Director Capital and Business Development Planning

Highmark HealthWashington, DC
$58 - $94

About The Position

This job provides oversight of Forecasting Capital and Business Development processes for the Allegheny Health Network. It involves performing management responsibilities such as hiring, termination decisions, coaching, development, rewards, recognition, performance management, and staff productivity. The role includes planning, organizing, staffing, directing, and controlling the day-to-day operations of the department, developing and implementing policies and programs, and potentially managing a budget.

Requirements

  • Bachelor’s degree in Economics, Business, Health Administration, Finance, Accounting or related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
  • 7 Years experience Management or leadership role
  • 5 Years experience High-level Financial Modeling, Scenario Analysis and Strategic Analysis directly with senior executives in health care setting
  • An understanding of the proposer construct of financial statements form both a GAAP and statutory perspective and the elements of risk-based capital and underwriting activity.
  • The incumbent must have a strong understand of the factors impacting the development of revenue, claim expense, and operating expenses and their inter-relationship
  • Excellent verbal and written communications skills required to effectively deliver important economic concepts
  • Able to process qualitative and/or quantitative data, draw conclusions from it, and communicate findings effectively

Nice To Haves

  • Master’s degree in Economics, Business, Health Administration, Finance, Accounting or related field

Responsibilities

  • Oversees the development of the capital forecasting process and directs other forecasting and planning needs as appropriate.
  • Prepares materials and agenda as well as conducts the AHN Capital Committee meetings.
  • Oversees the establishment and implementation of processes, policies and procedures necessary to establish the annual capital budgets.
  • Oversees the business planning and development function.
  • Provide overall leadership and direction for all business cases including working closely with Highmark Health Strategic Transformation Office and senior executives to establish assumptions for volumes, market dynamics and financial metrics.
  • Adhere to look-back analysis on all major capital spend items to test quality of assumptions and operating results according to approved capital plans.
  • Demonstrates a high-level customer service focus by setting and adhering to high standards for self and others within the department for communication and maintaining positive relationships.
  • Incorporates the needs and concerns of diverse constituencies into departmental decision-making processes.
  • Interact with a wide array of internal and external customers at all levels of the business including finance, actuarial, cost and budgeting, membership and information technology departments to discuss model assumptions, model methodology and financial modeling findings.
  • Support the Corporation's strategic planning efforts through the modeling of financial results to determine the financial targets by business segment that result in Enterprise's achieving the overall corporate objectives.
  • The result of the modeling will be integrated with capital planning efforts which includes working with internal business units, treasury and others to understand the current risk composition of the of the Enterprise portfolio of companies to calculate risk adjusted financial returns under various scenarios.
  • Communicate effective outcomes of model results using appropriate toolkit.
  • Support analyst team on best communication strategies to aid them in articulating model outputs to Senior Leadership.

Benefits

  • Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
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