Finance Director (Medicare / Medicaid) - REMOTE

Job Title

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 analyzing trends; creating financial models for future business planning decisions in areas such as new product development, new marketing strategies, etc.

Prepares Annual Budget and Quarterly Reforecast according to Corporate guidelines.

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

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

Designs and performs actuarial studies related to medical care costs and trends.

Researches and develops 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.

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

Prices and tracks capitation arrangements.

Stays abreast of professional developments and industry trends.

Provides guidance and mentorship to staff members.

Coordinates the month-end close with Accounting staff. Reviews actuarial developed accruals.

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

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V. Pay Range : $107,028 - $208,705 / ANNUAL

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