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Health Plan Controller

Company: Job Juncture
Location: Saint Louis
Posted on: October 24, 2018

Job Description:

 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.

         

    Keywords: Job Juncture, St. Louis , Health Plan Controller, Healthcare , Saint Louis, Missouri

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