Director, Finance - Market

Overview

This Director, Finance – Market role provides financial oversight, leadership, and support to the market and corporate teams. The position ensures the department proactively collaborates with—and provides support for—analyses conducted by areas outside of the Finance Department.

Responsibilities

• Provide timely, accurate, comprehensive, and transparent financial reporting, including operating statements, trend reports, and other key business reports as needed for market and corporate leadership.
• Input and review market finance IBNR models and understand market cost drivers and trends.
• Understand reimbursement methodologies impacting market products.
• Support the monthly close process by providing journal entries, accruals, and supporting analysis as needed; maintain and distribute BTL accruals to appropriate teams.
• Coordinate with market and work stream leaders to identify, implement, and measure QAI initiatives to exceed targets.
• Support Market’s APM, VBR, ACO, and other delegated arrangement strategies.
• Coordinate with actuarial teams on rate advocacy.
• Coordinate/liaison revenue maximization efforts (risk adjustment and quality initiatives) between the risk adjustment team, market Contracting/Health Partners teams, and providers.
• Participate in pricing strategy of marketplace and other products as appropriate.
• Review cost reports and other regulatory filing requirements; interact with regulatory agencies as needed.
• Support the annual budget and monthly/quarterly forecasting process for the applicable market by providing assumptions, inputs, and review of all market financials.
• Coordinate, review, and provide feedback to the market on their annual admin budget (Market President rollup).
• Provide insight into risk sensitivity associated with current and future business drivers.
• Support independent financial accounting audits and other regulatory financial-related audits.
• Perform ad hoc and trending analysis—proactively and as requested—including modeling to support market-specific contracting and enhancement initiatives.
• Manage departmental staff and the expense budget.
• Make staffing decisions.
• Develop, implement, and modify processes to ensure efficiency and effectiveness.
• Assess internal controls and make appropriate changes to ensure compliance with MAR, regulatory, and other organization requirements.
• Perform other job duties as requested.

Requirements

• Bachelor’s Degree in accounting, finance, or related field, or equivalent years of relevant work experience.
• Minimum of seven (7) years of experience in accounting/finance, including a minimum of three (3) years of management experience.
• Intermediate proficiency level with Microsoft Office.
• Ability to interact with all levels of management, as well as external audit management.
• Ability to multitask and demonstrate flexibility while supporting several market leaders and business areas simultaneously.
• Ability to lead and direct the work of others, including development, motivation, and rewarding of staff.
• Knowledgeable of internal control framework.
• Strong decision-making and problem-solving skills.
• Critical listening and thinking skills; strong analytical skills.
• Detail-oriented.

Preferred Qualifications

• Master of Business Administration (MBA) or equivalent graduate degree.
• Managed care or healthcare experience.

Licensure and Certification

• None

Compensation & Benefits

• Salary: $135,600.00 - $237,400.00
• Base compensation plus potential bonus tied to company and individual performance.
• A substantial and comprehensive total rewards package, considering education, training, experience, position scope and complexity, and required discretion/latitude.

Working Conditions

• General office environment; may be required to sit or stand for extended periods of time.
• May be required to travel occasionally.