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CVS Health ConsultantFPA Corp in Illinois

Job Description

The Financial Planning and Analysis Consultant will report directly to the Manager of FP&A and will support the end to end analysis of profit & loss statements, reporting and budget & forecasting for the Aetna Better Health of Illinois Market covering 20% of the total Aetna Medicaid business revenue of $2.7 Billion and a membership of 400K (15% of state program). The Financial Planning and Analysis Consultant will be responsible for the modelling of the revenue, medical expense and/or SG&A projections and shall review with the Manager, FP&A for presentation to the Director as well as the Market CFO and Market CEO for enterprise submission. S/He will advise on latest updates from the state regarding rates adjustments/determinations and will support analysis of the financial impact as well as determine rate adequacy for state discussions. The Financial Planning and Analysis Consultant will assist in inquiries by both the state and the Illinois Association of Medicaid Health Plans regarding the Marketshare, data submission for the purpose of rate setting and medical trend analysis on behalf of the Health Plan. -Premium – Support analysis of any/all adjustments to state revenue by rate cell and product-Monthly Close – Revenue determination (reconciliation of remit files and calculation of revenue) for monthly external reporting by Enterprise Controllership-Forecasting – preparation of initial projected membership, premium and/or medical expense at product, region and rate cell level for review with Manager-G&A/Staffing – Support (creation and preliminary seeding) of all departmental budgets for the Health Plan inclusive of staffing & non-compensation expense, invoice process, manual payments and provider incentive payments-Medical Trend Analysis – support the monthly medical trend analysis inclusive of internal reporting to leadership on a daily basis, reporting of risk areas within medical lag and non-lag for mitigation by Clinical and Operational staff-Presentation and Materials – Creation and support of requisite and supplemental materials to assist in variance, close and forecast reporting to Finance leadership

Required Qualifications

-Budget and Forecasting-Variance Analysis-Financial Modelling-Intermediate Excel (queries, formula and report building)-Communication and presentation of financial information to management Navigate through large data sets, analyze information Work independently and with a team of peersSelf-Starter

COVID Requirements

COVID-19 Vaccination Requirement

CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.

  • If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 30 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 60 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.

  • If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications

-Managed Care experience -Managed Medicaid experience in complex Medicaid market-Complex Database and Data warehouse extraction-Hyperion/S4 Hana-Read/Write queries for data interpretation

Education

Bachelor's Degree in Financial/Business discipline

Business Overview

At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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