AVP, Market CFO-Ohio(Health Plan Experience Preferred)

Job Summary:

The AVP, Market Chief Financial Officer provides financial oversight, leadership and support to the region/market/corporate; ensures the department proactively collaborates with other departments within the organization; and provides strategic/tactical support to region/market leaders to reach targets

.
Essential Function

• s:
  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 leaders
• hipAssist growth and business development opportunities in existing/additional markets; work with appropriate region/market leadership to ensure reasonable assumptions are made around premium and claims for new markets or produ
• ctsProvide strategic support to region/market/Senior leaders to establish/reach targ
• etsWork with region/market leaders to prepare/present Monthly/Quarterly Business Review docume
• ntsAbility to act with diplomacy and sensitivity to drive favorable resolution to internal and external iss
• uesUnderstand reimbursement methodologies impacting market produ
• ctsSupport monthly close process by providing journal entries, accruals and supporting analysis as needed; have region/market specific knowledge of trends/drivers to influence IBNR mode
• ls.Drive QAI plan for region/market; responsible for coordinating with market/work stream leaders to identify, implement and measure QAI initiatives to exceed targ
• etsCoordinate with department leaders on rate advocacy, revenue maximization efforts (risk adjustment and quality initiatives) and regarding pricing of Medicare, marketplace and other products as appropri
• ateResponsible for cost reports and other regulatory filing requirements, interact with regulatory agencies as nee
• dedSupport the annual budget and monthly/quarterly forecasting process for applicable region/market; provide necessary region/market specific data to ensure assumptions are reasona
• bleSupport the strategic planning process by providing long term financial projections reflecting the assumptions outlined in the strategic pl
• an Provides insight into the risk sensitivity associated with the current and future business driv
• ersCoordinate and support independent financial accounting audits and other regulatory financial related aud
• itsUtilize 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; lead trend discussions with region/market lead
• ersResponsible for management of departmental staff and expense bud
• getResponsible for making staffing decisi
• onsDevelop, implement, and modify processes to ensure efficiency and effectiven
• essAssess internal controls and make appropriate changes to ensure compliance with MAR, regulatory and other organization requireme
• ntsPerform any other job duties as reques

ted
Education and Experie

• nce:
  Bachelor’s Degree in accounting, finance or related field or equivalent years of relevant work experience is req
• uiredMaster of Business Administration (MBA) or equivalent graduate degree is pref
• erredA minimum of seven (7) years of experience in accounting/finance is req
• uiredPrevious senior level management experience is req
• uiredManaged care or healthcare experience is pref

erred
Competencies, Knowledge and S

• kills:
  Familiar with variety of financial analysis concepts, practices and pro
• ceduresRelies on extensive experienced and judgment to plan and accomplis
• h goalsFamiliar with variety of accounting concepts, practices and pro
• ceduresIntermediate proficiency level with Microsoft
• OfficeAbility to interact and provide insight and guidance to region/market leadership as well as Executive leadership regarding financial and business m
• atters.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 simultan
• eously Ability to lead and direct the work of others including the development, motivation and rewarding o
• f staffKnowledgeable of internal control framework and ability to successfully perform and document owned internal co
• ntrols.Decision making/problem solving
• skillsCritical listening and thinking skills analytical
• skillsConflict resolution
• skillsPlanning, problem identification and resolution
• skillsDetail-o

riented
Licensure and Certif

• ication:
  Certified Public Accountant (CPA) or other equivalent certification is

preferred
Working C

• onditions:
  General office environment; may be required to sit or stand for extended peri
• ods of timeMay be required to travel o