CVS Health · 10 hours ago

Senior Manager, FP&A

Louisville, KY

Full-time

Remote

Mid, Senior Level

$68K/yr - $149K/yr

7+ years exp

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Responsibilities

Coordinate the preparation and completion of a variety of complex state/regulatory reporting requirements.

Identify, implement, monitor, and track effective revenue and medical cost analysis through coordination with medical directors, network management, actuary, medical economics, enrollment, encounter team, etc. This includes oversight of plan initiated medical expense reviews and cost savings initiatives.

Lead financial analysis and recommendations in support of management's evaluation of strategic, business and growth initiatives, including provider/hospital contracting

Oversight to the premium reconciliation process internally and externally in order to maximize revenue, including risk pools.

Oversight to contractual settlement calculations with hospitals and varying other provider entities.

Oversight to large claims reserves Oversight to reporting financial data by date of service (tied to GAAP financial statements), including quarterly reporting to the state.

Serve as team lead providing guidance and training to less experienced staff members, including setting objectives for the team.

Participate in or lead cross functional workgroups, provider/hospital joint operating committees and ongoing committee meetings (whether within the business unit, within the health plan or with the state agency), in order to implement process improvements, new products or provide guidance on financial impacts.

Adhoc query requests as related to financial data.

Qualification

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Financial analysisHealthcare experienceSQL queries