| Job Details
Job #: 14914 - Health Plan Controller
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14914
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| Inactive / Filled |
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Health Plan Controller
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MO-All
Lower Midwest (IL, IN, IA, KS, KY, MO, NE & OH)
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| Finance |
| Healthcare |
| Low: $80,000 |
High: $100,000 |
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| Low: $90,000 |
High: $115,000 |
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| up to 15% bonus |
| Medical, Dental, 401k, Vacation |
| Limited Travel |
| No |
| Full Time / Direct Hire |
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| Work closely with upper management. Great upward mobility. |
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| 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. |
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| 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. |
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| Licenses/Certificates: CPA preferred. |
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| Bachelor's |
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| Certified Public Accountant |
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| None |
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| 5-6+ |
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| 1-2+ |
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