Director, Finance – Market

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $135.6k - $237.4k / year

⏰ Full Time

🔴 Lead

💸 Financial Planning and Analysis (FP&A)

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Logo of CareSource

CareSource

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 • Deliver timely, accurate, comprehensive, and transparent financial reporting • Input and review market finance IBNR models and understand market cost drivers and trends • Understand reimbursement methodologies affecting market products • Support monthly close through journal entries, accruals, and analysis • Coordinate QAI initiatives with market and work-stream leaders • Support APM, VBR, ACO, and other delegated arrangement strategies • Coordinate with actuarial teams on rate advocacy • Liaise on revenue maximization efforts involving risk adjustment, quality initiatives, contracting, health partners, and providers • Participate in marketplace and other product pricing strategy • Review cost reports and regulatory filing requirements • Support annual budgeting and monthly/quarterly forecasting • Coordinate and review the market annual administrative budget • Provide insight into risk sensitivity related to business drivers • Support financial accounting and regulatory audits • Perform ad hoc, trend, and modeling analyses 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 implement changes for 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 rewards • Knowledge of internal control framework • Decision-making, problem-solving, critical listening, critical thinking, and analytical skills • Detail-oriented • Occasional travel may be required

🏖️ Benefits

• Bonus tied to company and individual performance may be available • Substantial and comprehensive total rewards package • Remote work arrangement

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