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Finance Director-Government Business Division, California Medicaid (Advanced Cost of Care)-PS34865

Company: Anthem, Inc.
Location: Glendale
Posted on: September 12, 2020

Job Description:

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Finance Director-Government Business Division, California Medicaid (Advanced Cost of Care)-PS34865 Location: Glendale, CA

Job Family: Accounting/Finance/Auditing

Req #: PS34865

Date Posted: Jul 24, 2020

This position may startby working at home. Must be onsite in the Glendale or Thousand Oaks Officewhen offices reopen.

Responsible for financial leadership, decision support, andstrategic consultation to the California 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 andallocation in a Health Plan with an assigned product or portfolio, which mayinclude specialty products and/or provider contracting arrangements that carryfinancial risk to the plan P&L, serves as legislative consultant with statepartners on financial/reimbursement policy and payment mechanisms.

Primary duties may include, but are not limited to:

Directs market leadership for P&L andSG&A budget; operates as a financial liaison to state partners; leads ratesmanagement and negotiation including reserve development and analytics; andleads the Medical Cost and RX Trend identification and mitigation process withkey business partners including network and clinical teams.

Maintains trends that are appropriate given premiumreimbursement.

Reviews, analyzes, reports, and presentsfinancial results. Provides decision support for business unit President andsenior management teams’ operational and business goals.

Achieves Medical Cost and MLR targets set inplans and forecasts; may ensure that provider network contracting effortsobtain the best possible financial arrangements; may own the setting of andachievement of Cost of Care targets; and achieves operating gain targets set inbudgets and forecasts.

Directs Health Plan preparation of annualoperating/capital budget and forecasts to provide seniorleadership with tools necessary to maximize investment of resources.

Directs interface with regulatory and auditpersonnel and technical consultants as required to ensure fiscalaccountability.

Supporting the pricing actuaries on premium rateactions.

Representing the health plan at key state andprovider meetings; oversees the processing and delivery of several majorprovider pass thru payments; and is a key member of the CA leadership team.

Helping to support the plan president on settingand 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 strategicand tactical planning within a health insurance/managed care environment;experience with complex business environments including multiple entity andhighly regulated situations; or any combination of education and experience,which would provide an equivalent background.; MBA preferred. Significantexperience working with shared savings arrangements is stronglypreferred. Medicaid managed care 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 EqualOpportunityEmployer/Disablity/Veteran

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., Glendale , Finance Director-Government Business Division, California Medicaid (Advanced Cost of Care)-PS34865, Other , Glendale, Arizona

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