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