Finance & Operations Leader (MBA) with Analytics Focus
Resume:
Twum Aning, MBA
****.*****@*******.***
linkedin.com/in/twumaning
Charlotte, NC
Skills
Audits and Internal Controls
Development
Budgeting
Business planning
Financial Management
Financial Modeling
Financial Planning and
Analysis
Financial Reporting
Health Care Economics and
Data Analytics
Improvement Initiatives
Key Performance Indicators
Managerial Accounting
Negotiation
Policies and procedures
Practice Economics
Staff Management
Strategic Planning
Strategic Operations
Value Based
Reimbursement
Verbal and Written
Communication
Education
Master of Business
Administration in Finance
University of Baltimore/Towson
University - July 2009
Bachelor of Arts (Honors) in
Economics (with Sociology)
University of Ghana - May 2001
References
Dennis Akotia, MBA – SVP
Medicare Segment Molina
Health
Dr Tich Changamire – CMO
Elevance Health
Subbu Ramalingum – CEO
ViVega Business Solutions
Professional Summary
A result oriented and insightful leader with over 20 years of experience. Extensive knowledge in Strategic Planning, Competitive Intelligence, Benchmarking, Financial Modelling, Analysis and Financial Reporting Standards including STAT, GAAP, ACA, and other Federal regulations. Proficient in best practices, market trends and regulatory requirements of industry operations. Talented leader with analytical approach to business planning and day-to-day problem-solving. Accomplishments
Budget, Cost Allocation and Expense Management of over $1.0B in SG&A
Managed P&L for a $20.0M Entity
Advance Funding Management of up to $14.0M
Value Based Program Administration with annual Shared Savings of over $2.5M
Contracting and Vendor Management with SLAs/PGs of up to $2M in savings
Managed up to 13 team members including Managers and Supervisors
Work Experience
Director, Financial Planning and Analysis Molina Healthcare Remote April 2025 - Current
Lead the planning, budgeting, and forecasting processes to support the growth and financial health of the Medicare business. Collaborate closely with actuarial, operational, and other key stakeholders to ensure financial performance aligns with the company's strategic goals and emerging trends.
Financial Planning & Analysis: Lead the annual budgeting process, monthly/quarterly forecasting, and long-term financial planning for the Medicare segment.
Budget vs. Actual Analysis: Provide in-depth analysis of budget vs. actual performance, identifying key variances and offering actionable insights to senior leadership.
KPIs and Performance Metrics: Develop, monitor, and report on financial KPIs to assess performance and identify risks and opportunities.
Collaboration with Actuarial and Operational Teams: Work closely with the actuarial team to understand risk and pricing models, and collaborate with operations to evaluate emerging trends, operational performance, and financial impacts.
Financial Reporting & Presentation: Prepare and present financial reports and forecasts to executive leadership, clearly communicating financial trends, variances, and recommendations for course corrections.
Strategic Decision Support: Provide financial insights to help drive key business decisions and initiatives, helping the Medicare segment achieve its financial and operational goals. Director, Health Services Strategic Operations CareFirst Inc. Blue Cross Blue Shield Canton, MD January 2022 – March 2025
Oversight and responsibilities for the implementation of strategic business initiatives from development through successful execution.
Oversight of all financial and operational aspects of CareCo LLC (a CareFirst Inc. subsidiary), including reporting, analytics, and process improvement to drive performance and growth.
Developed and monitored key performance indicator (KPI) and service level agreement (SLA) dashboards and metrics for performance reporting and program growth (PG) analysis, driving data-informed decision-making.
Improved processes and coordinated organizational procedures for optimized efficiency and productivity.
Led the day-to-day operations of the Health Services division through the Health Service front office.
Oversight of the implementation of the Health Services operating plan and corporate priorities, providing project leadership for cross-divisional efforts.
Managed the portfolio of projects to meet the business need, achieve milestones and adhere to project plans and budget targets.
Accountable for managing all aspects related to the overall state of Compliance & Oversight of Regulatory requirements for the Health Services Division.
Provided strategic counsel to the Health Services senior leadership team on the direction of the division and opportunities for improvement.
Evaluated performance of each team member, generated development plans and sets goals within the context of the corporate policies and procedures.
Developed annual goals, and prepares, monitors, and analyzes variances of departmental budgets to control and appropriately allocate resources.
