Finance Consultant

The Market Finance Consultant serves as the key financial business partner with Line of Business leaders to support the optimization of financial outcomes of the business. The position will be the financial liaison to the business, working to educate leaders on all matters related to financial performance and supporting activities to drive performance. This position will play an active role in developing annual budget/forecast as well as in analyzing monthly business performance to provide business insight and actionable advice. This position will report to Market Finance Lead and will lead the function of providing business partner and analysis support to business leaders.

Key Responsibilities

• Partner with accounting department to ensure accurate and timely close on a monthly basis
• Monthly P&L analysis in identifying Risks and Opportunities
• Drive P&L forecast and planning work and manage business segment expenses
• Support bottom's up development for forecasts and annual budgets
• Support Pricing/Bid/Rate Filing analyses and validate key assumptions
• Research, analyze, validate, and prepare data for use in identification and execution of strategic initiatives
• Participate in periodic Monthly Operating Review and other financial performance reviews with both internal/external audience on a needed basis.
• Support ad hoc analysis in measuring effectiveness of various marketing programs including but not limited to direct marketing efforts for Open Enrollments,
• Understand and support transparency and performance on metrics in service areas such as care management and operations.

• Operation metrics include Service Quality and Productivity metrics
• Care Management metrics include Service utilization

• Perform what-if scenario analysis regarding business model, evaluate trade off, e.g., broker vs direct sales and influence decisions based on findings.
• Support management of medical cost trend and gross margin improvement opportunities
• Analyze the impact of contracts and support negotiations, as required, in driving market performance
• Identify areas for continuous improvements
• Competitor benchmarking and opportunity identification
• Quantify financial impact of risks per Enterprise Risk Management
  

Qualifications:

• Bachelor’s degree of accounting/finance required. Master’s degree preferred. *ASA helpful in the Market Finance Consultant role.
• 5 years of relevant finance/accounting work, preferably in a healthcare environment.

Senior level positions requires 10 years of relevant health plan experience with responsibility in driving financial outcomes

• Experience in working in fast paced, matrixed environment

• Knowledge of cost accounting principles
• Experience with Oracle PCMCS is required

• Systems Savvy- comfortability in navigating different systems, understanding data flows, and consolidating large data sets.
• Communicates effectively to both Finance and Non-Finance professionals in explaining results in a concise, transparent manner.
• Deep understanding of cost accounting/allocation principles and methodologies.
• Ability to work cross functionally with Accounting, the extended Finance team, and the Business to explain results and run analyses.
• Process improvement- champion process improvement efforts and take initiative to question the status quo for efficiency gains.
• Strong attention to detail.

Commitment to Diversity, Equity & Inclusion

Point32Health is committed to making diversity, equity, and inclusion part of everything we do—from product design to the workforce driving that innovation. Our DEI strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Who We Are

Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities.

This job has been posted by Ignyte AI on behalf of Point32Health. Ignyte AI is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of Ignyte AI not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.