Manager FPampA

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Job Description

The Manager will report directly to the Senior Manager of FP&A and will monitor the end to end profit & loss statements, reporting and budget & forecasting for the Aetna Better Health of Illinois Market covering 20% of the total Aetna Medicaid revenue of $3.9 Billion and membership of 400K (15% of state program). S/He will advise on latest updates from the state regarding rates adjustments/determinations/program changes and will report on the financial impact as well as determine rate adequacy for confirmation and/or follow up state discussions. The Manager will assist in inquiries by both the state and the Illinois Association of Medicaid Health Plans regarding the marketshare, data submission for the purpose of rate setting and medical trend analysis on behalf of the Health Plan. S/He will manage and direct the responsibilities of the FP&A Analyst to deliver the monthly close, budget and quarterly forecasts and variance analysis for communication to Senior Manager and Market CFO.

Analyze any adjustments to state revenue and communicate financial impact as supported by Health Plan Actuaries inclusive of reporting on membership numbers, premium by rate cell and analysis of marketshare in comparison with other state MCOs both at a statewide and regional level

Support month end close activities related to Membership, Revenue, Medical Expense, MBR and G&A. Present schedules/reports and variance analysis to Health Plan Finance Leadership. Work closely with Corporate Controllership/Actuarial Team to accurately reflect results in the financials.

Strategic subject matter expert for all forecasting cycles with the approval of the Senior Manager and Health Plan CFO /CEO for reporting to the Enterprise

Prepare monthly medical trend analysis for product performance and reporting of risk areas within medical lag and non-lag for mitigation by Clinical and Operational staff and participate in Medical Cost Trend meetings for the suggestion of mitigation and SAI efforts

Creation and support of requisite and supplemental materials to assist in variance, close and forecast reporting to Health Plan leadership and Enterprise as needed

Pay Range

The typical pay range for this role is:

Minimum: 60,300

Maximum: 130,000

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

Required Qualifications

5 or more years of Finance/Accounting experience

Preferred Qualifications

Basic GAAP as it relates to treatment of revenue and expense items on profit & loss, income statement and balance sheet

-Managed Medicaid experience in complex Medicaid market

- Complex Database and Datawarehouse extraction

- Excel Macro creation

- Tableau/Statistical Analysis program exposure

- Read/Write queries for data interpretation

- Managed Care experience

- Budget and Forecasting

- Variance Analysis

- Advanced Modelling

- Communication and presentation of financial information to senior leadership

- Hyperion/S4 Hana

- Navigate through large data sets, analyze information and make recommendations to Senior Leadership regarding data driven decisions

- Managing, developing and retaining a highly skilled team of Consultants

- Self-Starter

- Healthcare or Health insurance industry experience

Education

Bachelor's Degree or equivalent experience required; Preferably in Financial/Business discipline

MBA/Master's or equivalent experience

Business Overview

Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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Company info

CVS Health.
Website : https://www.cvshealth.com