Morgan Consulting Resources, Inc. - Healthcare Executive Search
Chief Financial Officer
Morgan Consulting Resources, Inc. - Healthcare Executive Search, Rancho Cucamonga, California, United States, 91739
Overview
The Chief Financial Officer (CFO) is responsible for the financial management of the organization to include premium rate development, actuarial services, directed payments, budget analysis/management, financial modeling and reporting, cost benefit analysis, capitation development, claim operations, forecasting needs, facilities, payroll, accounting/treasury operations, internal auditing, risk insurance management, and purchasing including the procurement process. In addition to providing financial leadership for IEHP, this position will be responsible for actuarial planning, forecasting, and analysis of financial/organizational risk associated with Medi-Cal, Covered California, and Medicare CCI Dual lines of business. The CFO will offer quality, meaningful analyses, and financial perspectives necessary for organizational decisions and strategic/operational planning. The CFO is also responsible for the following non-financial departments – Claims, Property Management, Facilities, Business Continuity, Medical Economics, and Risk Score Management for Medi-Cal, Covered California, and DSNP products. Responsibilities
Oversees and directs budgeting, financial audits, MCO tax, accounting, capitation, purchasing, premium rate development with the DHCS, Covered California, and CMS, procurement of capital equipment, services and supplies, long-range forecasting, risk insurance management activities, recovery of claim overpayments, financial auditing of IPAs and vendors, internal audit, and treasury for IEHP. Manages staff to develop and implement procedures and computer application systems necessary to maintain proper records and to afford adequate accounting controls and services. Ensures staff is engaged, well informed, and aligned with organizational priorities through clear communication, ongoing coaching, and professional development opportunities. Provides strategic leadership and insights into IEHP’s business lines while actively partnering with executive leaders to drive alignment, inform decision making, and ensure financial sustainability across the organization. Oversees production of monthly comprehensive financial and actuarial reports. Coordinates treasury activities such as custodian of funds and IEHP’s assets. Appraises IEHP’s financial position and issues periodic reports on the organization’s financial stability, liquidity, and growth. Develops the annual operating and capital budgets. Analyzes, consolidates, and directs all cost accounting procedures together with other statistical and routine reports. Oversees and directs the preparation and issuance of the annual audit. Qualifications
Experience/Knowledge Requirements: Ten (10) years of experience in finance/accounting with a minimum of five (5) years of experience in a managed care environment, and a minimum of five (5) years of staff management experience. Experience with Medi-Cal or Medicaid is required and existing Medi-Cal experience and relationships with DHCS are preferred. The financial aspects of a managed care health plan, including finance, accounting, capitation, fee-for-service, procurement process, actuarial support, claim overpayments, internal auditing, risk pools, Rate Development Template (RDT)/Directed Payment Program (DPP), risk corridors, and MLR requirements. Educational Requirements: Bachelor’s degree in Finance or related field is required. Master's degree in a relevant financial field from an accredited institution is preferred. Additional Details
Seniority level : Executive Employment type : Full-time Job function : Management and Finance Industries : Hospitals and Health Care
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The Chief Financial Officer (CFO) is responsible for the financial management of the organization to include premium rate development, actuarial services, directed payments, budget analysis/management, financial modeling and reporting, cost benefit analysis, capitation development, claim operations, forecasting needs, facilities, payroll, accounting/treasury operations, internal auditing, risk insurance management, and purchasing including the procurement process. In addition to providing financial leadership for IEHP, this position will be responsible for actuarial planning, forecasting, and analysis of financial/organizational risk associated with Medi-Cal, Covered California, and Medicare CCI Dual lines of business. The CFO will offer quality, meaningful analyses, and financial perspectives necessary for organizational decisions and strategic/operational planning. The CFO is also responsible for the following non-financial departments – Claims, Property Management, Facilities, Business Continuity, Medical Economics, and Risk Score Management for Medi-Cal, Covered California, and DSNP products. Responsibilities
Oversees and directs budgeting, financial audits, MCO tax, accounting, capitation, purchasing, premium rate development with the DHCS, Covered California, and CMS, procurement of capital equipment, services and supplies, long-range forecasting, risk insurance management activities, recovery of claim overpayments, financial auditing of IPAs and vendors, internal audit, and treasury for IEHP. Manages staff to develop and implement procedures and computer application systems necessary to maintain proper records and to afford adequate accounting controls and services. Ensures staff is engaged, well informed, and aligned with organizational priorities through clear communication, ongoing coaching, and professional development opportunities. Provides strategic leadership and insights into IEHP’s business lines while actively partnering with executive leaders to drive alignment, inform decision making, and ensure financial sustainability across the organization. Oversees production of monthly comprehensive financial and actuarial reports. Coordinates treasury activities such as custodian of funds and IEHP’s assets. Appraises IEHP’s financial position and issues periodic reports on the organization’s financial stability, liquidity, and growth. Develops the annual operating and capital budgets. Analyzes, consolidates, and directs all cost accounting procedures together with other statistical and routine reports. Oversees and directs the preparation and issuance of the annual audit. Qualifications
Experience/Knowledge Requirements: Ten (10) years of experience in finance/accounting with a minimum of five (5) years of experience in a managed care environment, and a minimum of five (5) years of staff management experience. Experience with Medi-Cal or Medicaid is required and existing Medi-Cal experience and relationships with DHCS are preferred. The financial aspects of a managed care health plan, including finance, accounting, capitation, fee-for-service, procurement process, actuarial support, claim overpayments, internal auditing, risk pools, Rate Development Template (RDT)/Directed Payment Program (DPP), risk corridors, and MLR requirements. Educational Requirements: Bachelor’s degree in Finance or related field is required. Master's degree in a relevant financial field from an accredited institution is preferred. Additional Details
Seniority level : Executive Employment type : Full-time Job function : Management and Finance Industries : Hospitals and Health Care
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