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Job Details

Health Plan Controller

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JOB DESCRIPTION
Job #: 14914
Status: Inactive / Filled
Title: Health Plan Controller
Job Location: MO-All
Lower Midwest (IL, IN, IA, KS, KY, MO, NE & OH)
Job Categories: Finance
Industries: Healthcare
Base Compensation:
Low: $80,000       High: $100,000
Total Compensation:
Low: $90,000       High: $115,000
Bonus, Incentives, etc.: up to 15% bonus
Benefits: Medical, Dental, 401k, Vacation
Overnight Travel: Limited Travel
Is Employer Willing to Relocate?: No
Employment Type: Full Time / Direct Hire
 
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
Mandatory Minimum Qualifications - Must Have: 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
 
Licenses: None
 
Total Years of Experience: 5-6+
 
Years of Experience in Present Position: 1-2+
 
First Name:
Last Name:
E-mail Address:

 

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