Senior Manager, IP Validation

Overview

This is a remote position that can be located anywhere.

This role oversees the maintenance of accurate financial records and financial analytics.

Key details: 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.

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 to ensure 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

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

Preferred Qualifications

• CPA preferred.

Compensation & Benefits

• Pay Range: $107,700.00 - $199,300.00 per year
• Comprehensive benefits package including:
  • 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 will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.
• Total compensation may also include additional forms of incentives.
• Benefits may be subject to program eligibility.

Location

Remote (can be located anywhere).