You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose:
Responsible for managing and coordinating people and processes involved with filing of cost/expense reports for lines of business across the enterprise. Organizes and directs resources, removes barriers and solves problems in team settings to ensure that the filing process is successful. Cost/expense reports entail categorizing utilization, medical expense, premium, and administrative expenses across types of service, lines of business, and rate cohorts.
An ideal candidate would have …
– Basic knowledge of health care industry and government health plans such as Medicaid etc.
– Basic knowledge of accounting/financial statements and accounting processes etc.
– Basic knowledge of actuarial concepts such as reserving and rate setting etc.
– Basic knowledge of health economics concepts such as MLR, cost and utilization metrics etc.
In this Manager, Cost Reporting role, you will:
• Manages and coordinates team activities to ensure all regulatory cost reports, supplemental reports, and cost report audits (where applicable) are accurate, in compliance with applicable regulations, have appropriate sign off, and are submitted on time.
• Collaborates with business leaders across the markets and within finance department (i.e. Accounting, Actuarial, and HealthCare Analytics) to understand and gather the financial data required to produce the required regulatory reports.
• Utilizes subject matter expertise and provides leadership to interpret evolving cost reporting guidance and to prepare recommendations and solutions to issues in a clear, logical and comprehensive manner. • Ensures all regulatory cost reports are reconciled to the general ledger, encounter data, and/or audited financial statements.
• Provides training and coaching to staff on general health care knowledge as well as on specifics of cost/expense reports processes
• Uses tools to develop processes and implement procedures for gathering, categorizing, and allocating claim and financial data. Tools include data warehouse tables, EDW data, actuarial data, access databases, and Excel spreadsheets.
• Manages the implementation of new programs, strategies, and process improvements.
• Performs ad-hoc reconciliations and work on special projects, as required.
Important Note:
This position is fully remote. However, due to the needs of the business, candidate must be available to work a Eastern Standard Time (EST) schedule.
Education/Experience:
– Bachelor’s degree in Finance, Accounting, Economics, Actuarial Science, Mathematics, Statistics, or related field. Master’s degree preferred.
– 5+ years of financial/cost reporting or related experience. Knowledge of generally accepted accounting principles, GASB and FASB statements and standards.
Preferred Experience/Knowledge:
– Basic knowledge of health care industry and government health plans such as Medicaid etc.
– Basic knowledge of accounting/financial statements and accounting processes etc.
– Basic knowledge of actuarial concepts such as reserving and rate setting etc.
– Basic knowledge of health economics concepts such as MLR, cost and utilization metrics etc.
License/Certification:
– CPA/ASA preferred
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.