Lead Financial Strategist in Medicare Services

2 weeks ago

Nashville, Tennessee, United States Cigna Full time

The Healthcare Financial Planning Lead will play a crucial role in supporting the Business Financial Officer (BFO) team within a complex and regulated Medicare Advantage environment. This position will be responsible for overseeing the MidAmerica market, which encompasses a diverse range of products and provider risk arrangements. The ideal candidate will demonstrate skills in Organizational Agility, Influential Leadership, and a Drive for Results.

This role will be pivotal in shaping financial strategies, guiding planning and analysis, fostering growth, and engaging in various functions that support the Medicare Advantage sector. The successful candidate will collaborate with product, pricing, and strategy teams to facilitate the annual bid process, ensuring a balance between growth and profitability. They will be tasked with communicating financial outcomes and insights, identifying opportunities to enhance gross margins through strong collaborative relationships. Additionally, the candidate will work closely with their respective Market President and a wide array of matrix partners.

This position requires a proactive individual who is eager to learn about the Medicare Advantage business and take on leadership responsibilities within the team and market. While experience requirements are minimal, strong financial acumen and a willingness to learn and apply new concepts are essential. We are committed to supporting career growth, with the expectation that this role may lead to further advancement within the team or across our Medicare operations.

KEY RESPONSIBILITIES:

  • Establish robust partnerships across a cross-functional business team.
  • Act as a credible and dependable finance lead for your market and matrix partners, influencing outcomes that support business profitability.
  • Collaborate with teams to navigate the intricate Medicare annual bid process, balancing enterprise expectations for growth and profitability.
  • Understand the factors that impact revenue, medical expenses, operating costs, growth, and overall profitability for a Medicare Advantage plan.
  • Analyze and clarify variances against expectations for market earnings and other segments of the business, applying critical thinking to identify areas needing further investigation.
  • Utilize data from various sources to guide business partners on actions that enhance the affordability and marketability of Medicare Advantage plans.
  • Contribute to the development of the market's multi-year growth strategy.
  • Present performance metrics and incentive arrangements to primary care providers.
  • Support modeling for value-based and fee-for-service contracts, creating scenarios for various outcomes such as provider additions, terminations, and rate adjustments.
  • Assist in the evaluation and planning of geographic and product expansion initiatives.
QUALIFICATIONS:
  • Bachelor's degree in Finance, Economics, Analytics, Actuarial Science, Accounting, Business, or a related field.
  • 3+ years of substantial experience in Healthcare, Financial Analysis, or a related domain.
  • Ability to comprehend complex products and their relevant levers to enhance profitability.
  • Exceptional financial skills, including the capability to identify and resolve challenging problems.
  • Proficient in presenting to Senior Leaders on both technical and non-technical aspects of the business.
  • Strong communication, interpersonal, and organizational skills.

If working remotely, a reliable internet connection through a cable broadband or fiber optic service provider with speeds of at least 10Mbps download/5Mbps upload is required.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is dedicated to advocating for better health at every stage of life. We empower our customers with the information and insights necessary to make informed decisions for improving their health and well-being. Join us in our mission to drive growth and enhance lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status, or any other characteristic protected by applicable equal employment opportunity laws.

The Cigna Group maintains a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible.

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