Director Of Finance-Market

Overview

Provides financial oversight, leadership, and support across the market and corporate teams. Ensures the finance department proactively collaborates with and supports analyses conducted by areas outside of Finance.

Responsibilities

• Deliver timely, accurate, comprehensive, and transparent financial reporting, including operating statements, trend reports, and key business reports as needed by market and corporate leadership.
• Support input and review of market finance IBNR models and develop understanding of 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/work stream leaders to identify, implement, and measure QAI initiatives to exceed targets.
• Support Market 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 for the marketplace and other products as appropriate.
• Review cost reports and other regulatory filing requirements; interact with regulatory agencies as needed.
• Support annual budget and monthly/quarterly forecasting for the applicable market by providing assumptions, inputs, and review of market financials.
• Coordinate and review market annual admin budget (Market President rollup) and provide feedback to the market.
• Provide insight into the 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 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 requirements, and other organizational requirements.
• Perform other duties as requested.

Requirements

• Bachelor’s degree in accounting, finance, or a related field, or equivalent years of relevant work experience is required.
• A minimum of seven (7) years of experience in accounting/finance, including at least three (3) years of management experience, is required.

Preferred Qualifications

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

Competencies, Knowledge, and Skills

• Familiarity with a variety of financial analysis concepts, practices, and procedures.
• Extensive experience and judgment to plan and accomplish goals.
• Familiarity with a variety of accounting concepts, practices, and procedures.
• Intermediate proficiency with Microsoft Office.
• Ability to interact with all levels of management, as well as external audit management.
• Ability to multitask and remain flexible while supporting several market leaders/business areas simultaneously.
• Ability to lead and direct others, including development, motivation, and rewarding of staff.
• Knowledgeable of internal control framework.
• Strong decision-making and problem-solving skills.
• Critical listening and thinking/analytical skills.
• Detail-oriented.

Licensure and Certification

• None

Working Conditions

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

Compensation & Benefits

• Salary range: $135,600.00 - $237,400.00.
• Base compensation plus potential bonus tied to company and individual performance.
• Comprehensive total rewards package.

Location

• Not specified in the provided job description.