, 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).
Responsibilities
• Modelling of the revenue
• Medical expense and/or SG&A projections
• FP&A for presentations to the Director as well as the Market CFO and Market CEO for enterprise submission
• Advising 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
• Assisting in inquiries by both the state and the Illinois Association of Medicaid Health Plans regarding the Market share, 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

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 peers
Self-Starter

COVID Requirements
CVS Health requires its Colleagues 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, 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 10 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 45 days of your employment. In some states and roles, you may be required to provide proof of full vaccination before you can begin to actively work. 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, or religious belief, you will be required to apply for a reasonable accommodation within the first 10 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. In some states and roles, you may be required to have an approved reasonable accommodation before you can begin to actively work. 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. See Job Description

, Illinois

Continue serving and work with a purpose

As a CVS Health colleague, you'll find career opportunities across the organization and at every stage of your career. More important, your work will have an impactful purpose on someone's life, including your own. Learn more about how you can continue serving on your next mission at CVS Health.

Careers for Veterans and Military Spouses

 

"The military has an ethos that is grounded in purpose-driven service that’s bigger than the individual. The same holds true for us at CVS Health. You can talk to colleagues in any part of our business and they will be able to articulate our company’s purpose. Working here provides an opportunity for service members and military spouses to continue to serve, just in a civvies."

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