Health Plan Controller

Posted on Nov 13, 2018 by Affinity Executive Search

St. Louis, MO
Immediate Start
Annual Salary

* Prepare and review financial statements and financial reports for both internal and external reporting requirements including schedules or packages distributed to the BOD, corporate senior management & CEO and the health plan management team.
* Lead presentations of monthly financial results and analysis to corporate senior management & CEO and the health plan management team.
* Review and participate in budget and financial forecast processes, including a thorough knowledge of the key operational trends related to member mix shifts, utilization, unit cost, state program changes and health plan initiatives to effectively control costs.
* Responsible for ensuring and monitoring the health plans achievement towards membership, revenue, medical expense and SG&A goals.
* Work closely with the health plan management team to ensure the division is identifying and executing on critical initiatives.
* Provide and coordinate with Health Economics in-depth financial and business analysis to identify emerging trends in the business; communicate and report results to management and work with related departments (Medical Management, Contracting, plan president and management team) regarding issues.
* Monitor business processes and systems to ensure financial reports are in compliance with GAAP and/or SSAP and company policies and standards.
* Act as the primary contact and responsible for health plan audits.
* Serve as liaison for state, health plan president, and health plan finance area regarding health plan financial matters.


Bachelors degree in Accounting or related field. 5+ years related Public Accounting background preferred.
Strong knowledge of Generally Accepted Accounting Principles (GAAP), Statements of Statutory Accounting Principles (SSAP) and budgeting.


Reference: 559198413

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