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Finance Director-Government Business Division

Company: Anthem, Inc.
Location: Mason
Posted on: February 25, 2021

Job Description:

Welcome to the Anthem Careers site! We have been hard at work to improve our job search and application systems to better serve you. It is now easier to find and apply for relevant jobs as well as stay connected with Anthem. Here are a few of the updates you may notice:

  • No more profiles! We no longer require you to create a log in and password to apply for a job and you won't be able to access previously created profiles, but don't worry - we still have your previous application(s) on file and you can still track your status by clicking on the "Track Your Job Application Status" button.
  • Job Alerts - If you had previously registered to receive job alerts and wish to continue to receive these notifications, please re-register by clicking the "job alert" button.
  • NEW! Didn't find a job that is right for you? Join a Talent Network to stay informed on news and job opportunities with the Anthem Team! It is important that you apply using an email address which is unique to you and not shared with a friend, relative, spouse, or significant other. Our recruiting system uses your email address as your unique identifier. If you apply with a shared email address, your application will overwrite any previous applicant record with the same email address. Additionally, please ensure that you use a valid email address, free from typos, as there are a variety of communications which may be sent to the email address with which you apply Finance Director-Government Business Division Responsible for financial leadership, decision support, and strategic consultation to the Medicaid Health Plan leadership team. Directs health plan financial analysis, cost of care analytics, trend analysis, financial reporting, financial operations, and cost and budget management and allocation in Health Plans, which may include specialty products and/or provider contracting arrangements that carry financial risk to the plan P&L, serves as legislative consultant with state partners on financial/reimbursement policy and payment mechanisms. Primary duties may include, but are not limited to:
    • Directs market leadership for P&L and SG&A budgets; operates as a financial liaison to state partners; leads rates management and negotiation including reserve development and analytics; and leads the Medical Cost and RX Trend identification and mitigation process with key business partners including network and clinical teams.
    • Analyzes competitive intelligence and consults on new market growth opportunities.
    • Maintains trends that are appropriate given premium reimbursement.
    • Reviews, analyzes, reports, and presents financial results.
    • Provides decision support for business unit President and senior management teams' operational and business goals.
    • Achieves Medical Cost and MLR targets set in plans and forecasts; may ensure that provider network contracting efforts obtain the best possible financial arrangements; may own the setting of and achievement of Cost of Care targets; and achieves operating gain targets set in budgets and forecasts.
    • Directs Health Plan preparation of annual operating/capital budget and forecasts to provide senior leadership with tools necessary to maximize investment of resources.
    • Directs interface with regulatory and audit personnel and technical consultants as required to ensure fiscal accountability.
    • Supporting the pricing actuaries on premium rate actions.
    • Representing the health plan at key state and provider meetings; oversees the processing and delivery of several major provider pass thru payments.
    • Helping to support the plan presidents on setting and achieving health plan goals. Qualifications Requires a BS/BA in Finance, Business Administration, Economics or Accounting; 8-10 years of progressive financial experience accounting, financial reporting, business analysis, budgeting, forecasting, and strategic and tactical planning within a health insurance/managed care environment; experience with complex business environments including multiple entity and highly regulated situations; or any combination of education and experience, which would provide an equivalent background.; MBA preferred.-- Significant experience working with shared savings arrangements is strongly preferred.--Medicaid managed care experience preferred. SQL, PowerBI, and Tableau experience preferred.
      -- AnEqualOpportunityEmployer/Disability/Veteran Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem. Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem. EEO is the Law Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees. Anthem, Inc. is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs. If you are an individual with a disability and require a reasonable accommodation to complete the application process, please email Human Resources at ability@icareerhelp.com for further assistance. *WARNING : Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Please be advised that Anthem will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission here by selecting the 'Rip-offs and Imposter Scams' option. Anthem requires a completed online application for consideration of employment for any position.

Keywords: Anthem, Inc., Columbus , Finance Director-Government Business Division, Executive , Mason, Ohio

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