Job Summary
Provides senior-level financial and analytical support for Molina's Medicare
line of business across multiple markets, with primary responsibility for
overseeing financial performance, forecasting, reporting, and trend analysis for
SC, NY, MA, TX, ID/UT, AZ, CA, and WA. Monitors medical cost performance,
evaluate financial trends, support capitation and risk-based arrangements, and
deliver actionable insights that support business decision-making.
Essential Job Duties
Develop and maintain forecasts, financial models, and projections related to
Medicare medical costs, capitation arrangements, and value-based care
programs.
Monitor and analyze medical cost and utilization trends, identifying key
drivers, risks, and opportunities across Medicare markets.
Evaluate the financial performance of provider capitation and risk-based
arrangements through variance analysis, trend reporting, and performance
monitoring.
Support value-based care initiatives by measuring provider performance,
identifying opportunities for improvement, and assessing financial impact.
Prepare recurring financial reports, forecasts, and analyses for market and
executive leadership, highlighting key performance indicators and actionable
insights.
Partner with operational, clinical, and market teams to analyze financial
performance and develop recommendations to improve cost and quality
outcomes.
Utilize large healthcare and financial datasets to perform ad hoc analyses,
quantify financial impacts, and support strategic decision-making.
Present findings and recommendations to management and stakeholders while
driving enhancements to reporting, forecasting, and analytical processes.
Required Qualifications
At least 3 years of finance experience, or equivalent combination of relevant
education and experience.
Bachelor’s degree in finance or related field or equivalent combination of
education and experience.
Strong critical-thinking and attention to detail.
Ability to effectively collaborate with technical and non-technical
stakeholders.
Strong time-management skills, and ability to manage simultaneous projects
and tasks to meet internal deadlines.
Effective verbal and written communication skills.
Proficient in Microsoft Office suite products, including key skills in Excel
(VLOOKUPs and pivot tables), and applicable software program(s) proficiency.
Preferred Qualifications
Medicare healthcare experience, preferably within a managed care or health
plan environment.
Experience supporting value-based care (VBC), capitation, or other risk-based
reimbursement arrangements preferred.
Proficiency in SQL for data extraction, validation, analysis, and reporting.
Advanced Excel skills, including financial modeling, forecasting, and trend
analysis.
To all current Molina employees: If you are interested in applying for this
position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina
Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V