Financial Consultant

 

Coventry Health Care is national managed health care company based in Bethesda, Maryland operating health plans, insurance companies, network rental service companies, and worker's compensation service companies.  Coventry provides a full range of risk and fee-based managed care products and services, including HMO, PPO, POS, Medicare Advantage, Medicaid, Worker's Compensation and Network Rental to a broad cross section of employer and government-funded groups, government agencies, and other insurance carriers in all 50 states as well as the District of Columbia and Puerto Rico.

 

And, Coventry has "made the list" in three prominent publications:#1 on Barron's 500 Forbes' Platinum 400 Fortune 500

 

We're proud of our achievements, and you will be too as a member of our Information Systems Finance team. If you?re a team-oriented achiever who enjoys a dynamic work environment with reward and recognition for your contributions, Coventry Health Care may have the career opportunity you?re seeking!  We are looking for:

 

FINANCIAL CONSULTANT

Location:  Glen Allen, VA

Requisition Number:  11612

 

GENERAL SUMMARY

 

Provides financial analysis of the operational and financial performance of Coventry Health Care. Coordinates activities associated with financial trend analysis, utilization, modeling methodology, process improvement and reporting to senior management.

 

ESSENTIAL DUTIES & RESPONSIBILITIES 

 

? Analyzes financial, utilization, and trend data and modifies reporting systems accordingly. Reports analysis and trend results to senior management.
? Plans and implements methods to build models required for consistent reporting for initiatives such as risk-share deals, specialty capitation deals, M &A financial integration, market expansion studies, and provider contract changes.
? Coordinates/prepares various audits, develops budgets and conducts ROI analysis for contract decision making. Makes recommendations for change as needed.
? Oversees functions such as billing/collections, the calculation of monthly medical expense accrual for financial reporting, and/or review of employer loss ratio reports.
? Contributes to product pricing decisions as needed.
? Reviews provider contracts, prepares provider settlements and evaluates provider specific data for inconsistencies in charges and/or utilization.
? Manage banking or similar external relationships as needed.
? Performs special projects and other duties as required. 

 

JOB SPECIFICATIONS 

 

? Bachelor?s degree or equivalent experience. Master?s degree or CPA preferred.
? Substantial (usually 7+ years) directly related financial analysis experience.
? Significant knowledge of generally accepted financial analyst or accounting principles, applications and accounting systems.
? Thorough understanding of HMO/managed care industry requirements.
? Proficient with data base software, spreadsheet software and accounting mainframe systems. ? Project/team leadership or supervisory experience required.
? Strong organization, coordination, and communication skills.  





 

Coventry Health Care offers a competitive compensation package including medical, dental, vision, 401(k) and incentive bonus.



 

If would like to explore this career opportunity with us, please visit our

career center at:

http://careers.cvty.com

Please reference position id number 11612

 

AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER