Job Summary:
The Senior Director, Market Chief Financial Officer provides financial oversight, leadership and support to the region/market/corporate; supports the department in collaborating with other departments within the organization; and provides strategic/tactical support to region/market leaders to reach targets.
Essential Functions:
- Provide timely, accurate comprehensive and transparent financial reporting including, but not limited to, operating statements, trend reports and key business reports as needed to region/market and corporate leadership
- Assist growth and business development opportunities in existing markets; work with appropriate region/market leadership to ensure reasonable assumptions are made around premium and claims for new markets or products
- Provide strategic support to region/market/Senior leaders to establish/reach targets
- Work with region/market leaders to prepare/present Monthly/Quarterly Business Review documents
- Ability to act with diplomacy and sensitivity to drive favorable resolution to internal and external issues
- Understand reimbursement methodologies impacting market products
- Support monthly close process by providing journal entries, accruals and supporting analysis as needed
- Drive QAI plan for region/market; responsible for coordinating with market/work stream leaders to identify, implement and measure QAI initiatives to exceed targets
- Coordinate with department leaders and direct management on rate advocacy, revenue maximization efforts (risk adjustment and quality initiatives) and regarding pricing of Medicare, marketplace and other products as appropriate
- Responsible for cost reports and other regulatory filing requirements, interact with regulatory agencies as needed with support from direct management
- Support the annual budget and monthly/quarterly forecasting process for applicable region/market; provide necessary region/market specific data to ensure assumptions are reasonable
- Provides insight into the risk sensitivity associated with the current and future business drivers
- Coordinate and support independent financial accounting audits and other regulatory financial related audits
- Utilize and support Health Analytics with ad hoc and trending analysis – both proactively and as requested to identify drivers and mitigating QAI opportunities; modeling to support market specific contracting and enhancement initiatives
- Responsible for management of departmental staff
- 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 any other job duties as requested
Education and Experience:
- Bachelor’s Degree in accounting, finance or related field or equivalent years of relevant work experience is required
- Master of Business Administration (MBA) or equivalent graduate degree is preferred
- A minimum of six (6) years of experience in accounting/finance is required
- Four (4) years of management experience is required
- Managed care or healthcare experience is preferred
Competencies, Knowledge and Skills:
- Familiar with variety of financial analysis concepts, practices and procedures
- Relies on extensive experienced and judgment to plan and accomplish goals
- Familiar with variety of accounting concepts, practices and procedures
- Intermediate proficiency level with Microsoft Office
- Ability to interact and provide insight and guidance to region/market leadership as well as Executive leadership regarding financial and business matters.
- Ability to lead the region/market finance function as well as interact with external partners (including Regulators, Actuaries, providers and peer MCO’s)
- Ability to multitask and demonstrate flexibility in supporting several market leaders/business areas simultaneously
- Ability to lead and direct the work of others including the development, motivation and rewarding of staff
- Knowledgeable of internal control framework and ability to successfully perform and document owned internal controls.
- Decision making/problem solving skills
- Critical listening and thinking skills analytical skills
- Conflict resolution skills
- Planning, problem identification and resolution skills
- Detail-oriented
Licensure and Certification:
- Certified Public Accountant (CPA) or other equivalent certification is preferred
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
- May be required to travel occasionally
