Financial Analyst IV - Medicaid/Medicare Experience Required

CareSource

2d•$83,000 - $132,800

About The Position

The Financial Analyst IV is responsible for leading and analyzing utilization and financial trends, costs, revenues, financial commitments and obligations incurred to predict future revenues and expenses; understand financial impacts of decisions and communicate those to management.

Requirements

Bachelor of Science/Arts Degree in accounting, finance, economics, computer sciences or related field or equivalent work experience is required
Minimum of six (6) years of experience in finance, accounting, or other professional role with a focus on data manipulation and analysis is required
Ability to lead and direct the work of others
Results oriented decision maker that handles ambiguity and complexity well
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
Relies on extensive experience and judgment to plan and accomplish goals
Ability to lead and provide subject matter expertise to less experienced analysts in the department
Wide degree of creativity and latitude (independent judgment) is required
Demonstrates analytical/problem solving skills to perform a variety of complicated tasks
Possesses critical thinking/listening skills
Ability to communicate with all levels of management
Detail oriented

Nice To Haves

Master of Business Administration (MBA) or other related post-graduate degree is preferred
Managed Care or healthcare experience is preferred
Certified Public Accountant (CPA), Certified Management Accountant (CMA), Association for Financial Professionals (AFP) FP&A, or related certification is preferred and provides credit for one year of related experience

Responsibilities

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 but not limited to preparing the evaluation of medical contracts, product lines, generating and managing medical and administrative cost saving initiatives, etc.
Ensure integrity of information obtained for analysis; keep an up-to-date knowledge of the computer information system
Direct and develop competitive analysis and present findings to senior management
Responsible for the development of membership projections, medical expense forecast and budget and monitor monthly variances to identify trends
Proactively identify trends and patterns using standard departmental reports and databases as well as leveraging other processes and data sources for data mining
Evaluate and make appropriate improvements to internal analysis processes ensuring that practices are in line with the overall goals of the organization
Support the financial control environment by reconciling internal data sets vs information provided by the state (such as, reconcile enrollment files to reimbursement records, etc.)
Utilize key analysis experience and knowledge to analyze and report medical, contract and administrative activity
Identify and lead initiatives to ensure compliance with MAR, regulatory and other organization requirements
If applicable lead corporate finance and accounting initiatives for new business and programs
If applicable collaborate with Finance Leadership, Enterprise Project Management Office (EPMO) and Business Development for the purpose of procuring new business and integrating that business into the existing market and product structure
If applicable work closely with Finance Leadership to coordinate the identification of resources with subject matter expertise and compilation of the requisite information necessary to procure, develop and oversee the launch of new markets and product development
If applicable support the launch of new markets and product development by providing relevant insight to enable prioritization of deliverables based on market needs
Mentor and development new associates
Perform any other job duties as requested