Market Cfo (Florida) Jobs

JOB SUMMARY
This position reports to, and works closely with the Regional CFO to develop and execute strategies to drive growth and profitability. This position requires constructive engagement across the entire Molina organization. The position is responsible for leading the Florida health plan finance organization and providing analysis to make sound business decisions including improvement initiatives for medical management metrics, member growth/retention initiatives, and rate advocacy efforts. This role is also responsible for facilitating best practices on projects including standardization for reporting, systems application, staffing models, etc. They will hire and provide training to new finance team members.
J OB DUTIES (Main duties & responsibilities of the role):

• Medical Management – Together with the Medical Economics team, support and collaborate with Chief Medical Officer and Vice President of Program Operations for Healthcare Services to improve medical management efficiency and identify/implement improvement initiatives across the region.
• Financial reporting and audits – Coordinate efforts for required state financial reporting and state audit activities.
• Corporate Medical Economics – work with corporate to support reporting, financial performance, and all healthcare data analytical activities.
• Budget/Forecast – Create and monitor budget/forecast and analize vs actual performance. Identify and implement appropriate responses to variances.
• Administrative Efficiencies – Review and analyze state administrative costs. Standardize productivity measures for routine processing activities. Collaborate with Chief Medical Officer, National Medical Director, Vice President of Program Operations for Healthcare Services and Chief Operating Officer to establish standard metrics included in staffing models and identify opportunities for improvement.
• Premium Revenue – coordinate efforts across the organization, including with actuarial and accounting teams, to ensure consistent processes for managing premium revenue including MLTSS revenue management and appropriate risk adjustment. Review and analyze premium rates within the state for appropriateness. Develop analysis and arguments to support rate negotiations with state regulators.
• Rate Advocacy – collaborate with Health plan leadership to ensure a consistent message to policy makers on rate development as applicable. Review and analyze financial terms of provider agreements and rate development to provide recommended changes.
• Finance Function – represent Finance by participating on committees and multidisciplinary teams as needed.
• Provide overall financial and business leadership to state.
• Quality Improvement Activities – provide support for provider performance monitoring activities with regard to quality, pay for performance, and clinical performance measurements.

REQU I RED ED U C A TI O N :
BA, BS, in Finance, Accounting, or related field
REQU I RED E X PE R I E N C E/KNOWLEDGE, SKILLS & ABILITIES:

• 5+ year’s previous supervisory/management experience.
• 10 years progressive healthcare finance or analytical experience.
• 5+ years managed care/Medicaid experience.

PR E FE R RED ED U C A TI O N :
MBA, MS in Finance, Accounting , or post graduate training in finance
PR E FE R RED E X PE R I E N C E:

• Florida specific Medicaid experience

PR E FE R RED L I C E N S E, C E R TI FI C A T I O N , AS S O C I A TI O N :
Pay Range: $161,000- $315,000 a year*

• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.