Anticipated End Date:2026-07-03
Position Title:Financial Consultant Manager
Job Description:Location: Louisville KY, Overland Park KS, Grand Prairie TX, Tampa FL, Atlanta GA, Mason OH, Indianapolis IN
Hours: Standard Working hours
Travel: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Position Overview: Responsible for leading the process of preparation and interpretation of complex risk adjustment, revenue or financial analysis for the Medicaid line of business. Has end to end ownership/management of Medicaid Risk Adjustment business processes and works across multiple Medicaid markets to drive holistic and consistent solutions.
How You Will Make an Impact: - Leads risk adjustment and revenue initiatives aimed at improving business processes and, in some areas, developing innovative financial system solutions to reduce manual and repetitive work.
- Manages enterprise or Medicaid business unit activities related to business case development, ROI analysis, cost-benefit realization, and other support for company investments.
- Advises management by presenting solutions and recommended actions.
- Mentors and trains team members.
- Performs and documents complex risk adjustment, financial, and business analyses, including evaluations of financial and risk score performance, market nuances, and other revenue-related initiatives.
- Prepares detailed analyses and reports for leadership and collaborates closely with internal and external auditors.
- Partners with business teams to identify and implement strategic projects and risk adjustment programs that support company objectives.
- Ensures compliance with state and federal regulatory requirements for risk adjustment functions across the enterprise.
Required Qualifications: - Requires a BA/BS in Accounting or Finance and a minimum of 6 years budgeting, forecasting, and accounting financial reporting experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications: - MBA, MPH, MHA, CPA, CMA, FSA and/or CFA preferred.
- Strong knowledge of internal business processes, data flow, controls and our financial systems preferred.
- Strong knowledge of risk adjustment practices, Medicaid risk adjustment models, and Medicaid categories of aid (acute R.A. vs. MLTSS R.A.)
- Experience with Snowflake, SQL, SQL Server, or equivalent strongly preferred.
- Ability to present meaningful results to a business audience, to participate collaboratively in a team tasked to produce complex analyses on a rigorous schedule.
Job Level:Non-Management Exempt
Workshift:1st Shift (United States of America)
Job Family:AFA > Financial Reporting, Planning & Analysis
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
