The Market CFO will be responsible for Molina's New York Health Plan to support all LOB's with a strong focus on Medicaid. 

KNOWLEDGE/SKILLS/ABILITIES

• Premium Revenue – coordinate efforts across region with similar lines of businesses to ensure consistent processes for managing premium revenue including MLTSS revenue management and appropriate risk adjustment.  Review and analyze premium rates within the region for appropriateness.  Develop analysis and arguments to support rate negotiations with the states within the region.
• Rate Advocacy – collaborate with Vice President of Policy & Planning and Vice President of Government Contracts 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. 
• Quality Improvement Activities – provide region support for provider report card/performance monitoring activities with regard to quality, pay for performance, and clinical performance measurements.
• Medical Management – develop and standardize approach to manage medical expenses.  Collaborate with Chief Medical Officer and Vice President of Program Operations for Healthcare Services to improve medical management efficiency and identify/implement profit improvement initiatives across the region. 
• Administrative Efficiencies – 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.  Review and analyze regional administrative costs.
• Budget/Forecast – monitor actual to budget/forecast performance.  Identify and implement appropriate responses to variances.  Corporate Medical Informatics – work with corporate to support reporting, financial performance, common metrics, and formatting and increase quality in all healthcare data analytical activities.  Coordinate activities with corporate to avoid duplication of work.
• Finance Function – represent Finance by participating on committees and multidisciplinary teams as needed.
• Encounter Reconciliation – standardize activities across the region to ensure all encounters are successfully submitted and errors are resolved.  Ensure the encounter process fully supports rate development, collection of case rate payments and maximize risk scores while complying with State guidelines.
• Provide overall financial and business leadership to Region.  This position works closely with the Regional Vice President and peers 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 a Region finance organization providing financial analysis to make sound business decisions including profit improvement initiatives for medical management metrics, Member Growth/Retention initiatives, targeted LOB extension/expansion, rate advocacy efforts, etc.  This role is responsible for facilitating best practices on projects including standardization for reporting, systems application, staffing models, etc.  Hire and provide training to the finance organization to new finance leaders.

JOB QUALIFICATIONS

Required Education

BA, BS, in Finance, Accounting, or related field; Advanced training or experience in healthcare analytics                                                                                                  Required Experience   

• 15 years progressive healthcare finance or analytical experience. 
• 5+ years managed care/Medicaid experience.
• 10+ year's previous supervisory/management experience.
• 3+ years SQL, programming skills, relational database and financial analysis skills.                                                                        

Preferred Education

MBA, MS in Finance, Accounting, or post graduate training in finance    

Preferred Experience

15+ years of acc

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.

Pay Range: $161,914.25 - $315,733 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.