Market Business Finance Officer (BFO) - Medicare Advantage - Hybrid - The Cigna Group
Philadelphia, PA
About the Job
Role Summary:
This position is for a Market Business Finance Officer (BFO), supporting the Midwest and MidAmerica markets of our Medicare Advantage business. We are seeking a creative and strategic finance leader capable of learning our business and applying that knowledge to drive growth and profit for their markets. Prior health insurance is not required, but the ideal candidate should be able to work through complex business problems towards a defined objective without step-by-step instructions.
Major Responsibilities:
+ Leads financial trend analytics and reporting for the market in support of market affordability goals and operational insights.
+ Oversees pro forma modeling for contract negotiations – contract arrangements inclusive of health systems, physician groups, independent providers and value-based programs.
+ Directs network analytics for the market – helping ensure that the market has both an affordable and marketable network.
+ Manages existing market value-based arrangements (VBA). Responsibilities include overseeing VBA monthly close support and ensuring that market VBA payments are accurate and processed timely.
+ Prepares standard and ad hoc financial reporting utilizing moderate to complex Excel functions, PowerPivot, SQL and Teradata to guide and support business decisions for market and matrix partners in Medical Services, Contracting, Sales and Network Operations.
+ Responsible for analysis and interpretation of moderate to complex Medicare Part C and D financial information. Utilizes independent judgment and discretion, identifies trends, variances, and key issues and provides recommendations for adjustment.
+ Manages one financial lead analyst. Responsible for mentoring, supervising and training.
Ideal Candidate Will Offer:
+ Bachelor’s degree in finance, accounting, actuarial, business or related field
+ 5+ years of financial reporting, finance, accounting or equivalent business experience – inclusive of financial analysis, planning/forecasting, and GAAP knowledge
+ Strong analytical and problem solving skills
+ Independent thinker with strong time management and organizational skills
+ Excellent communication skills – both verbal and written
+ Advanced understanding of Excel. Experience with SQL preferred
+ Strong motivator and team player able to lead and delegate responsibilities as needed
+ Medicare Advantage experience and general knowledge of the healthcare industry and insurance products preferred, but not required
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _SeeYourself@cigna.com_ _for support. Do not email_ _SeeYourself@cigna.com_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
This position is for a Market Business Finance Officer (BFO), supporting the Midwest and MidAmerica markets of our Medicare Advantage business. We are seeking a creative and strategic finance leader capable of learning our business and applying that knowledge to drive growth and profit for their markets. Prior health insurance is not required, but the ideal candidate should be able to work through complex business problems towards a defined objective without step-by-step instructions.
Major Responsibilities:
+ Leads financial trend analytics and reporting for the market in support of market affordability goals and operational insights.
+ Oversees pro forma modeling for contract negotiations – contract arrangements inclusive of health systems, physician groups, independent providers and value-based programs.
+ Directs network analytics for the market – helping ensure that the market has both an affordable and marketable network.
+ Manages existing market value-based arrangements (VBA). Responsibilities include overseeing VBA monthly close support and ensuring that market VBA payments are accurate and processed timely.
+ Prepares standard and ad hoc financial reporting utilizing moderate to complex Excel functions, PowerPivot, SQL and Teradata to guide and support business decisions for market and matrix partners in Medical Services, Contracting, Sales and Network Operations.
+ Responsible for analysis and interpretation of moderate to complex Medicare Part C and D financial information. Utilizes independent judgment and discretion, identifies trends, variances, and key issues and provides recommendations for adjustment.
+ Manages one financial lead analyst. Responsible for mentoring, supervising and training.
Ideal Candidate Will Offer:
+ Bachelor’s degree in finance, accounting, actuarial, business or related field
+ 5+ years of financial reporting, finance, accounting or equivalent business experience – inclusive of financial analysis, planning/forecasting, and GAAP knowledge
+ Strong analytical and problem solving skills
+ Independent thinker with strong time management and organizational skills
+ Excellent communication skills – both verbal and written
+ Advanced understanding of Excel. Experience with SQL preferred
+ Strong motivator and team player able to lead and delegate responsibilities as needed
+ Medicare Advantage experience and general knowledge of the healthcare industry and insurance products preferred, but not required
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _SeeYourself@cigna.com_ _for support. Do not email_ _SeeYourself@cigna.com_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
Source : The Cigna Group