Senior Manager, IP Validation

Overview

This is a remote position that can be located anywhere.

Responsibilities

• Prepare and maintain monthly estimates of inpatient incurred but not reported (IP IBNR) expenses.
• Collaborate with the Utilization Management team to review inpatient authorization data and establish a recurring validation process that ensures data accuracy, completeness, and reliability.
• Develop and maintain standardized review processes and reporting for inpatient spend, including analyses of key drivers contributing to budget and forecast variances.
• Oversee preparation of accurate and timely financial reports for IP spend.
• Oversee financial and business analyses based on information from various sources and financial reports.
• Interpret financial reports for the management team.
• Review and evaluate analyses and recommend appropriate actions to senior management.
• Prepare budget and forecast and analyze financial results related to expectations for IP claims and authorization.
• Monitor legislative and political developments affecting the business unit from a financial perspective.

Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
• Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.
• Bachelor’s degree in Accounting, Finance, or equivalent experience.
• 5+ years of accounting, financial analysis, or finance-related experience.
• Previous management experience, including responsibilities for hiring, training, assigning work, and managing performance of staff.

Preferred Qualifications

• Experience in public accounting, operations, and financial analysis.
• Experience in healthcare insurance.
• CPA preferred.

Compensation & Benefits

• Pay Range: $107,700.00 - $199,300.00 per year

Benefits may include:

• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field, or office work schedules
• Actual pay may be adjusted based on skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status
• Total compensation may include additional forms of incentives
• Benefits may be subject to program eligibility

Equal Opportunity

The employer is an equal opportunity employer committed to diversity and considers qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.