Job Description:
• Lead and analyze utilization and financial trends, costs, revenues, and financial commitments
• Manage the development, production, and validation of reports from detailed claims, eligibility, pharmacy, and clinical data
• Compile, analyze, and communicate financial and clinical information, including preparing evaluations of medical contracts
• Ensure integrity of information obtained for analysis
• Direct and develop competitive analysis and present findings to senior management
• Responsible for developing membership projections, medical expense forecasts, and budgets
• Proactively identify trends and patterns using standard departmental reports
• Evaluate and improve internal analysis processes
• Support the financial control environment by reconciling internal data sets vs. information provided by the state
• Identify and lead initiatives to ensure compliance with MAR, regulatory and organizational requirements
• Collaborate with Finance Leadership, Enterprise Project Management Office (EPMO), and Business Development for new business integration
• Mentor and develop new associates
Requirements:
• Bachelor of Science/Arts Degree in accounting, finance, economics, computer sciences, or related field or equivalent work experience required
• Minimum of six (6) years of experience in finance, accounting, or other professional role with a focus on data manipulation and analysis required
• SQL and/or SAS experience strongly preferred
• Advanced proficiency level with Microsoft Excel
• Proficient with Microsoft Office Suite, including Outlook, Power Point, Access, and Word
• Subject matter expert in a finance domain with a broad understanding of analysis concepts, practices, and procedures
• Certified Public Accountant (CPA), Certified Management Accountant (CMA), Association for Financial Professionals (AFP), FP&A, or related certification preferred
Benefits:
• Health insurance
• 401(k) matching
• Flexible work hours
• Paid time off
• Employee wellness programs
• Professional development opportunities
• Substantial total rewards package