Financial Analyst IV – Medicaid/Medicare Experience Required

🌍 Remote, USA 💹 Full-time 🕐 Posted Recently

Job Description

    Job Description:
  • Lead and analyze utilization and financial trends, costs, revenues, and financial commitments
  • Manage the development, production, and validation of reports from detailed claims, eligibility, pharmacy, and clinical data
  • Compile, analyze, and communicate financial and clinical information, including preparing evaluations of medical contracts
  • Ensure integrity of information obtained for analysis
  • Direct and develop competitive analysis and present findings to senior management
  • Responsible for developing membership projections, medical expense forecasts, and budgets
  • Proactively identify trends and patterns using standard departmental reports
  • Evaluate and improve internal analysis processes
  • Support the financial control environment by reconciling internal data sets vs. information provided by the state
  • Identify and lead initiatives to ensure compliance with MAR, regulatory and organizational requirements
  • Collaborate with Finance Leadership, Enterprise Project Management Office (EPMO), and Business Development for new business integration
  • Mentor and develop new associates
    Requirements:
  • Bachelor of Science/Arts Degree in accounting, finance, economics, computer sciences, or related field or equivalent work experience required
  • Minimum of six (6) years of experience in finance, accounting, or other professional role with a focus on data manipulation and analysis required
  • SQL and/or SAS experience strongly preferred
  • Advanced proficiency level with Microsoft Excel
  • Proficient with Microsoft Office Suite, including Outlook, Power Point, Access, and Word
  • Subject matter expert in a finance domain with a broad understanding of analysis concepts, practices, and procedures
  • Certified Public Accountant (CPA), Certified Management Accountant (CMA), Association for Financial Professionals (AFP), FP&A, or related certification preferred
    Benefits:
  • Health insurance
  • 401(k) matching
  • Flexible work hours
  • Paid time off
  • Employee wellness programs
  • Professional development opportunities
  • Substantial total rewards package

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