Manager, Healthcare Finance CareFirst Inc. Blue Cross Blue Shield Canton, MD September 2019 – January 2022
Designed, implemented, and maintained oversight of value-based payment management (based on contract), including actual quarterly incentive payments, reconciliation, and reporting.
Operationalized value-based incentive payments with the proportionate share traceable back to each self-funded plan sponsor, CareFirst risk pool or government program.
Developed, validated, and maintained quarterly reporting tracking gross and net savings generated from value-based agreements.
Oversaw collaboration with Value Based Payment team and Networks Management team to design, build, implement, and routinize incentive structures.
Partnered with IT and Finance to understand payment systems and optimize process/procedure for payment.
Participated and supported internal and external audit processes including defining how to attribute per member per month payments to ASO accounts.
Developed processes to assure that Providers in value-based agreements are following through on expected behaviors.
Collaborated with the Office of General Counsel and Network Contracting to develop processes which assure timely notices of breach of contract to Providers who fail to meet obligations in their value-based contract agreements
Developed and continuously refined provider economics models based on valid third-party benchmarks to assess rates, volume, profitability, and best practices of Providers for informed Senior management decisions.
Developed database to analyze fee-schedule structure by geographic area, volume and spend.
Administered Provider/Practice Advance Funding, Repayments, Repayment Extension and Recoupments, as well as provide audit support for related processes
Responsible for all managerial duties associated with position; direction and vision for policy and quality standards for all departmental work; Associate action plans; tactical planning, implementation, monitoring and reporting; budget and expense planning; ad hoc executive management reporting. Manager, Budget and Expense Management CareFirst Inc. Blue Cross Blue Shield Owings Mills, MD December 2015 - September 2019
Accountable for directing the preparation, as well as the management of the corporate annual budget of over $1 Billion. Responsible for developing strong internal controls, ensuring data integrity of the general ledger and monitoring compliance with accounting standards and government regulations.
Managed the monthly operational functions to ensure data integrity of administrative expenses and a monthly close within 7 business days or less.
Supported numerous internal and external audit requests for administrative expenses.
Led the development of budgeting tools/strategies for the executive management decision process.
Forecasted the course of spending; monitored monthly expenses for significant variances, identified potential financial risks, and opportunities.
Provided support and direction to all levels of management (including the CEO and Board of Directors) on administrative expense issues, including special projects as requested.
Responsible for the development of the Business Continuity and Large Workforce Outage Plan for the Controller's department.
Managed research and special projects for senior management and the Board of Directors relating to administrative expenses.
Managed the administrative expense budget for the Budget and Expense Management cost center as well as assisted the Vice President’s and Chief Finance Officer with the management of the Finance Budget. Supervisor, Management Accounting CareFirst Inc. Blue Cross Blue Shield Owings Mills, MD November 2014 - December 2015
Supported monthly reporting analysis to achieve validation of internal reports and to reconcile production operations and general ledger. Coordinated research and provided consulting support to corporate audit, external audit agencies, and various consulting firms.
Reviewed journal entries and account reconciliations to assess financial risks/opportunities and overall quality.
Investigated and resolved unusual trends or potential issues to assure data integrity and identify business concerns.
Coordinated complex special projects involving technical accounting expertise.
Served as a subject matter expert for business processes and related systems.
Coordinated the research, analysis, testing and implementation of systems and system upgrades, including PeopleSoft, CareFirst OneStop, Hyperion, and disaster recovery for Oracle GL.
Supervised assigned staff by prioritizing and assigning routine work and projects.
Supported the annual corporate budget process.
Provided team development, guidance, coaching, and feedback consistent with CareFirst, Inc., Human Resource policies and practices
Expanded staff knowledge and skills of CareFirst business processes, quality assurance, and system development methodology.
Lead Financial Analyst CareFirst Inc. Blue Cross Blue Shield Owings Mills, MD November 2012 - November 2014
Provided insight for decision making and communicated with corporate management on cost accounting/financial processes and federal contract regulatory requirements.
Interacted with all levels of management to gain an understanding of cost center functions to determine the appropriate expense allocation methodology to be used.
Ensured appropriate expense allocation to federal contracts in accordance with all federal regulations.
Developed and maintained statistical databases used in cost allocations.
Analyzed statistical data trends for accuracy and appropriateness.
Interfaced with other business areas to develop various statistical extract specifications, and methods & processes needed to upload data into the Cost Allocation System.
Developed, coordinated, analyzed, and verified input and output cost accounting data.
Created standard reports for benchmarking and regulatory filings, including Sherlock, MLR and Risk Corridor reports.
