Director of Finance – Market

Job Description:

• Provide financial oversight, leadership and support to the market/corporate
• Provide timely, accurate, comprehensive and transparent financial reporting
• Input and review market finance IBNR models and understand market cost drivers and trends
• Understand reimbursement methodologies impacting market products
• Support monthly close through journal entries, accruals and supporting analysis
• Maintain and distribute BTL accruals to appropriate teams
• Coordinate with market/work-stream leaders to identify, implement and measure QAI initiatives
• Support APM, VBR, ACO and other delegated arrangement strategies
• Coordinate with actuarial teams on rate advocacy
• Coordinate revenue maximization efforts between risk adjustment, contracting/health partners teams and providers
• Participate in marketplace and other product pricing strategy
• Review cost reports and regulatory filing requirements; interact with regulatory agencies as needed
• Support annual budgeting and monthly/quarterly forecasting for the applicable market
• Coordinate, review and provide feedback on the annual administrative budget
• Provide insight into risk sensitivity associated with current and future business drivers
• Support independent financial accounting and regulatory financial audits
• Perform ad hoc and trending analysis and modeling for market-specific contracting and enhancement initiatives
• Manage departmental staff and expense budget
• Make staffing decisions
• Develop, implement and modify processes for efficiency and effectiveness
• Assess internal controls and make changes to ensure compliance with MAR, regulatory and organizational requirements
• Perform other duties as requested

Requirements:

• Bachelor’s Degree in accounting, finance or related field or equivalent years of relevant work experience is required
• MBA or equivalent graduate degree is preferred
• Minimum of seven (7) years of experience in accounting/finance
• Minimum of three (3) years of management experience
• Managed care or healthcare experience is preferred
• Familiarity with financial analysis concepts, practices and procedures
• Familiarity with accounting concepts, practices and procedures
• Intermediate proficiency with Microsoft Office
• Ability to interact with all levels of management and external audit management
• Ability to multitask and support several market leaders/business areas simultaneously
• Ability to lead and direct the work of others, including staff development, motivation and rewarding
• Knowledge of internal control framework
• Decision-making, problem-solving, critical listening, critical thinking and analytical skills
• Detail-oriented
• Occasional travel may be required
• General office environment; ability to sit or stand for extended periods

Benefits:

• Bonus tied to company and individual performance may be available
• Comprehensive total rewards package
• Equal Opportunity Employer environment focused on belonging and supporting individuals of all backgrounds