Finance Director-Government Business Division
Company: Anthem, Inc.
Posted on: February 25, 2021
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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
- Maintains trends that are appropriate given premium
- Reviews, analyzes, reports, and presents financial
- 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
- 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 email@example.com for further assistance.
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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
Keywords: Anthem, Inc., Columbus , Finance Director-Government Business Division, Executive , Mason, Ohio
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