Saint Louis, MO
Position Purpose: Manage the entire financial affairs for the assigned health plan.
Prepare and review financial statements and financial reports for both internal and external reporting requirements including schedules or packages distributed to the BOD, corporate senior management & CEO and the health plan management team.
Lead presentations of monthly financial results and analysis to corporate senior management & CEO and the health plan management team.
Review and participate in budget and financial forecast processes, including a thorough knowledge of the key operational trends related to member mix shifts, utilization, unit cost, state program changes and health plan initiatives to effectively control costs.
Responsible for ensuring and monitoring the health plan's achievement towards membership, revenue, medical expense and SG&A goals.
Work closely with the health plan management team to ensure the division is identifying and executing on critical initiatives.
Provide and coordinate with Health Economics in-depth financial and business analysis to identify emerging trends in the business; communicate and report results to management and work with related departments (Medical Management, Contracting, plan president and management team) regarding issues.
Monitor business processes and systems to ensure financial reports are in compliance with GAAP and/or SSAP and company policies and standards.
Act as the primary contact and responsible for health plan audits.
Serve as liaison for state, health plan president, and health plan finance area regarding health plan financial matters.
Bachelor' s' degree in Accounting or related field.
5+ years related experience.
Strong knowledge of Generally Accepted Accounting Principles (GAAP), Statements of Statutory Accounting Principles (SSAP) and budgeting.
License/Certification: CPA preferred.