Lead and analyze utilization and financial trends, costs, revenues, and financial commitments
Manage the development, production, and validation of reports from detailed claims, eligibility, pharmacy, and clinical data
Compile, analyze, and communicate financial and clinical information, including preparing evaluations of medical contracts
Ensure integrity of information obtained for analysis
Direct and develop competitive analysis and present findings to senior management
Responsible for developing membership projections, medical expense forecasts, and budgets
Proactively identify trends and patterns using standard departmental reports
Evaluate and improve internal analysis processes
Support the financial control environment by reconciling internal data sets vs. information provided by the state
Identify and lead initiatives to ensure compliance with MAR, regulatory and organizational requirements
Collaborate with Finance Leadership, Enterprise Project Management Office (EPMO), and Business Development for new business integration
Mentor and develop new associates

Bachelor of Science/Arts Degree in accounting, finance, economics, computer sciences, or related field or equivalent work experience required
Minimum of six (6) years of experience in finance, accounting, or other professional role with a focus on data manipulation and analysis required
SQL and/or SAS experience strongly preferred
Advanced proficiency level with Microsoft Excel
Proficient with Microsoft Office Suite, including Outlook, Power Point, Access, and Word
Subject matter expert in a finance domain with a broad understanding of analysis concepts, practices, and procedures
Certified Public Accountant (CPA), Certified Management Accountant (CMA), Association for Financial Professionals (AFP), FP&A, or related certification preferred

Financial Analyst IV – Medicaid/Medicare Experience Required

Key skills