Financial Consultant Manager
Elevance Health · Louisville, KY · 3 wk ago
FinanceFull-time
Position Overview
Responsible for leading the process of preparation and interpretation of complex risk adjustment, revenue or financial analysis for the Medicaid line of business. Has end to end ownership/management of Medicaid Risk Adjustment business processes and works across multiple Medicaid markets to drive holistic and consistent solutions.
How You Will Make An Impact
- Leads risk adjustment and revenue initiatives aimed at improving business processes and, in some areas, developing innovative financial system solutions to reduce manual and repetitive work.
- Manages enterprise or Medicaid business unit activities related to business case development, ROI analysis, cost-benefit realization, and other support for company investments.
- Advises management by presenting solutions and recommended actions.
- Mentors and trains team members.
- Performs and documents complex risk adjustment, financial, and business analyses, including evaluations of financial and risk score performance, market nuances, and other revenue-related initiatives.
- Prepares detailed analyses and reports for leadership and collaborates closely with internal and external auditors.
- PARTNERS WITH BUSINESS TEAMS TO IDENTIFY AND IMPLEMENT STRATEGIC PROJECTS AND RISK ADJUSTMENT PROGRAMS THAT SUPPORT COMPANY OBJECTIVES.
- ENSURES COMPLIANCE WITH STATE AND FEDERAL REGULATORY REQUIREMENTS FOR RISK ADJUSTMENT FUNCTIONS ACROSS THE ENTERPRISE.
Required Qualifications
- A BA/BS in Accounting or Finance and a minimum of 6 years budgeting, forecasting, and accounting financial reporting experience; or any combination of education and experience, which would provide an equivalent background.
- Requires a BA/BS in Accounting or Finance and a minimum of 6 years budgeting, forecasting, and accounting financial reporting experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications
- MBA, MPH, MHA, CPA, CMA, FSA and/or CFA preferred.
- Strong knowledge of internal business processes, data flow, controls and our financial systems preferred.
- Strong knowledge of risk adjustment practices, Medicaid risk adjustment models, and Medicaid categories of aid (acute R.A. vs. MLTSS R.A.) Experience with Snowflake, SQL, SQL Server, or equivalent strongly preferred.
- Ability to present meaningful results to a business audience, to participate collaboratively in a team tasked to produce complex analyses on a rigorous schedule.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
- We are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
- We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
- We operate in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
- SPECIFIC REQUIREMENTS AND EXPECTATIONS FOR TIME ONSITE WILL BE DISCUSSED AS PART OF THE HIRING PROCESS.
Elevance Health
- Offers a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
- Operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
- Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
Elevance Health
- Offers a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
- Operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
- Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
Elevance Health
- Offers a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
- Operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
- Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
Elevance Health
- Offers a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
- Operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
- Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
Elevance Health
- Offers a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
- Operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
- Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
Elevance Health
- Offers a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
- Operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
- Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
Elevance Health
- Offers a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
- Operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
- Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
Elevance Health
- Offers a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
- Operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
- Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
Elevance Health
- Offers a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
- Operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
- Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
Elevance Health
- Offers a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
- Operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
- Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
Elevance Health
- Offers a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
- Operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
- Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
Elevance Health
- Offers a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
- Operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager,