Senior Medicare Finance Analyst: Forecasting & Insights

Molina Healthcare; Northern (KY); Hybrid; USD 54,000 - 118,000; Full time

Job summary

Molina Healthcare seeks a Senior Financial Analyst to provide senior-level financial and analytical support for its Medicare line across multiple markets. Primary duties include overseeing forecasting, reporting, and trend analysis to guide business decisions across markets including SC, NY, MA, TX, ID/UT, AZ, CA, and WA.

The role requires analyzing medical costs, evaluating capitation and risk-based arrangements, and delivering actionable insights to support strategic decisions.

Qualifications

• At least 3 years of finance experience.
• Bachelor’s degree in finance or related field.
• Strong communication and collaboration with stakeholders.
• Proficient in Excel with VLOOKUPs and Pivot Tables.
• Experience with large datasets, forecasting, and financial modeling.

Responsibilities

• Develop and maintain forecasts, financial models, and projections related to Medicare costs, capitation, and value-based care programs.
• Monitor and analyze medical cost and utilization trends across Medicare markets to identify drivers, risks, and opportunities.
• Evaluate financial performance of capitation and risk-based arrangements via variance analysis and reporting.
• Support value-based care initiatives by measuring provider performance and assessing financial impact.
• Prepare recurring financial reports, forecasts, and analyses for market and executive leadership with actionable insights.
• Collaborate with operations, clinical, and market teams to analyze performance and develop cost-quality improvement recommendations.
• Use large healthcare datasets to perform ad hoc analyses and quantify financial impacts for strategic decisions.
• Present findings and recommendations to management and stakeholders and enhance reporting and forecasting processes.

Skills

Critical thinking

Attention to detail

Collaboration

Time management

Verbal and written communication

Education

Bachelor's degree in finance or related field

Tools

Excel

SQL

Job description

Molina Healthcare seeks a Senior Financial Analyst to provide senior-level financial and analytical support for its Medicare line across multiple markets. Primary duties include overseeing forecasting, reporting, and trend analysis to guide business decisions across markets including SC, NY, MA, TX, ID/UT, AZ, CA, and WA.

The role requires analyzing medical costs, evaluating capitation and risk-based arrangements, and delivering actionable insights to support strategic decisions.