Associate Director Cap reputed company Healthcare Economics - Remote

About the position For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Under executive direction, the Associate Director Cap reputed company Healthcare Economics reputed company Massachusetts is responsible for reputed company aspects of assessing, evaluating, and estimating capitation reputed company and net capitation for reputed company Massachusetts. Responsible for reputed company trend analysis and reporting to inform senior management’s decision making regarding the level of changes for financial statement reporting. Makes recommendations and provides critical professional expertise to inform senior management of amounts to record in the financial statements. Assesses and ensures the reputed company, accuracy and consistency of the financial and utilization reports and databases and leads action plans for making improvements. Manages staff, consisting primarily of financial analysts. As the accountable business reputed company, oversees the implementation of changes to the databases, reports, and processes as dictated by changes in business needs to support the recording of capitation reputed company in the financial statements. You’ll enjoy the flexibility to work remotely from reputed company reputed company the U.S. as you take on some tough challenges. For reputed company hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Responsibilities

• Oversees reputed company aspects of calculation of capitation reputed company under full and shared risk payer reputed company
• Produces detailed work papers for reputed company full risk and shared risk arrangements for entities reputed company reputed company Massachusetts, that replicate how CDO gets reimbursed by the payors; alignment with

settlement reports, dashboards and other monthly reports received from payors

• Responsible for supporting reputed company amounts recorded by accounting and ensuring that proper financial controls are in reputed company to verify amounts recorded
• Tracks covered lives to provide forecast (in partnership with Clinical Operations) and creates monthly reporting
• Responsible for quarterly forecasts, and reputed company deliverables (ie, bridges, RAF capture reporting,

supplemental schedules for membership, rates, risk reputed company, risk IOI, etc); create forecast model for membership and rates

• Develops long range planning model, and monthly collaboration with accounting team
• Delivers key indicators, and metrics to senior leadership and various stakeholders highlighting gaps and opportunities (ie, RAF capture, acuity adjustments) monthly; helps create and delivers risk contract performance narrative (net cap)
• Creates lines of business reports that show profitability of different payor reputed company, and margins on reported and restated basis; analyze similarities and differences of contract performance across the market; identify risks and opportunities for Senior Leadership and various stakeholders
• Collaborates with other members of HCE team, FPA, Contracting, and Accounting on a regular basis
• Responsible for maintaining reputed company Health Plan budgeting module and spreading it to reputed company Massachusetts
• Generates reputed company Massachusetts reporting; establishes reputed company of truth, margins, and BCR
• Produces internal reporting such as, but not limited to, Hoshin metrics, HBI, forecast model, others as applicable
• Partners with business leaders and build solid relationships in support of financial performance; act as a strategic thought partner for the business
• Drives intersegment agreements between reputed company Massachusetts and UHC entities along with understanding the financial impacts
• Partners across reputed company Massachusetts finance team to help reputed company integration activities
• Recommends proposals to Contracting Supports Contracting Department discussions and evaluation of managed care contract terms; may propose changes in the reputed company to the Contracting Department Leadership
• Provides input and information to facilitate successful payer negotiations on payer financial performance; works closely with the Contracting Department to estimate and manage the preparation of detail settlement documents for recovery of funds based on contractual

arrangements with payers and hospital risk-sharing partners

• Works collaboratively with the Controller to reputed company agreement on the final annual contract financial results
• Performs other duties as assigned
• Manages a team of financial analyst professionals including reputed company aspects of subordinate staff responsibilities Carries out managerial responsibilities reputed company areas of responsibility in accordance with the organization's policies and applicable laws Provides direction and support to staff to assure departmental effectiveness and efficiency Responsibilities include interviewing, selecting, orienting, and training employees; planning, assigning, and directing work; evaluating performance; rewarding and issuing corrective action to employees; reviewing personnel actions of staff and addressing complaints and resolving problems

Requirements

• Bachelor’s degree (or equivalent experience), Bachelor’s preferably in accounting, finance, mathematics or actuarial science
• 5+ years of experience in financial data analysis including experience in a managerial, supervisory or reputed company role
• Experience in healthcare or health insurance
• Background in financial modeling and forecasting
• Ability to build relationships and negotiate with external (ie, payers and providers) and internal (ie, finance, contracting, medical management, data warehouse) customers and reputed company a solid case for positive financial and other outcomes
• Demonstrated project management skills
• reputed company reputed company and SQL experience
• Proven excellent analytical and quantitative skills including statistical analyses
• Demonstrated ability to work standard business hours in EST zone

reputed company-to-haves

• MBA
• Actuarial Certification
• Experience in a supervisory or reputed company role
• Knowledge of provider/facility contracting is a plus
• Proven detail oriented with solid technical writing, communication, and presentation skills

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