Director, Finance & Analytics

Role Description

Leads and directs a team responsible for financial analysis activities across designated business areas - focusing on operational performance and strategic partnerships. Facilitates analysis, modeling, and forecasting to uncover business insights, develop data-driven solutions, and support informed decision-making.

• Monitors adjustment factors and evaluates the financial impact of periodic changes.
• Evaluates cost performance across operational areas, including vendor contracts and efficiency initiatives — identifying and implementing opportunities to improve profitability. Benchmarks performance across regions, populations, and internal/external standards.
• Reviews and analyzes monthly financial reserves for accuracy. Supports corporate finance or actuarial teams in setting appropriate reserve levels.
• Interprets financial performance with internal teams and corporate finance. Monitors actuals versus budget, investigates variances, and recommends corrective actions.
• Prepares and presents financial reports to leadership.
• Collaborates with cross-functional departments including analytics, project management, operations, and customer service.
• Manages relationships with regulatory bodies and external auditors for all financial matters.
• Reconciles revenue receipts to eligibility or service records in internal systems.
• Supports strategic analysis and planning initiatives across the organization.
• Reviews financial terms of vendor or partner contracts and recommends changes. Develops scenario modeling and identifies cost-saving opportunities.
• Responds to operational data needs to support service coordination and performance tracking.
• Partners with enterprise analytics teams to enhance reporting, financial performance metrics, and data quality. Coordinates efforts to avoid duplication and ensure alignment with quality improvement initiatives.
• Provides support for performance monitoring activities related to quality, incentive programs, and cost management.
• Represents the finance function on committees, task forces, and cross-functional teams.
• Acts as a liaison to internal and external stakeholders on behalf of the organization and data management teams.
• Oversees data submission processes, ensuring accuracy, compliance, and alignment with financial modeling and performance metrics.

Qualifications

• At least 8 years of health care finance and/or analytical experience, including 5 years of managed care experience, preferably working with Medicaid, and 3 years queries, programming, relational database and financial analysis experience, or equivalent combination of relevant education and experience.
• At least 3 years management/leadership experience.
• Bachelor’s degree in finance, accounting or a related field.
• Advanced training or experience in health care analytics.
• Advanced knowledge of queries and database development.
• Understanding of accounting concepts, ability to convert data to meaningful reports.
• Strong critical-thinking and attention to detail.
• Ability to effectively collaborate with technical and non-technical stakeholders.
• Strong time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
• Excellent verbal and written communication skills.
• Strong proficiency in Microsoft Office suite products, key skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency.

Preferred Qualifications

• Associate/fellow of the society of actuaries.

Benefits

Molina Healthcare offers a competitive benefits and compensation package.

Company Description

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.