Job Description

JOB DESCRIPTION

Job Summary

Leads and directs a team responsible for financial analysis activities across designated business areas - focusing on operational performance and strategic partnerships. Facilitates analysis, modeling, and forecasting to uncover business insights, develop data-driven solutions, and support informed decision-making.

Essential Job Duties
• Monitors adjustment factors and evaluates the financial impact of periodic changes.
• Evaluates cost performance across operational areas, including vendor contracts and efficiency initiatives - identifying and implementing opportunities to improve profitability. Benchmarks performance across regions, populations, and internal/external standards.
• Reviews and analyzes monthly financial reserves for accuracy. Supports corporate finance or actuarial teams in setting appropriate reserve levels.
Interprets financial performance with internal teams and corporate finance. Monitors actuals versus budget, investigates variances, and recommends corrective actions.
• Prepares and presents financial reports to leadership.
• Collaborates with cross-functional departments including analytics, project management, operations, and customer service.
• Manages relationships with regulatory bodies and external auditors for all financial matters.
• Reconciles revenue receipts to eligibility or service records in internal systems.
• Supports strategic analysis and planning initiatives across the organization.
• Reviews financial terms of vendor or partner contracts and recommends changes. Develops scenario modeling and identifies cost-saving opportunities.
• Responds to operational data needs to support service coordination and performance tracking.
• Partners with enterprise analytics teams to enhance reporting, financial performance metrics, and data quality. Coordinates efforts to avoid duplication and ensure alignment with quality improvement initiatives.
• Provides support for performance monitoring activities related to quality, incentive programs, and cost management.
• Represents the finance function on committees, task forces, and cross-functional teams.
• Acts as a liaison to internal and external stakeholders on behalf of the organization and data management teams.
• Oversees data submission processes, ensuring accuracy, compliance, and alignment with financial modeling and performance metrics.

Required Qualifications
• At least 8 years of health care finance and/or analytical experience, including 5 years of managed care experience, preferably working with Medicaid, and 3 years queries, programming, relational database and financial analysis experience, or equivalent combination of relevant education and experience.
• At least 3 years management/leadership experience.
• Bachelor's degree in finance, accounting or a related field.
• Advanced training or experience in health care analytics.
• Advanced knowledge of queries and database development.
• Understanding of accounting concepts, ability to convert data to meaningful reports.
• Strong critical-thinking and attention to detail.
• Ability to effectively collaborate with technical and non-technical stakeholders.
• Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
• Excellent verbal and written communication skills.
• Strong proficiency in Microsoft Office suite products, key skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency.

Preferred Qualifications
• Associate/fellow of the society of actuaries

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package.