AVP, Health Plan Finance - REMOTE

Molina Healthcare
US - Kentucky - Lexington
January 23, 2025

Job Summary

Support the Market CFO in FP&A. Analyze financial reports, trends, and opportunities, including business opportunities, investments, and financial regulations. Gather, interpret, and evaluate financial information; generate forecasts and analyze medical cost trends and premium deficiencies. Create financial models for future business planning decisions, such as value-based payment deals.

Knowledge/Skills/Abilities

Lead, coach and develop a team of staff within their assigned market(s).
Coordinate the month-end close with accounting staff. Review all non-IBNR reserves for appropriateness monthly.
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.
Participate in coordination with Health Plan CFO in all state association rate advocacy meetings, tracking and developing key rate advocacy items with market actuaries and association actuaries.
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, and efficiently.
Actively participate in the Health Plan senior leadership team, playing a key role in shaping financial strategy related to operations, enrollment, and provider contracting.
Support their market Provider Network team with VBP contract pricing negotiation and joint operating committee data, etc.
Engage with area leads and subject matter experts to ensure timely identification and resolution of accounting, financial, and other regulatory issues.
Coordinate the month-end close with accounting staff. Review all non-IBNR reserves for appropriateness monthly.

Job Qualifications

REQUIRED 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 years 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 field

To 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.

Pay Range: $140,795 - $274,550.26 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Read the full job description and apply online on the recuiter's web-site

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