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
ccasionally
