Health Plan Controller

Location: Saint Louis, MO
Great opportunity for a Health Plan Controller in the St. Louis area of Missouri.  The ideal candidate will manage the entire financial affairs for the assigned health plan.

Responsibilities of the Health Plan Controller
  • 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 plan’s 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.

Requirements of the Health Plan Controller
  • Bachelor's’ 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.
  • CPA preferred


 
Regards,
 
Elaine Zanetas
Full Cycle Healthcare Recruiter
Healthcare Employment Partners
Boston office:
617 307-7778
Toll free: 855 423-7633 ext. 220
Fax: 855 423-7634
elaine@hcepartners.com
www.hcepartners.com
 
 
   
 
or