Finance Director (Medicare/Medicaid) - REMOTE

Molina Healthcare; Long Beach (CA); Remote; USD 80,000 - 100,000; Full time

Job summary

A healthcare provider in Long Beach is seeking a Financial Analyst to manage Medicaid and Medicare financial reports. Responsibilities include preparing budgets, analyzing trends, and collaborating with various teams. Candidates should have at least 6 years of experience, a relevant degree, and preferably CPA certification. The position offers competitive compensation and benefits.

Benefits

Competitive benefits package

Mentorship opportunities

Qualifications

• 6+ years of experience in financial analysis.
• Experience in actuarial studies is a plus.
• CPA certification preferred.

Responsibilities

• Prepare Annual Budget and Quarterly Reforecast.
• Collaborate with Actuarial staff on IBNR estimates.
• Analyze results for medical care cost trends.

Skills

Financial analysis

Actuarial studies

Forecasting

Collaboration

Education

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

Graduate Degree

Job description

Overview

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.

Responsibilities

• 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.