Children's Wisconsin · 1 week ago
Financial Analyst- Senior (Healthcare/Insurance)
Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. They are seeking an experienced and highly analytical Senior Financial Analyst to join their finance team, responsible for complex financial functions related to health insurance products, including forecasting, reporting, and analysis.
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Responsibilities
Performs the more complex financial functions related to the health insurance products maintained by the Health System including claims reserves, forecasting by product line, external reporting, and special projects
Oversees Health Insurance statutory reporting with assistance from outside vendors
Prepares the monthly Claims IBNR estimate using our actuary’s lag tool including the analysis of claims expense trends
Incorporates this into monthly forecasts and annual budgets
Completes monthly financial forecast for all insurance products
Assists the Senior Accountant and Financial Services Manager with month end close and serves as a back-up for that role
Serves as the first point of contact for the external statutory accountant that prepares the quarterly NAIC report filings and as the first point of contact for the external actuary
Gathers and submits the request schedules
As needed, prepares proforma statements and narratives to summarize the impact proposed business and reporting changes will have on the financial statements and the required insurance surplus reserves
As needed, prepares formal and ad-hoc analysis of current claims in order to investigate high or low claims trends
Prepares the year end audited statutory financial statements for Children’s Community Health Plan (CCHP) including report gathers and footnote preparation
Serves as the first point of contact for external financial auditors
Working with the Senior Accountant and Health Plan Data Analysts, coordinates and prepares the annual Medical Loss Ratio reports for federal and state reporting
Prepares the monthly Financial Update schedules for CCHP (Finance Committee presentation)
As needed, reviews financial statements with staff to identify any reporting changes or new entries
Prepares the annual administrative expense forecast for Individual Premium rate setting as well as other financial analysis requested by the CCHP and finance leadership team related to the rate setting process
Monitors and tracks Pay for Performance and Incentive metrics and the resulting financial implications
Qualification
Required
Bachelor's Degree Requires extensive knowledge of accounting and financial analysis principles, theories, and techniques of accounting acquired through completion of a Bachelor's degree in Actuarial Science, Finance or Accounting Required
5+ years progressively responsible work experience with a minimum of three years direct financial analyst experience Required
Preferred
Accounting degree with CPA Preferred
Health care experience preferred
Insurance experience preferred
Company
Children's Wisconsin
The Childrens Hospital Research Institute is a research institute dedicated solely to the health and well-being of children.
Funding
Current Stage
Late StageLeadership Team
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