Director of Finance – Market

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

📋 Description

• Deliver financial leadership, oversight, and support to both market and corporate levels.

• Ensure timely, accurate, comprehensive, and transparent financial reporting.

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

• Grasp reimbursement methodologies that affect market products.

• Assist in the monthly close process through journal entries, accruals, and relevant analysis.

• Maintain and distribute BTL accruals to the corresponding teams.

• Collaborate with market/work-stream leaders to identify, implement, and assess QAI initiatives.

• Provide support for APM, VBR, ACO, and other delegated arrangement strategies.

• Work in coordination with actuarial teams on rate advocacy efforts.

• Facilitate revenue maximization efforts among risk adjustment, contracting/health partners, and providers.

• Engage in marketplace and product pricing strategy discussions.

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

• Assist in annual budgeting and monthly/quarterly forecasting for the relevant market.

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

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

• Support independent financial accounting and regulatory financial audits.

• Conduct ad hoc and trending analyses and modeling for market-specific contracting and enhancement initiatives.

• Oversee departmental staff and manage the expense budget.

• Make staffing-related decisions.

• 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.

• Execute additional tasks as requested.

⛳️ Requirements

• A Bachelor’s Degree in accounting, finance, or a related field, or equivalent years of relevant experience is necessary.

• An MBA or equivalent graduate degree is preferred.

• At least seven (7) years of experience in accounting/finance is required.

• A minimum of three (3) years of management experience is necessary.

• 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 required.

• Intermediate proficiency in Microsoft Office applications is needed.

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

• Capability to multitask and support multiple market leaders/business areas simultaneously.

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

• Knowledge of internal control frameworks is essential.

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

• Attention to detail is crucial.

• Occasional travel may be necessary.

• General office environment; ability to sit or stand for extended periods is required.

🏝️ Benefits

• A bonus linked to company and individual performance may be offered.

• A comprehensive total rewards package is available.

• An Equal Opportunity Employer environment focused on fostering belonging and supporting individuals from diverse backgrounds.