Manager, Health Plan Finance Operations

🕒 il y a 22 jours

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Lumeris

Site WebLinkedInTous les Emplois

1001 - 5000 employés

⚕️ Assurance santé

☁️ SaaS

Healthcare Insurance • SaaS

Lumeris est une entreprise spécialisée dans la fourniture de solutions de soins basées sur la valeur au sein de l'industrie de la santé. Avec plus d'une décennie de leadership dans ce domaine, Lumeris s'associe aux systèmes de santé pour améliorer les résultats des patients et assurer le succès financier grâce à des solutions technologiques. Leur plateforme soutient la gestion de la santé de la population, la transformation de la prestation des soins et la contractualisation avec les payeurs, offrant des solutions complètes pour la gestion des patients en situation aiguë, post-aiguë et à haut risque. Lumeris est reconnu pour créer des économies significatives et obtenir d'excellents résultats pour les patients, y compris une note de 5 étoiles CMS pour son plan de médicaments sur ordonnance Medicare Advantage.

Description

• Oversee the day-to-day operations of the AP and AR/Premium Billing functions. • Manage and develop a team, providing guidance, training, and performance feedback to ensure departmental goals are met. • Oversee all accounts payable processes, including vendor invoice processing, provider claims payment processing, and commission payments, ensuring accuracy and timeliness. • Drive enhancements to the AP/invoicing platform to increase efficiency and improve the customer experience. • Own and manage the entire member/group premium billing cycle, including invoicing, collections, cash posting, and reconciliations. • Oversee the application of payments from various sources (lockbox, EFT, member portal), ensuring accuracy and timeliness. • Manage the collections process for outstanding receivables, including the relationship with the collection agency. • Identify opportunities for process improvements and workflow automation within the AP and AR cycles. • Serve as the business lead for system enhancements, including performing User Acceptance Testing (UAT). • Ensure compliance with all relevant regulations, including CMS, State DOI, and HIPAA. • Serve as the subject matter expert and business owner for all audits (Financial, SOX, State, Federal) related to AP and AR/Premium Billing, including managing evidence requests.

🎯 Exigences

• Bachelor’s degree in Finance, Accounting, or a related field. • 7+ years of progressive experience in finance or accounting, including management experience. • Strong leadership skills and demonstrated success in leading, developing, and managing a team. • Excellent database skills and financial modeling experience. • Strong analytical, quantitative, and problem-solving skills. • Advanced proficiency in Microsoft Office Suite, particularly Excel, PowerPoint, and Access. • Ability to work in a fast-paced, high-pressure environment. • Exceptional ability to communicate effectively, both verbally and in writing, with all levels of the organization. • Self-starter with the ability to work independently and as part of a team. • MBA. • Previous experience with financial analysis in the technology industry. • Previous experience in a high-visibility role.

🏖️ Avantages

• Medical, Vision and Dental Plans • Tax-Advantage Savings Accounts (FSA & HSA) • Life Insurance and Disability Insurance • Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days) • Employee Assistance Program • 401k with company match • Employee Resource Groups • Employee Discount Program • Learning and Development Opportunities