Finance Director-Government Business Division (California Medicaid)-PS34865

Company: Anthem, Inc.
Location: Glendale
Posted on: September 13, 2020

Job Description:

Finance Director-Government Business Division (California Medicaid)-PS34865 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.

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

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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.

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