Health Plan Controller

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Location
St Louis, MO
Salary
$90,000 - $115,000
Job Type
Direct Hire
Degree
Bachelor of Arts
Date
Oct 21, 2018
Job ID
2634474
 Manage the entire financial affairs for the assigned health plan.
 
  • Prepare and review financial statements and financial reports for both internal and external reporting requirements including schedules or packages distributed to the BOD, corporate senior management & CEO and the health plan management team.
  • Lead presentations of monthly financial results and analysis to corporate senior management & CEO and the health plan management team.
  • Review and participate in budget and financial forecast processes, including a thorough knowledge of the key operational trends related to member mix shifts, utilization, unit cost, state program changes and health plan initiatives to effectively control costs.
  • Responsible for ensuring and monitoring the health plan’s achievement towards membership, revenue, medical expense and SG&A goals.
  • Work closely with the health plan management team to ensure the division is identifying and executing on critical initiatives.
  • Provide and coordinate with Health Economics in-depth financial and business analysis to identify emerging trends in the business; communicate and report results to management and work with related departments (Medical Management, Contracting, plan president and management team) regarding issues.
  • Monitor business processes and systems to ensure financial reports are in compliance with GAAP and/or SSAP and company policies and standards.
  • Act as the primary contact and responsible for health plan audits.
  • Serve as liaison for state, health plan president, and health plan finance area regarding health plan financial matters.
Qualifications:
Bachelor's’ degree in Accounting or related field. 5+ years related Public Accounting background preferred.
Strong knowledge of Generally Accepted Accounting Principles (GAAP), Statements of Statutory Accounting Principles (SSAP) and budgeting.

License/Certification: CPA preferred.