Position has overall leadership for the financial affairs of Companys Senior Whole Health plan in New York, serving the managed long-term care Medicaid market in New York City and surrounding areas (nearly $900 million of revenue projected for 2020). Key responsibilities for the role include financial planning and analysis, performance management (including revenue cycle, medical cost initiatives and customer negotiations and settlements) and balance sheet reconciliation and related controls (including regulatory capital). As a member of the senior leadership for the plan, position will actively participate in the development and execution of both near-term and long-term business strategies. Requires 10+ years in financial leadership roles serving the managed Medicaid health plan market. Experience in the New York market and/or managed long-term care plans is desired but not required. Position serves as member of our national Company Complete Care senior Finance team along with 5 other market CFOs.
Oversees the financial terms of all contracts and coordinates all related activities such as rate renewals/rate openers and settlements of contingencies under each contract (e.g., performance penalties/incentives).
Analyzes and reports monthly financial results for the SBU to leadership and appropriate staff members.
In partnership with SBU leadership, develops and maintains long-term strategic plan for business including 5-year financial plan, including specific strategic initiatives, related investment/capital deployment requirements and cost/benefit analyses.
Manages the preparation of the fiscal operating budget for the SBU as well as quarterly forecasts and monthly forward outlook.
Prioritizes and coordinates all cost of care analytics for business, maintain appropriate data environment (framework) to ensure relevance of information applied in management of business and partner with SBU leadership to guide operations and strategies to optimize effectiveness of care management activities.
Monitors all balance sheet accounts associated with contracts managed by the SBU including accounts receivable, funds withheld by customers, claims recoverables, etc.
Performs special projects and other tasks, as requested by leadership.
10+ years of progressive experience in financial operations within managed care, health care or insurance industries.
5+ years of experience in a managerial position interfacing with senior management.
Must be able to handle multiple priorities and meet tight deadlines.
Must be detail oriented and have excellent analytical skills.
Must have good communication skills, both written and verbal and experience with communication at an executive level.
Must be able to interact with all levels of staff, including all senior management.
Associated topics: accounting, analyst, audit, banking, cash, corporate banking, cpa, expense, invest, revenue
* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.