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- Financial Performance Management & Business Planning
- Leads program-level financial performance routines (budget tracking, variance drivers, and corrective action plans).
- Develops business cases and financial impact assessments for Medicaid initiatives.
- Supports forecast inputs through structured monitoring of operational and programmatic drivers.
- Coordinates with Finance, Actuarial, Provider Ops, Health Mgmt, Compliance, and IT to translate insights into action.
- Creates executive-ready dashboards, summaries, and decision materials.
- Performance Optimization Initiatives
- Designs and manages cross-functional initiatives that improve affordability, efficiency, and performance outcomes.
- Applies continuous improvement methods to streamline workflows, reduce administrative burden, and enhance program effectiveness.
- External / Contract Alignment Support
- Ensures initiatives and investments align with CMS/DHS/MQD requirements and QUEST priorities; supports documentation for audits/reviews as needed.
- Mentorship & Capability Building
- Mentors analysts/PM resources, reinforcing standards for documentation, analysis quality, and accountability.
- Other Duties/Functions
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
Qualifications
- Bachelor's degree and six years of related experience in Medicaid/managed care, healthcare operations, program performance, finance, or analytics.
- Three years of experience leading complex projects and developing business recommendations.
- Strong analytical and project management skills; ability to communicate complex information clearly and concisely to leadership.
- Working knowledge of regulated program requirements and documentation standards.
- Good working knowledge of Microsoft Office applications to include Word, Excel, PowerPoint, and Outlook.
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