Financial Consultant Manager

Position Overview

Responsible for leading the process of preparation and interpretation of complex risk adjustment, revenue, or financial analysis for the Medicaid line of business. Owns end‑to‑end Medicaid Risk Adjustment business processes and works across multiple Medicaid markets to drive holistic and consistent solutions.

• Lead risk adjustment and revenue initiatives aimed at improving business processes and, in some areas, develop innovative financial system solutions to reduce manual and repetitive work.
• Manage enterprise or Medicaid business unit activities related to business case development, ROI analysis, cost‑benefit realization, and support for company investments.
• Advise management by presenting solutions and recommended actions.
• Mentor and train team members.
• Perform and document complex risk adjustment, financial, and business analyses, including evaluations of financial and risk‑score performance, market nuances, and other revenue‑related initiatives.
• Prepare detailed analyses and reports for leadership and collaborate closely with internal and external auditors.
• Partner with business teams to identify and implement strategic projects and risk adjustment programs that support company objectives.
• Ensure compliance with state and federal regulatory requirements for risk adjustment functions across the enterprise.

• Bachelor’s degree in Accounting or Finance.
• Minimum of 6 years of budgeting, forecasting, accounting, or financial reporting experience.
• Strong knowledge of internal business processes, data flow, controls, and financial systems.
• Strong knowledge of risk adjustment practices, Medicaid risk adjustment models, and Medicaid categories of aid (acute R.A. vs. MLTSS R.A.).
• Experience with Snowflake, SQL, SQL Server, or equivalent.
• Ability to present meaningful results to a business audience and collaborate with teams to produce complex analyses on a rigorous schedule.

• MBA, MPH, MHA, CPA, CMA, FSA, or CFA.
• Additional expertise in financial systems and data analytics tools.
• Experience in Medicaid risk adjustment modeling and analysis.

Hours:

Standard working hours. Travel:
Associates are required to work in‑office 1–2 days per week, fostering collaboration while maintaining flexibility for remote work. Alternate locations may be considered if the candidate resides within a commuting distance of an office.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.