高级财务分析师（医疗保障、VBC、SQL）- 远程
Senior Analyst, Finance (Medicare, VBC, SQL) - REMOTE
职位概述
为Molina的Medicare业务线在多个市场提供高级别的财务和分析支持，主要负责监督SC、NY、MA、TX、ID/UT、AZ、CA和WA地区的财务表现、预测、报告和趋势分析。监控医疗成本表现，评估财务趋势，支持预付制和基于风险的安排，并提供支持业务决策的可操作见解。
主要职责
- 开发和维护与Medicare医疗成本、预付制安排和基于价值的护理计划相关的预测、财务模型和预测。
- 监控和分析医疗成本和使用趋势，识别Medicare市场中的关键驱动因素、风险和机会。
- 通过差异分析、趋势报告和绩效监控来评估供应商预付制和基于风险的安排的财务表现。
- 通过测量供应商绩效、识别改进机会和评估财务影响来支持基于价值的护理计划。
- 为市场和高管领导准备定期的财务报告、预测和分析，突出关键绩效指标和可操作的见解。
- 与运营、临床和市场团队合作，分析财务表现并制定改善成本和质量结果的建议。
- 利用大型医疗和财务数据集进行临时分析，量化财务影响，并支持战略决策。
- 向管理层和利益相关者汇报发现和建议，同时推动报告、预测和分析流程的改进。
任职要求
- 至少3年的财务经验，或相关教育和经验的等效组合。
- 财务或相关领域的学士学位，或教育和经验的等效组合。
- 强烈的批判性思维能力和细致入微的注意力。
- 能够有效地与技术和非技术利益相关者协作。
- 强大的时间管理能力，能够同时管理多个项目和任务以满足内部截止日期。
- 有效的口头和书面沟通能力。
- 熟练使用Microsoft Office套件，包括Excel（VLOOKUP和数据透视表）等关键技能，以及适用软件程序的熟练操作。
优先条件
- 具有Medicare医疗经验，最好是在管理型医疗保健环境中。
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Job Summary
Provides senior-level financial and analytical support for Molina's Medicare line of business across multiple markets, with primary responsibility for overseeing financial performance, forecasting, reporting, and trend analysis for SC, NY, MA, TX, ID/UT, AZ, CA, and WA. Monitors medical cost performance, evaluate financial trends, support capitation and risk-based arrangements, and deliver actionable insights that support business decision-making.
Essential Job Duties
- Develop and maintain forecasts, financial models, and projections related to Medicare medical costs, capitation arrangements, and value-based care programs.
- Monitor and analyze medical cost and utilization trends, identifying key drivers, risks, and opportunities across Medicare markets.
- Evaluate the financial performance of provider capitation and risk-based arrangements through variance analysis, trend reporting, and performance monitoring.
- Support value-based care initiatives by measuring provider performance, identifying opportunities for improvement, and assessing financial impact.
- Prepare recurring financial reports, forecasts, and analyses for market and executive leadership, highlighting key performance indicators and actionable insights.
- Partner with operational, clinical, and market teams to analyze financial performance and develop recommendations to improve cost and quality outcomes.
- Utilize large healthcare and financial datasets to perform ad hoc analyses, quantify financial impacts, and support strategic decision-making.
- Present findings and recommendations to management and stakeholders while driving enhancements to reporting, forecasting, and analytical processes.
Required Qualifications
- At least 3 years of finance experience, or equivalent combination of relevant education and experience.
- Bachelor’s degree in finance or related field or equivalent combination of education and experience.
- 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.
- Effective verbal and written communication skills.
- Proficient in Microsoft Office suite products, including key skills in Excel (VLOOKUPs and pivot tables), and applicable software program(s) proficiency.
Preferred Qualifications
- Medicare healthcare experience, preferably within a managed care or health plan environment.
- Experience supporting value-based care (VBC), capitation, or other risk-based reimbursement arrangements preferred.
- Proficiency in SQL for data extraction, validation, analysis, and reporting.
- Advanced Excel skills, including financial modeling, forecasting, and trend analysis.
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. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Originally posted on Himalayas