Assist in the development and presentation of timely, accurate, actionable data and analysis supporting the department, regional market, and corporate key initiatives. Participate as a liaison with regional market operations. Provide analytics for strategic and operating decisions to senior management. Provide proactive analysis and recommendations to senior management on both tactical and strategic nature.
Proactive involvement with identification, evaluation and monitoring of medical cost savings initiatives.
Provide analysis of medical cost trends/drivers associated with the monthly MBR reporting in conjunction with the release of the monthly reports
Participate in and/or facilitate identification, valuing and monitoring of company sponsored medical cost initiatives
Link and explain historical results versus the financial forecast related to the initiatives
Provide reliable and accurate MBR reporting
Work with the technical team to identify/implement improvements in quality control/timeliness of reporting
Work with business owners to help markets understand their financial information
Provide analysis of material changes in MBR levels from month to month in conjunction with the release of the monthly reports
Link MBR reporting (recast) and financial forecast results
Know the business
Contribute to cross-functional teams to address key issues facing the organization.
Collaborate within finance (Actuarial/Accounting/Planning) to provide historical and prospective unit cost, utilization and other medical cost initiatives as critical inputs to the financial forecasting and monitoring process.
Build expertise in specific areas of medical cost management. Leverage this expertise across other markets and regions.
Coordinate and participate in research-related activities including industry best-practices, research and development of models, tools, and data analysis projects, and experience studies.
Additional Responsibilities: Candidate Education:
Required A Bachelor's Degree in
Required 2 years of experience in Financial /Data Analysis with a Bachelors Degree in Information Systems/Management, Computer/Data Science, Statistics, Mathematics, Informatics, Business, Economics or a closely related analytic field - OR -
Required 4 years of experience in Financial /Data Analysis with a Bachelors in any other field of study
Advanced Demonstrated analytical skills
Intermediate Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
Intermediate Ability to work in a fast paced environment with changing priorities
Intermediate Demonstrated organizational skills
Intermediate Other Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables
Intermediate Other Ability to remain calm under pressure
Licenses and Certifications: A license in one of the following is required: Technical Skills:
Required Intermediate Microsoft Word
Required Intermediate Microsoft Excel
Required Intermediate Microsoft Outlook
Preferred Intermediate Other Knowledge of relational database concepts and designs
Preferred Intermediate Other SAS / SQL or similar database querying tool
Preferred Intermediate Other Healthcare data and systems
About us Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.