AVP, Health Plan Finance

3 weeks ago

Irving, United States Molina Healthcare Full time

Job DescriptionJob DescriptionJob SummaryWork Location - State of TexasSupport an individual Market CFO in either an FP&A or Healthcare Analytics capacity. In addition to their market specific duties, the AVP Finance will support MHI Regional CFOs in various duties as assigned including M&A integration and RFP activities. Act as interim CFO of new and existing markets when required.Knowledge/Skills/Abilities Lead, coach and develop a team of staff within their assigned market(s). Lead health plan activities relating to the monthly fiscal closing cycle, including various accruals developed at the market level, analysis and explanation of results, preparation of materials for month end leadership reviews, identification and quantification of risks and opportunities. Lead development of annual financial plan and quarterly forecasts, including analysis of results and explanation of drivers of variance to prior outlook or expectations. Analyze information and reporting provided by MHI Medical Economics (ME) function. Validate ME observations and add clarifying market context. Assist Market CFO and Market SLT in the process of translating ME information into mitigating actions (scorable action items-SAIs). Ensure that any regulatory reporting requirements assigned to the market finance teams are completed timely, accurately, efficiently. Support their market Provider Network team with analyses and reporting for contract pricing negotiation, VBR development and monitoring, joint operating committee data, etc. Act as HP Finance integration lead for M&A activities and acting CFO for new market RFPs until a full time market CFO is hired. Work with Integration office as intermediary in coordinating finance related integration efforts and questions between Molina team and new market team Lead in the development of the health plan budget/forecast for new health plans, with focus on integration into Molina standard formats and systems Engage with area leads and subject matter experts to ensure timely identification and resolution of accounting and other regulatory issues. Coordinate training of financial systems, processes and policies for staff of newley acquired health plans and troubleshooting issues as they arise. Ability to step in as needed to temporarily fill vacant CFO positions within Molina, holding responsabilities around: Partnering with plan leadership Monthly close and reporting in partnership with actuarial and accounting teams Partner with Medical Economics in driving SAI (cost improvement) activities Job QualificationsREQUIRED EDUCATION: BS or BA in finance, accounting, business administration, economics, or related field. REQUIRED EXPERIENCE: 10 years plus accounting and/or financial analysis experience with at least 5 year of supervisory responsibility. Health insurance experience required. Significant experience in managed care, with strong knowledge of managed care finance, forecasting and analytics. Demonstrated ability to utilize financial and business intelligence tool sets to report and analyze information. Ability to identify and summarize drivers of financial performance and communicate this information succinctly to multiple layers of management. History of progressively increasing responsibility in financial management in a managed care environment. Ability to coordinate cross functional projects, including the leadership qualities needed to project manage peers or higher-level individuals who may work in non-financial disciplines. Demonstrated ability to accept a general description of a project's objectives from leadership and subsequently build appropriate analytic frameworks, gather data independently and bring a project to conclusion through an iterative process.REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:PREFERRED EDUCATION: Master's degree in related fieldTo all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

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