Senior Financial Analyst - PBM * Remote Position

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timePosted 3 days ago location United States salarySalary undisclosed
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Job Description

This position requires significant financial analytical experience and demonstrated health care industry knowledge. Primary responsibilities include analyzing costs, preparing financial reports and providing recommendations to leadership for lines of business according to established policies, guidelines and methodologies. Prepare journal entries and analyses in conjunction with month end close process and meet monthly deadlines.Depending on area supporting, duties may vary.Analyzes complex financial information and reports; provides accurate and timely financial recommendations to management for decision making purposes. Develops sophisticated financial models. Provides recommendations based upon evaluation of financial trends and forecasts.Evaluates and monitors the efficiency and performance of programs, ensuring program execution is on target.Manages dashboard reporting by tracking monthly, quarterly and annual revenue and expenses.Obtains a thorough understanding of operating infrastructure of Strategic Business Unit(s) (SBUs) operations to be able to proactively analyze and identify opportunities for cost savings and revenue enhancements.Regularly reviews historical operating results and proactively identifies and analyzes potential revenue enhancement and cost saving opportunities.Performs a variety of pro forma financial and operating analyses as requested to support proposals.Reviews and understands fluctuations across SBUs in delivering cost of care and variations in cost of care. Differentiates impact of rate versus utilization variations.Supports SBUs by providing information, responding to questions and resolving complex problems and issues.If supporting Medicare Part D, will be responsible for implementing CMS requirements related direct and indirect plan remuneration, plan to plan reconciliation, monthly membership reports, coverage gap discount program, medical loss ratio reporting, fiscal soundness reporting, audit assistance and analysis of drug utilization and other costs trends.Other special projects as assigned.Other Job RequirementsResponsibilitiesPreferred QualificationsEducation: MA/MS in related field Experience:Prefer prior Healthcare experience.Knowledge, Skills, Abilities: Knowledge of Medicare, Medicaid, state and federal regulationsMinimum RequirementsEducation: BA/BSField(s) of study: Finance or AccountingExperience: 5-8 years.Industry: Health Care Financial AnalystJob Specific: Provider Reimbursement. Will accept 3-5 years experience provided applicant has public accounting experienceAn equivalent combination of experience and education is acceptable.Education and/or experience may run concurrent.OtherSolid communication skills and the ability to forge strong relationships are also requried. Successful candidates will be able to handlemuliple and changing priorities and thrive in a fast-paced environment.Knowledge of health care financing, provider reimbursement, excellent communication skillsComputer Skills: Relational database analysis and reporting. Strong PC skills are essential, with advanced skills in Excel required, and Hyperion Essbase Knowledge.General Job InformationTitleSenior Financial Analyst - PBM * Remote PositionGrade25Work ExperienceAccounting, FinanceEducationGED, High SchoolLicense and Certifications - RequiredLicense and Certifications - PreferredMagellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.