Senior Director-Medicaid Health Plan for Florida - Remote Opportunity
Florida, Massachusetts, Arizona, New York, Virginia, Missouri, Maryland
Job DescriptionTHE IDEAL CANDIDATE MUST HAVE MEDICAID HEALTH PLAN EXPERIENCE.
Responsible for the management and direction of all financial affairs for the SBU including business strategy, account management and operations effectiveness. Specific areas of focus include customer contracting, rate negotiations, product pricing, analysis of utilization and medical cost trends, new product development and implementation with customers. This position is responsible for the prioritization and coordination of all financial analytics including analysis of financial results, forecasting/budgeting and performance measurement, as well as the application of such information to direct and educate the senior SBU management team on all business issues.
- Oversees the financial terms of all contracts and coordinates all related activities such as rate renewals/rate openers and settlements of contingencies under each contract (e.g., performance penalties/incentives).
- Analyzes and reports monthly financial results for the SBU to leadership and appropriate staff members.
- In partnership with SBU leadership, develops and maintains long-term strategic plan for business including 5-year financial plan, including specific strategic initiatives, related investment/capital deployment requirements and cost/benefit analyses.
- Manages the preparation of the fiscal operating budget for the SBU as well as quarterly forecasts and monthly forward outlook.
- Prioritizes and coordinates all cost of care analytics for business, maintain appropriate data environment (framework) to ensure relevance of information applied in management of business and partner with SBU leadership to guide operations and strategies to optimize effectiveness of care management activities.
- Monitors all balance sheet accounts associated with contracts managed by the SBU including accounts receivable, funds withheld by customers, claims recoverables, etc.
- Performs special projects and other tasks, as requested by leadership.
General Job Information
TitleSenior Director-Medicaid Health Plan for Florida - Remote Opportunity
Job FamilyFinance Group
CountryUnited States of America
FLSA StatusUnited States of America (Exempt)
Recruiting Start Date4/24/2019
Date Requisition Created4/23/2019
EducationBachelors (Required), Masters
License and Certifications - Required
License and Certifications - PreferredCPA - Certified Public Accountant - Enterprise
Other Job Requirements
- 10+ years of progressive experience in financial operations within managed care, health care or insurance industries.
- 5+ years of experience in a managerial position interfacing with senior management.
- Must be able to handle multiple priorities and meet tight deadlines.
- Must be detail oriented and have excellent analytical skills.
- Must have good communication skills, both written and verbal and experience with communication at an executive level.
- Must be able to interact with all levels of staff, including all senior management.
Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.
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