Finance Director (Medicare / Medicaid) - REMOTE

Job Summary

Responsible for analysis of Medicaid and Medicare financial reports, trends, and opportunities. Includes evaluation of and recommendations relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects or programs. Duties include gathering, interpreting, and evaluating financial information across the organization; generating forecasts and analyzes trends; creating financial models for future business planning decisions in areas such as new product development, new marketing strategies, etc.

Knowledge / Skills / Abilities

Prepares Annual Budget and Quarterly Reforecast according to Corporate guidelines.

Collaborate with Actuarial staff to review IBNR estimates and rate adequacy studies.

Analyze results to identify early signs of trends or other issues related to medical care cost.

Design and perform actuarial studies related to medical care costs and trends.

Research and develop reports and analysis for senior management, effectively presenting and communicating results.

Works closely with operational management to identify saving opportunities and areas of medical utilization concerns.

Provide support to financial closing process regarding estimated settlements and risk corridor calculations.

Pricing and tracking of capitation arrangements.

Stay abreast of professional developments and industry trends.

Provide guidance and mentorship to staff member.

Coordinate the month-end close with Accounting staff. Review actuarial developed accruals

Job Qualifications

Required Education : B.A. / B.S. Degree in Math, Finance or Accounting

Required Experience : 6+ Years

Preferred Education : Graduate Degree

Preferred Experience : 8+ Years

Preferred License, Certification, Association : CPA