Sr. Director, Market Chief Financial Officer (Must Live in New York)

Job Summary:

The Senior Director, Market Chief Financial Officer provides financial oversight, leadership and support to the region/market/corporate; supports the department in collaborating 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 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
• 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 and direct management 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 with support from direct management
• Support the annual budget and monthly/quarterly forecasting process for applicable region/market; provide necessary region/market specific data to ensure assumptions are reasonable
• 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 and support Health Analytics with 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

• Responsible for management of departmental staff
• 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 six (6) years of experience in accounting/finance is required
• Four (4) years of 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