Apply on Employer Site

Medica · 2 days ago

Head of Commercial Finance

Hopkins, MN

Full-time

Hybrid

Director/Executive

$130K/yr - $196K/yr

10+ years exp

Medica is a nonprofit health plan serving communities in multiple states. The Head of Commercial Finance is responsible for the financial results of their assigned business segment, including financial analysis, reporting, budgeting, and serving as a strategic partner to the Segment General Manager.

Health CareMedical

No H1B

Responsibilities

Collaborate with segment leadership team to drive forward business and financial strategies to strengthen the segment’s position in the market. Focus will include product, pricing, network, health management, sales, exchanges, and administrative efficiencies

Represent the needs and requirements of the segment to understand and influence decisions in the development of trend reporting, cost saving initiatives, operational and platform performance and administrative efficiencies

Own and lead the MBR and QBR process for assigned segment. This may include updating or developing new materials to report on segment results, evaluate segment performance, provide insights on the segment business results, analyze and track opportunities for growth/profitability enhancement, and other ad hoc analysis/management reporting

Evaluates financial implications of key decisions and initiatives, including major purchases, acquisitions, outsourcing arrangements, new products, IT systems development, geographic expansion opportunities, proposed new partner alignments, etc

Own and lead forecasting, annual budgeting, and long-term plan development for segment financials. Regular forecasting and budgeting updates will be made throughout the year covering the entire P&L for the segment

Take the lead on segment specific projects. Examples of such projects could include CMS bid development and submission, new vendor implementations, geographic expansions and/or significant platform enhancements

Oversee day-to-day team responsibilities and prioritize work (may include direct and indirect staff)

Partner closely with analytics, actuarial, markets, network, underwriting, sales, risk adjustment, and other enterprise teams as needed to effectively manage, grow, and enhance profitability for existing business or expand our existing offerings/geographical reach

Qualification

Financial analysisBudgetingForecastingCommercial health insuranceStrategic planningProject managementLeadershipCommunication skillsProblem-solvingCollaboration

Required

Bachelor's degree in Finance, Accounting, Economics or related field; equivalent combination of education and related work experience will also be considered

10+ years of relevant combined experience in finance, accounting and/or product development

5+ years direct management experience