Presented Cost Allocation results in response to manager, director, and executive inquiries, as well as external party requests.
Researched complex cost allocation issues.
Supported audit issues and maintained strong documentation of allocations, processes, and system changes.
Recommended and implemented changes to cost accounting workflow and controls, when appropriate. Senior Financial Analyst Catholic Health Initiatives Hunt Valley, MD May 2011 - November 2012
Analyzed and reviewed assigned monthly Market Based Organization’s financial statements, providing guidance on accounting, and reporting requirements, using financial reporting system and other systems as appropriate
Supported the administration, tracking and analysis of the approved annual corporate consolidated capital budget as well as the approved annual division office budgets.
Conducted post completion audits of approved capital projects for the division’s Market Based Organizations by reviewing business plans and working with project owners to assess outcome and consider results in the evaluation of future capital requests.
Developed reporting tools to review actual versus budget capital spend; and work with the operations team to proactively assess project spending versus approved budgets to ensure timely re-allocation of available capital.
Supported the Long-Range Financial Planning process, interim forecasting and risk analysis activities as needed for the Division.
Supporting role to the Division’s Market Based Organizations for payer analysis and reporting.
Supported market data analysis for strategic planning and reporting for the Division.
Supporting role for surveys and other data requests to ensure timely submission by Market Based Organizations.
Prepared ad-hoc reports for internal and external constituents as requested.
Acted as liaison to Market Based Organizations and support the division operations team and other national departments with financial reporting and analysis, leveraging the financial reporting system and other systems as appropriate.
Developed and implement process improvements to ensure accuracy, effectiveness, and timeliness of assigned tasks. Strategic Planning Analyst CareFirst Inc. Blue Cross Blue Shield Baltimore, MD March 2009 - May 2011
Compiled research data and gave professional presentations highlighting finds and recommended optimizations. Served as a corporate resource for demographic and business information, and produced presentations as needed.
Created and maintained the corporate monthly statistics report to track and analyze performance versus the annual plan for the CEO and the Executive Team.
Created and compiled materials for Board of Directors meetings, Strategic Planning Committee meetings, and Executive Committee meetings.
Assisted in the development and updating of the organization’s multi-year long-range strategic and integrated annual business plans.
Worked with each of the company’s divisions to develop and compile their three-year and annual plans.
Worked with each of the company’s divisions to develop an appropriate and complete set of performance benchmarks that aided company management and the Board in gauging company performance on key metrics.
Worked with management and associates throughout the company to identify performance issues and communicate the underlying meaning of metrics and explanation of variances-to-plan.
Created and updated compendiums of industry and the company’s data to provide a well-organized set of reference materials on industry dynamics and company performance.
Created an annual Environmental Scan of the industry and of the company and a subsequent SWOT analysis.
Conducted research on competitor and Blues plan activity as it pertained to planning, for the purpose of updating senior executive staff.
Financial Analyst CareFirst Inc. Blue Cross Blue Shield Owings Mills, MD July 2007 - March 2009
Performed complex analysis to identify trends, variances, risks and opportunities to advice senior management and corporate stakeholders.
Incorporated assumptions, formulas, demo triangles, historical data and estimates into completion factor models to estimate monthly incurred care.
Integrated incremental rate assumptions as well as seasonality & recommended trends into financial models to project and analyze underwriting gain.
Prepared various forecast and plan scenarios for management to aid decision making.
Performed variance analysis using different versions of published plans and forecast models to assess strategic issues facing the company
Imported, interpreted, and analyzed data as needed by senior management.
Prepared and reviewed trends and models in all segments for the planning process.
Restructured and developed financial models to reflect the dynamics of the different products.
Performed financial analysis on financial statements for third party providers to ensure that performance issues were being addressed.
Retrieved, prepared, and analyzed premium tax files for use in all jurisdictions.
Analyzed data for consistency using Oracle ADI and Hyperion data cubes.
Assisted in publishing the company’s yearly plan books and presentations. Other Roles and Responsibilities
Reimbursement Specialist Maxim Healthcare
Columbia, MD March 2007 - July 2007
Managed book-of-business, applying insurance expertise and exemplary customer service. Supervised branches to ensure that proper billing codes and rates were used.
Operations Manager Health Systems Inc
Baltimore, MD March 2003 - March 2007
Worked in matrix management environment with oversight of therapists, Behavioral Aides and office staff. Planned and resourced personnel and logistics.
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