Health Plan Controller

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JOB DESCRIPTION

Job #: 14914
Status: Inactive / Filled
Title: Health Plan Controller
Job Location: Missouri
Base Compensation: $80,000 — $100,000
Total Compensation: $90,000 — $115,000
Benefits: Medical, Dental, 401k, Vacation
Is Employer Willing to Relocate?: No
Employment Type: Full Time / Direct Hire
Job Categories: Finance
Industries: Healthcare

WHY IS THIS A GREAT OPPORTUNITY?

Work closely with upper management. Great upward mobility.

JOB DESCRIPTION

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

Knowledge/Experience: Bachelors’ degree in accounting or related field and 5+ years related experience. Strong knowledge of Generally Accepted Accounting Principles (GAAP), Statements of Statutory Accounting Principles (SSAP) and budgeting.
Preferred Qualifications: Licenses/Certificates: CPA preferred.
  
Education: Bachelor's
  
Certifications: Certified Public Accountant
  
Total Years of Experience: 5-6+
  
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