Talent.com
No longer accepting applications
Finance Director (Medicare / Medicaid) - REMOTE

Finance Director (Medicare / Medicaid) - REMOTE

Kentucky StaffingCovington, KY, US
23 hours ago
Job type
  • Full-time
  • Remote
Job description

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 analyzing 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.
  • 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.

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

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 : $107,028 - $208,705 / ANNUAL

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
  • Create a job alert for this search

    Director Finance • Covington, KY, US

    Related jobs
    • Promoted
    Medspa Medical Director (Ohio, Texas, or North Carolina)

    Medspa Medical Director (Ohio, Texas, or North Carolina)

    MoxieOhio Township, OH, US
    Full-time
    At Moxie, we empower ambitious aesthetic entrepreneurs to build profitable, independent practices—without burnout, overwhelm, or guesswork. In just a few years, we’ve grown from an idea ...Show moreLast updated: 27 days ago
    • Promoted
    Regional Director, Nursing Business Development

    Regional Director, Nursing Business Development

    OpusViOhio Township, OH, US
    Full-time
    At OpusVi, we partner with healthcare organizations to build transformative workforce solutions.Our platform enables healthcare systems to upskill and retain top talent, positively impacting patien...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Alliance Management - Central Labs

    Director, Alliance Management - Central Labs

    Kentucky StaffingNewport, KY, US
    Full-time
    At Thermo Fisher Scientific, you'll discover meaningful work that makes a positive impact on a global scale.Join our colleagues in bringing our Mission to life - enabling our customers to make the ...Show moreLast updated: 23 hours ago
    • Promoted
    Clinical Director, SRU

    Clinical Director, SRU

    Children's Hospital Medical CenterCincinnati, OH, US
    Full-time
    Sru Nursing : Specialty Resource Unit services 17 inpatient units, including Critical Care.They have three specialty teams : trauma, transport, and telehealth. BSN, and 37% are clinically advanced.Ori...Show moreLast updated: 23 hours ago
    • Promoted
    • New!
    Business Director, Neurosurgery

    Business Director, Neurosurgery

    Children's Hospital Medical CenterCincinnati, OH, US
    Full-time
    Overall accountability for the financial management functions for the department.Develop, implement, evaluate and manage the department's annual and capital budget to achieve the Divisional and Dep...Show moreLast updated: 22 hours ago
    • Promoted
    Clinical Director, SRU

    Clinical Director, SRU

    USA JobsCincinnati, OH, US
    Full-time
    SRU Nursing : Specialty Resource Unit services 17 inpatient units, including Critical Care.They have three specialty teams : trauma, transport, and telehealth. BSN, and 37% are clinically advanced.Ori...Show moreLast updated: 1 day ago
    • Promoted
    Clinical Director, SRU

    Clinical Director, SRU

    Ohio StaffingCincinnati, OH, US
    Full-time
    Specialty Resource Unit services 17 inpatient units, including Critical Care.They have three specialty teams : trauma, transport, and telehealth. BSN, and 37% are clinically advanced.Orientation is p...Show moreLast updated: 23 hours ago
    • Promoted
    Director, Provider Contracts (Must reside in Georgia)

    Director, Provider Contracts (Must reside in Georgia)

    Kentucky StaffingCovington, KY, US
    Full-time
    Molina Health Plan Provider Network Contracting.Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial per...Show moreLast updated: 23 hours ago
    • Promoted
    Account Director

    Account Director

    Neptune Retail SolutionsCincinnati, OH, US
    Full-time
    Headquartered in Jersey City, NJ, Neptune Retail Solutions is the nations premier retail marketing services company.We are experts at influencing buying behaviors through disruptive, innovative, an...Show moreLast updated: 12 days ago
    • Promoted
    Finance Manager

    Finance Manager

    MedalityCincinnati, OH, US
    Full-time
    Preference given to candidates in Cincinnati 3 days per week.Having just surpassed our 100th client, Medality is seeking our first full-time Finance Manager to own accounting, budgeting, financial ...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Director, Head of Division Finance - Physician Services

    Senior Director, Head of Division Finance - Physician Services

    Ingenovis HealthCincinnati, OH, US
    Full-time
    Director, Head Of Division Finance Of Physician Services.Director, Head of Division Finance of Physician Services serves as a strategic thought partner to the CFO and COO of Ingenovis Health to dri...Show moreLast updated: 30+ days ago
    • Promoted
    Lead Finance Specialist - Income Statement

    Lead Finance Specialist - Income Statement

    GE AerospaceCincinnati, OH, US
    Full-time
    Income Statement Reporting Analyst.Whether you want to work at one of our facilities as the site leader's right hand helping to make business decisions or at headquarters on a larger finance team, ...Show moreLast updated: 27 days ago
    • Promoted
    Clinical Director

    Clinical Director

    FCS, IncCovington, KY, US
    Full-time
    Seeking LISW-S or LPCC-S near Covington, KY interested in DIRECTOR opportunity.School based opportunity offering a competitive salary w / BONUS potential. AMAZING benefit package with PTO plans that a...Show moreLast updated: 5 days ago
    • Promoted
    Finance Manager (Nrthrn KY Community Action Commission)

    Finance Manager (Nrthrn KY Community Action Commission)

    HR ElementsCovington, KY, US
    Full-time
    Vice President of Finance and Administration.The Finance Manager supports the financial operations of the organization through effective management of daily accounting functions, ensuring accurate ...Show moreLast updated: 30+ days ago
    • Promoted
    Strategic Account Director

    Strategic Account Director

    UASICincinnati, OH, US
    Full-time
    At UASI, we know that the key to growth is in a high-performing sales team.That's why we're seeking an experienced Strategic Account Director to join our team. Our Strategic Account Director will be...Show moreLast updated: 23 hours ago
    • Promoted
    Sr Region Finance Manager

    Sr Region Finance Manager

    First StudentCincinnati, OH, US
    Full-time
    At First Student, we are a family of 60,000+ employees who take pride in safely transporting more than 5 million students and passengers to and from their destinations each day! Our family of brand...Show moreLast updated: 19 days ago
    • Promoted
    Finance Director (IA Health Plan) - REMOTE

    Finance Director (IA Health Plan) - REMOTE

    Kentucky StaffingCovington, KY, US
    Remote
    Full-time
    Lead financial analysis for the Iowa market, focusing on both internal and external reporting.Identify and research financial trends and opportunities to support strategic decision-making.Evaluate ...Show moreLast updated: 23 hours ago
    • Promoted
    Director, Alternative Credit

    Director, Alternative Credit

    Western & Southern Financial GroupCincinnati, OH, US
    Full-time
    The Director, Alternative Credit is responsible for building, implementing, and managing alternative credit investments to support Western & Southern profitability and product competitiveness in a ...Show moreLast updated: 5 days ago