CareSource
AVP, Market Finance - Tricare(Preferred Experience In Military & Managed Care)
CareSource, Myrtle Point, Oregon, United States, 97458
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 Functions
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 leadership
Assist 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 products
Provide strategic support to region/market/Senior leaders to establish/reach targets
Work with region/market leaders to prepare/present Monthly/Quarterly Business Review documents
Ability to act with diplomacy and sensitivity to drive favorable resolution to internal and external issues
Understand reimbursement methodologies impacting market products
Support monthly close process by providing journal entries, accruals and supporting analysis as needed; have region/market specific knowledge of trends/drivers to influence IBNR models.
Drive QAI plan for region/market; responsible for coordinating with market/work stream leaders to identify, implement and measure QAI initiatives to exceed targets
Coordinate with department leaders on rate advocacy, revenue maximization efforts (risk adjustment and quality initiatives) and regarding pricing of Medicare, marketplace and other products as appropriate
Responsible for cost reports and other regulatory filing requirements, interact with regulatory agencies as needed
Support the annual budget and monthly/quarterly forecasting process for applicable region/market; provide necessary region/market specific data to ensure assumptions are reasonable
Support the strategic planning process by providing long term financial projections reflecting the assumptions outlined in the strategic plan
Provides insight into the risk sensitivity associated with the current and future business drivers
Coordinate and support independent financial accounting audits and other regulatory financial related audits
Utilize 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 leaders
Responsible for management of departmental staff and expense budget
Responsible for making staffing decisions
Develop, implement, and modify processes to ensure efficiency and effectiveness
Assess internal controls and make appropriate changes to ensure compliance with MAR, regulatory and other organization requirements
Perform any other job duties as requested
Education and Experience
Bachelor’s Degree in accounting, finance or related field or equivalent years of relevant work experience is required
Master of Business Administration (MBA) or equivalent graduate degree is preferred
A minimum of seven (7) years of experience in accounting/finance is required
Previous senior level management experience is required
Managed care or healthcare experience is preferred
Competencies, Knowledge and Skills
Familiar with variety of financial analysis concepts, practices and procedures
Relies on extensive experienced and judgment to plan and accomplish goals
Familiar with variety of accounting concepts, practices and procedures
Intermediate proficiency level with Microsoft Office
Ability to interact and provide insight and guidance to region/market leadership as well as Executive leadership regarding financial and business matters.
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 simultaneously
Ability to lead and direct the work of others including the development, motivation and rewarding of staff
Knowledgeable of internal control framework and ability to successfully perform and document owned internal controls.
Decision making/problem solving skills
Critical listening and thinking skills analytical skills
Conflict resolution skills
Planning, problem identification and resolution skills
Detail-oriented
Licensure and Certification
Certified Public Accountant (CPA) or other equivalent certification is preferred
Working Conditions
General office environment; may be required to sit or stand for extended periods of time
May be required to travel occasionally
Compensation Compensation range $150,000-$300,000 . CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Energize and Inspire the Organization
Influence Others
Pursue Personal Excellence
Understand the Business
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
#J-18808-Ljbffr
Essential Functions
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 leadership
Assist 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 products
Provide strategic support to region/market/Senior leaders to establish/reach targets
Work with region/market leaders to prepare/present Monthly/Quarterly Business Review documents
Ability to act with diplomacy and sensitivity to drive favorable resolution to internal and external issues
Understand reimbursement methodologies impacting market products
Support monthly close process by providing journal entries, accruals and supporting analysis as needed; have region/market specific knowledge of trends/drivers to influence IBNR models.
Drive QAI plan for region/market; responsible for coordinating with market/work stream leaders to identify, implement and measure QAI initiatives to exceed targets
Coordinate with department leaders on rate advocacy, revenue maximization efforts (risk adjustment and quality initiatives) and regarding pricing of Medicare, marketplace and other products as appropriate
Responsible for cost reports and other regulatory filing requirements, interact with regulatory agencies as needed
Support the annual budget and monthly/quarterly forecasting process for applicable region/market; provide necessary region/market specific data to ensure assumptions are reasonable
Support the strategic planning process by providing long term financial projections reflecting the assumptions outlined in the strategic plan
Provides insight into the risk sensitivity associated with the current and future business drivers
Coordinate and support independent financial accounting audits and other regulatory financial related audits
Utilize 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 leaders
Responsible for management of departmental staff and expense budget
Responsible for making staffing decisions
Develop, implement, and modify processes to ensure efficiency and effectiveness
Assess internal controls and make appropriate changes to ensure compliance with MAR, regulatory and other organization requirements
Perform any other job duties as requested
Education and Experience
Bachelor’s Degree in accounting, finance or related field or equivalent years of relevant work experience is required
Master of Business Administration (MBA) or equivalent graduate degree is preferred
A minimum of seven (7) years of experience in accounting/finance is required
Previous senior level management experience is required
Managed care or healthcare experience is preferred
Competencies, Knowledge and Skills
Familiar with variety of financial analysis concepts, practices and procedures
Relies on extensive experienced and judgment to plan and accomplish goals
Familiar with variety of accounting concepts, practices and procedures
Intermediate proficiency level with Microsoft Office
Ability to interact and provide insight and guidance to region/market leadership as well as Executive leadership regarding financial and business matters.
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 simultaneously
Ability to lead and direct the work of others including the development, motivation and rewarding of staff
Knowledgeable of internal control framework and ability to successfully perform and document owned internal controls.
Decision making/problem solving skills
Critical listening and thinking skills analytical skills
Conflict resolution skills
Planning, problem identification and resolution skills
Detail-oriented
Licensure and Certification
Certified Public Accountant (CPA) or other equivalent certification is preferred
Working Conditions
General office environment; may be required to sit or stand for extended periods of time
May be required to travel occasionally
Compensation Compensation range $150,000-$300,000 . CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Energize and Inspire the Organization
Influence Others
Pursue Personal Excellence
Understand the Business
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
#J-18808-Ljbffr