Government Business Division Finance Director
Company: Elevance Health
Location: Indianapolis
Posted on: May 27, 2023
Job Description:
Location: This position is contractually required to be located
in the State of Indiana. Elevance Health supports a hybrid
workplace model which includes remote work and in office
collaboration. The Government Business Division Finance Director is
responsible for financial leadership, decision support, and
strategic consultation to leadership team in the Health Plan.
Directs health plan financial analysis, cost of care analytics,
trend analysis, financial reporting, financial operations, and cost
and budget management and allocation in a Health Plan with an
assigned product or portfolio, 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.
How You Will Make an Impact: Primary duties may include, but are
not limited to :
- Directs market leadership for P&L and SG&A budget;
operates as a financial liaison to state partners; leads rates
management and negotiation including reserve development and
analytics; and leads the Medical Cost Trend identification and
mitigation process.
- 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. Directs
health plan preparation of overall budget, forecast, and cost
allocation processes.
- 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 quarterly 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. Minimum
Requirements:
- Requires a BA/BS in Finance, Business Administration, or
Accounting and a minimum of 8 years of progressive financial
experience accounting, financial reporting, business analysis,
budgeting, forecasting, and strategic and tactical planning within
a health insurance/managed care environment; or any combination of
education and experience, which would provide an equivalent
background. Preferred Skills, Capabilities, and Experience:
- MBA preferred.
- Experience with complex business environments including
multiple entity and highly regulated situations strongly
preferred.
- Medicaid experience preferred.
- Health plan experience preferred.
- Payer background preferred.
Keywords: Elevance Health, Indianapolis , Government Business Division Finance Director, Government & Protective Services , Indianapolis, Indiana
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