Director, Finance – Market

This is a fully remote position, open to applicants in United States.

📋 Description

• Provide financial leadership, oversight, and support to the market and corporate sectors.

• Ensure the delivery of timely, accurate, comprehensive, and transparent financial reports.

• Input and review market finance IBNR models while comprehending market cost drivers and trends.

• Understand reimbursement methodologies that affect market products.

• Assist in the monthly closing process, including journal entries, accruals, and analyses.

• Collaborate with market/workstream leaders to identify, implement, and evaluate QAI initiatives.

• Support APM, VBR, ACO, and other delegated arrangement strategies.

• Work with actuarial teams on rate advocacy efforts.

• Facilitate revenue maximization initiatives between risk adjustment, contracting/health partners teams, and providers.

• Engage in pricing strategies for marketplace and other products.

• Review cost reports and regulatory filing requirements; interact with regulatory agencies as necessary.

• Assist with annual budgeting and monthly/quarterly forecasting processes.

• Coordinate, review, and provide feedback on the annual administrative budget.

• Offer insights into risk sensitivity related to current and future business drivers.

• Support independent financial accounting and regulatory audits.

• Conduct ad hoc and trend analyses, including modeling for contracting and enhancement initiatives.

• Oversee departmental staff and manage the expense budget.

• Make staffing decisions as needed.

• Develop, implement, and refine processes to enhance efficiency and effectiveness.

• Evaluate internal controls and implement changes to ensure compliance with MAR, regulatory, and organizational standards.

• Perform other duties as assigned.

⛳️ Requirements

• A Bachelor’s Degree in accounting, finance, or a related field, or equivalent relevant work experience is required.

• At least seven (7) years of experience in accounting/finance, including a minimum of three (3) years in a management role, is required.

• Experience in managed care or healthcare is preferred.

• Familiarity with financial analysis concepts, practices, and procedures is essential.

• Understanding of accounting concepts, practices, and procedures is necessary.

• Intermediate proficiency in Microsoft Office is required.

• Ability to engage with all levels of management and external audit management.

• Capacity to multitask and support several market leaders/business areas concurrently.

• Ability to lead and direct others, including staff development, motivation, and recognition.

• Knowledge of internal control frameworks is important.

• Strong decision-making, problem-solving, critical listening, critical thinking, and analytical skills.

• Detail-oriented approach is required.

• Must reside in Georgia.

• No licensure or certification is required.

🏝️ Benefits

• Bonus opportunities tied to company and individual performance may be available.

• Comprehensive total rewards package offered.

• Support for employees’ overall well-being is provided.

• Remote work arrangements are available.

• Occasional travel may be necessary.