Milliman Indianapolis, Indiana
senior medicaid financial financial analyst analyst data insurance managed care financial data statutory medical
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Independent for over 70 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world’s most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation.Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.Responsibilities:* Analysis of Medicaid financial data of managed care organizations to monitor financial performance* Reconciliation of submitted summarized financial data to detailed Medicaid encounter claims data for completeness and contract compliance* Reconciliation of submitted summarized financial data to annual National Association of Insurance Commissioners (NAIC) statutory filings* Recognition and identification of reporting errors and development of proposed solutions* Creation of quarterly executive dashboards in Excel as well as other mediums (Qlikview, etc.) to monitor financial performance* Prepare financial dashboards supporting State Medicaid agencies and internal actuarial staff* Ad-hoc financial reporting on an as needed basis* Communicate results to internal stakeholders* Ensure quality control processes and procedures are followedQualifications:* BS in Accounting or Finance* Finance experience in health insurance industry* Experience with Medicaid managed care industry is a plus* Understanding of managed care plan operations and the financial metrics used to evaluate plan performance* Familiarity with components of Medicaid capitation rates* Minimum of three years’ experience as a financial analyst* Proficient in advanced Excel techniques* Knowledge of Qlikview or Tableau or other similar tools* Experience with coding languages (e.g., R, Python, SAS, SQL) is a plus* Knowledge of medical claims submission process and managed care plan encounter submissions* In-depth knowledge of plan statutory filings and ability to reconcile statutory filings to other plan data sources* Strong organizational skills with attention to detail to manage multiple projects at the same time* Strong written and verbal communication skills* Ability to communicate with all levels within the organization* Ability to work within a team environment and independently manage own workMilliman BenefitsAt Milliman, we focus on creating an environment that recognizes – and meets – the personal and professional needs of the individual. We offer a competitive benefits package which includes:* Medical, dental and vision coverage for employees and their families, including eligible domestic partners.* A 401(k) plan with matching program* Paid Parental Leave up to 12 weeks* Profit sharing as a discretionary contribution to employees’ retirement accounts* Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason.* Adoption assistance* Milliman covers 100% of the premiums for life insurance, AD&D, and both short term and long term disability coverage* Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation and applicable medical needsThis position will be based out of the Milliman office in Indianapolis, IN. Applicants must be willing to work onsite in the Milliman office.
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