Finance Manager - MAPD & Regulatory Analytics

Imperial Health Plan of California, Inc.; Pasadena (CA); On-site; USD 120,000 - 150,000; Full time

Job summary

Imperial Health Plan of California, Inc. in Pasadena seeks a Finance Manager to oversee the Financial Analyst team and key financial operations. The role requires at least 5 years of experience, with strong MAPD knowledge and regulatory reporting expertise. You will collaborate across departments to ensure accuracy, compliance, and operational efficiency.

The position emphasizes capitation payments, DOFR compliance, and financial forecasting for multiple entities within the organization.

Qualifications

• Bachelor's degree in Finance, Accounting, or related field; Master's preferred.
• 5+ years of healthcare MAPD and risk adjustment experience.
• Strong regulatory reporting knowledge (DMHC, TDI, NAIC).

Responsibilities

• Oversee capitation payments and risk-adjustment accuracy.
• Lead regulatory reporting across DMHC, TDI, NAIC, and related bodies.
• Manage claims procedures in line with DOFR requirements.
• Develop financial projections for multiple entities.
• Provide SQL-based data analysis and reporting support.

Skills

MAPD knowledge

Financial analysis

Regulatory reporting

SQL proficiency

Communication skills

Education

Bachelor's degree in Finance/Accounting/Business

Master's degree preferred

Tools

SQL

Job description

Imperial Health Plan of California, Inc. in Pasadena seeks a Finance Manager to oversee the Financial Analyst team and key financial operations. The role requires at least 5 years of experience, with strong MAPD knowledge and regulatory reporting expertise. You will collaborate across departments to ensure accuracy, compliance, and operational efficiency.

The position emphasizes capitation payments, DOFR compliance, and financial forecasting for multiple entities within the organization.