Head of Medicare Segment Finance
Company: Medica Health Management LLC
Location: Minnetonka
Posted on: April 4, 2025
Job Description:
DescriptionThe Head of Medicare Segment Finance has overall
responsibility for the financial results of their assigned business
segment. This position serves as the segment finance lead and has
overall responsibility for relevant financial analysis, reporting,
accounting close support, forecasting, budgeting, and ad hoc
analyses for running the segment. This position will be a close
strategic partner to the Segment General Manager and be jointly
accountable for the successful growth and profitability of the
aligned segment. This includes full oversight and accountability
for the Segment P&L inclusive of membership, Revenue, Medical
expense, Pharmacy expense, non-claims medical, and admin
allocations for the segment.Key Accountabilities Include:
- 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.
- Evaluate 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).To be successful, this
individual will also partner closely with analytics, actuarial,
markets, network, and other enterprise teams as needed to
effectively manage, grow, and enhance profitability for existing
business or expand our existing offerings/geographical reach. Some
of the key bodies of work will include: strategic planning, product
pricing, product financial performance, risk management strategies,
product design support, bid analysis/support, growth strategy
design & execution.Qualifications:
- 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.
- Experience in finance and/or strategy in healthcare, insurance
or managed care.
- Direct experience and deep knowledge of Medicare insurance
business.
- Experience in budgeting, forecasting and the development of
complex financial models within complex business
environments/industries.
- Knowledge of applicable state and federal laws, particularly
new laws related to health care reform.Skills and Abilities:
- Strong oral and written communication and presentation
skills.
- Self-directed and can develop and lead a technical team if
needed.
- Ability to analyze and interpret complex financial data.
- Strong drive for results and accountability.
- Ability to articulate vision and strategy.
- Creative problem-solving skills using innovative
approaches.
- Effective handling of multiple complex projects with a high
degree of engagement.
- Demonstrated leadership and influencing skills with the ability
to lead and drive change.
- Strong strategic planning skills.
- Demonstrated ability to build consensus across multiple
constituencies, including Senior Management.
- Collaborative management style and the ability to work with
staff at all levels.This position is an Office role, which requires
an employee to work from the designated office, Minnetonka MN, on
average, 2+ times per week.The full salary range for this
director-level position is $127,800 - $219,000. Annual salary range
placement will depend on a variety of factors including, but not
limited to, education, work experience, applicable certifications
and/or licensure, the position's scope and responsibility, internal
pay equity and external market salary data. In addition to base
compensation, this position may be eligible for incentive plan
compensation in addition to base salary. Medica offers a generous
total rewards package that includes competitive medical, dental,
vision, PTO, Holidays, paid volunteer time off, 401K contributions,
caregiver services and many other benefits to support our
employees.The compensation and benefits information is provided as
of the date of this posting. Medica's compensation and benefits are
subject to change at any time, with or without notice, subject to
applicable law.Medica's commitment to diversity, equity and
inclusion (DEI) includes unifying our workforce through learning
and development, recruitment and retention. We consistently
communicate the importance of DEI, celebrate achievements, and seek
out community partnerships and diverse suppliers that are
representative of everyone in our community. We are developing
sustainable programs and investing time, talent and resources to
ensure that we are living our values. We are an Equal
Opportunity/Affirmative Action employer, where all qualified
candidates receive consideration for employment indiscriminate of
race, religion, ethnicity, national origin, citizenship, gender,
gender identity, sexual orientation, age, veteran status,
disability, genetic information, or any other protected
characteristic.Equal Opportunity Employer/Protected
Veterans/Individuals with Disabilities.
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Keywords: Medica Health Management LLC, Rochester , Head of Medicare Segment Finance, Accounting, Auditing , Minnetonka, Minnesota
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