Role Overview: The Director of Finance/Chief Financial Officer is responsible for overseeing all accounting and financial operations for the health plan. This role provides strategic and operational financial leadership, ensuring the accuracy, integrity, and compliance of financial reporting while supporting organizational goals through budgeting, forecasting, cost management, and financial analysis. The Director is a key member of the leadership team, partnering closely with leadership, corporate finance, operational leaders, and external stakeholders to support informed decision-making and financial sustainability.
Work Arrangement:
-
Hybrid - The associate must be onsite at least three (3) days per week at our Dublin, Ohio (OH) location.
Responsibilities:
-
Monitor budget performance to ensure alignment with operational goals and financial targets.
-
Partner with Corporate Finance to manage financial forecasts and updates to the strategic plan.
-
Identify and implement cost containment strategies to support long-term financial sustainability.
-
Ensure the preparation of accurate, timely, and compliant financial reports in accordance with Generally Accepted Accounting Principles (GAAP), government regulations, and applicable laws.
-
Provide financial insights and ad hoc support to leadership.
-
Serve as the primary liaison with State Finance personnel for financial communications and reporting.
-
May oversee site facilities operations and manage associated staff.
-
May supervise financial analysts and facility management specialists.
-
Oversee key financial components of operational activities, including revenue, expenses, management fees, and intercompany transactions.
-
Ensure accurate and timely processing of cash receipts, including accounts receivable and network administration fees.
-
Direct individual and consolidated cost center reporting.
-
Develop budget projections, including forecasts, and monitor monthly financial performance.
-
Maintain and review operating revenue models to support new business initiatives and strategic planning.
-
Lead the development and execution of the Annual Operating Plan (AOP) in collaboration with Corporate Finance, ensuring timely and accurate completion.
-
Lead the annual operating budget planning process.
-
Validate and ensure all costs associated with the family of companies are appropriately allocated to the plans.
-
Provide financial oversight to ensure supplier contract compliance.
-
Ensure accurate, timely client invoicing for services provided by the plan.
-
Provide financial compliance and oversight into contracts between the plan and external vendors.
-
Act as a liaison with internal and external business partners on financial matters.
-
Review and approve claims processor payments and dispute costs, as necessary.
-
Manage the day-to-day activities of the Finance Administration staff.
-
Serve as a liaison with internal and external business partners as needed.
-
Review and approve business quotes for claims processors.
-
Ensure all membership and quarterly reporting is accurate and distributed to management.
-
Communicate with department managers regarding span of control, staffing, and cost center expenses.
-
Develop and maintain processes to deliver reliable and critical financial metrics to management.
Education & Experience:
-
Bachelor’s degree in Accounting or Finance required.
-
Master’s degree preferred.
-
Minimum of 7 years of experience in financial and/or cost accounting.
-
3 to 5 years of leadership experience.
-
Experience in Medicaid, managed care, or healthcare is required.
-
Strong working knowledge of GAAP, treasury operations, corporate taxation, and financial regulatory principles.
-
Demonstrated experience with healthcare finance, insurance reporting, and regulatory requirements is highly preferred.
Licensure:
-
Certified Public Accountant (CPA) licensure preferred.
Skills & Abilities:
-
Strong analytical, financial planning, and strategic thinking skills.
-
Proven ability to lead complex budgeting and forecasting processes.
-
Excellent communication skills with the ability to partner effectively across all levels of the organization.
-
Strong leadership, team development, and performance management capabilities.
-
Ability to manage competing priorities in a fast-paced, regulated environment.
-
Attention to detail with a focus on accuracy, compliance, and continuous improvement.
