Finance Director (Medicare/Medicaid) - REMOTE

Molina Healthcare; Santa Fe (NM); Remote; USD 107,000 - 209,000; Full time

Job summary

A healthcare company located in Santa Fe, New Mexico seeks a finance analyst to manage Medicaid and Medicare financial reports and contribute to business planning decisions. Candidates must hold a B.A./B.S. in Math, Finance, or Accounting with 6+ years of experience. The role offers a competitive compensation package ranging from $107,028 to $208,705 annually.

Benefits

Competitive benefits and compensation package

Qualifications

• 6+ years of relevant experience.
• CPA certification preferred.
• 8+ years experience preferred.

Responsibilities

• Analyze Medicaid and Medicare financial reports.
• Collaborate with operational management for cost-saving opportunities.
• Manage annual budget and quarterly forecasts.
• Coordinate month-end close with Accounting staff.

Skills

Budget preparation

Collaboration with Actuarial staff

Trend analysis

Actuarial studies design

Report development and presentation

Operational management support

Financial closing support

Capitation arrangement pricing

Professional development awareness

Staff guidance and mentorship

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.