Director, Finance – Market

Job not on LinkedIn

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $135.6k - $237.4k / year

⏰ Full Time

🟠 Senior

🔴 Lead

💸 Financial Planning and Analysis (FP&A)

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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CareSource

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 30+ years

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

📋 Description

• Provide financial oversight, leadership, and support to the market/corporate • Provide timely, accurate, comprehensive, and transparent financial reporting • Input and review market finance IBNR models and understand market cost drivers and trends • Understand reimbursement methodologies impacting market products • Support the monthly close process with journal entries, accruals, and analysis • Coordinate with market/workstream leaders to identify, implement, and measure QAI initiatives • Support APM, VBR, ACO, and other delegated arrangement strategies • Coordinate with actuarial teams on rate advocacy • Liaise on revenue maximization efforts between risk adjustment, contracting/health partners teams, and providers • Participate in pricing strategy for marketplace and other products • Review cost reports and regulatory filing requirements; interact with regulatory agencies as needed • Support annual budgeting and monthly/quarterly forecasting • Coordinate, review, and provide feedback on the annual administrative budget • Provide insight into risk sensitivity associated with current and future business drivers • Support independent financial accounting and regulatory financial audits • Perform ad hoc and trend analyses, including modeling for contracting and enhancement initiatives • Manage departmental staff and expense budget • Make staffing decisions • Develop, implement, and modify processes for efficiency and effectiveness • Assess internal controls and make changes to ensure compliance with MAR, regulatory, and organizational requirements • Perform other duties as requested

🎯 Requirements

• Bachelor’s Degree in accounting, finance or related field or equivalent years of relevant work experience is required • A minimum of seven (7) years of experience in accounting/finance, including a minimum of three (3) years of management experience, is required • Managed care or healthcare experience is preferred • Familiarity with financial analysis concepts, practices and procedures • Familiarity with accounting concepts, practices and procedures • Intermediate proficiency with Microsoft Office • Ability to interact with all levels of management and external audit management • Ability to multitask and support several market leaders/business areas simultaneously • Ability to lead and direct the work of others, including staff development, motivation and rewarding • Knowledge of internal control framework • Decision-making, problem-solving, critical listening, critical thinking, and analytical skills • Detail-oriented • Must live in Georgia • No licensure or certification required

🏖️ Benefits

• Bonus tied to company and individual performance may be available • Comprehensive total rewards package • Support for employees’ total well-being • Remote work arrangement • Occasional travel may be required