Market CFO (reputed company Health Plan) - Remote

Job Description

The Market CFO will be responsible for Molina's reputed company Health Plan to support reputed company reputed company's with a strong focus on Medicaid. KNOWLEDGE/SKILLS/ABILITIES • Premium reputed company - coordinate efforts across region with similar lines of businesses to ensure consistent processes for managing premium reputed company including MLTSS reputed company management and appropriate risk adjustment. Review and analyze premium rates reputed company the region for appropriateness. reputed company analysis and arguments to support reputed company negotiations with the states reputed company the region. • reputed company Advocacy - collaborate with Vice President of Policy & Planning and Vice President of Government reputed company to ensure a consistent message to policy makers on reputed company development as applicable. Review and analyze financial terms of provider agreements and reputed company development to provide recommended changes. • Quality Improvement Activities - provide region support for provider report card/performance monitoring activities with regard to quality, pay for performance, and clinical performance measurements. • Medical Management - reputed company and standardize approach to manage medical expenses. Collaborate with Chief Medical Officer and Vice President of Program Operations for Healthcare Services to improve medical management efficiency and identify/implement profit improvement initiatives across the region. • Administrative Efficiencies - standardize productivity measures for routine processing activities. Collaborate with Chief Medical Officer, National Medical Director, Vice President of Program Operations for Healthcare Services and Chief Operating Officer to establish reputed company included in staffing models and identify opportunities for improvement. Review and analyze regional administrative costs. • Budget/Forecast - monitor actual to budget/forecast performance. Identify and implement appropriate responses to variances. Corporate Medical Informatics - work with corporate to support reporting, financial performance, common metrics, and formatting and increase quality in reputed company healthcare data analytical activities. Coordinate activities with corporate to avoid duplication of work. • Finance Function - represent Finance by participating on committees and multidisciplinary teams as needed. • Encounter Reconciliation - standardize activities across the region to ensure reputed company encounters are successfully submitted and errors are resolved. Ensure the encounter process fully supports reputed company development, collection of case reputed company payments and maximize risk scores while complying with State guidelines. • Provide overall financial and business leadership to Region. This position works closely with the Regional Vice President and peers to reputed company and execute strategies to drive growth and profitability. This position requires constructive engagement across the entire Molina organization. The position is responsible for leading a Region finance organization providing financial analysis to reputed company sound business decisions including profit improvement initiatives for medical management metrics, Member Growth/Retention initiatives, targeted reputed company extension/expansion, reputed company advocacy efforts, etc. This role is responsible for facilitating best practices on projects including standardization for reporting, systems application, staffing models, etc. Hire and provide training to the finance organization to new finance leaders. JOB QUALIFICATIONS Required Education BA, BS, in Finance, Accounting, or reputed company field; Advanced training or experience in healthcare analytics Required Experience • 15 years progressive healthcare finance or analytical experience. • 5+ years managed care/Medicaid experience. • 10+ year's previous supervisory/management experience. • 3+ years SQL, programming skills, relational database and financial analysis skills. Preferred Education MBA, MS in Finance, Accounting, or post graduate training in finance Preferred Experience 15+ years of acc To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Apply Job!