,028 - $208,705 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.