Director, Operations – Financial Management

Posted Sep 11

This is a fully remote position, open to applicants in Alabama, +44 more states.

📋 Description

• Oversee daily operations of Financial Management Services (FMS), encompassing payroll processing, timesheet management, electronic visit verification (EVV), onboarding, and service delivery workflows.

• Develop and enhance operational processes that support self-directed care initiatives.

• Convert strategic initiatives from the VP level into actionable operational plans, workflows, and key performance indicators (KPIs).

• Collaborate with intake, customer service, payroll, compliance, and reporting teams.

• Ensure adherence to IRS employer-agent regulations, VA VDC guidelines, Department of Labor mandates, and state labor laws.

• Manage audit preparedness, documentation standards, and ongoing compliance monitoring.

• Review and escalate reports related to fraud, waste, abuse, neglect, and exploitation.

• Work alongside Legal and Compliance teams to develop policies, standard operating procedures (SOPs), and controls.

• Supervise multi-EIN payroll, tax withholdings, unemployment insurance, vendor payments, reimbursements, worker eligibility verification, and background checks.

• Maintain budgets and financial reporting at the participant level.

• Oversee participant budgets, spending plans, authorizations, and adjustments to direct care worker pay rates.

• Ensure a compliant experience for participants and caregivers throughout onboarding, training, and ongoing support.

• Implement scalable service models for participants who act as employers.

• Collaborate with care teams, case managers, and external stakeholders to achieve person-centered outcomes.

• Manage relationships with payroll providers, EVV systems, and FMS technology platforms.

• Lead the implementation and optimization of timekeeping, EVV, payroll engine, and participant portal systems.

• Ensure the integrity of system integrations and data.

• Direct and cultivate cross-functional teams in payroll, compliance, onboarding, and customer support.

• Establish performance metrics, training programs, and standards for accountability.

• Collaborate with the VP on growth strategies, requests for proposals (RFPs), program launches, operational scaling, and transformation initiatives.

• Provide insights driven by data regarding performance, risks, and opportunities.

• Propel success metrics, including onboarding cycle time, payroll accuracy, audit performance, participant satisfaction, scalability, and program launches.


⛳️ Requirements

• A Bachelor's degree in Business Administration, Healthcare Administration, Public Administration, or a related field is required; an equivalent combination of education and progressive leadership experience may be considered in lieu of a degree.

• 2-4+ years of progressive leadership experience in Financial Management Services, Fiscal Intermediary operations, Self-Directed Care / Home and Community-Based Services (HCBS) / Long-Term Services and Supports (LTSS) programs, or Veteran-Directed Care.

• Proven experience in building and/or expanding FMS operations.

• Extensive knowledge of Medicaid self-direction models and associated regulations.

• In-depth understanding of Vendor Fiscal/Employer Agent (VF/EA) models.

• Strong knowledge of payroll tax compliance and employer-agent frameworks.

• Experience managing operations across multiple states or complex programs.

• Exceptional leadership, communication, and cross-functional collaboration capabilities.

• Experience with Veteran-Directed Care programs is preferred.

• Familiarity with ACL guidance and VA program requirements is preferred.

• Knowledge of EVV systems and FMS technology platforms is preferred.

• Experience supporting RFPs, implementations, or entering new markets is preferred.

• Must comply with U.S. work authorization requirements through E-Verify.

• Employment offer is contingent upon successful background and drug screening.


🏝️ Benefits

• Medical, Dental, Vision, and Employee Assistance Program benefits.

• 401K matching.

• 20 paid days off annually.

• Excellent opportunities for growth and advancement.

• Up to $12 per month for streaming service subscriptions.

• Discounted movie tickets, hotel stays, and more through Tickets at Work.

• Monthly Lunch & Learn events with complimentary lunch for employees who register.

• Monthly company town hall meetings.

• Monthly internal mental health newsletters.

• Monthly Bene-Verse events featuring virtual trivia, team-building activities, guided painting sessions, and more.

• Remote work options available.

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