Director of Finance – Market

🔥 6 minutes ago

🇺🇸 United States – Remote

💵 $135.6k - $237.4k / year

⏰ Full Time

🔴 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 monthly close through journal entries, accruals and supporting analysis • Maintain and distribute BTL accruals to appropriate teams • Coordinate with market/work-stream leaders to identify, implement and measure QAI initiatives • Support APM, VBR, ACO and other delegated arrangement strategies • Coordinate with actuarial teams on rate advocacy • Coordinate revenue maximization efforts between risk adjustment, contracting/health partners teams and providers • Participate in marketplace and other product pricing strategy • Review cost reports and regulatory filing requirements; interact with regulatory agencies as needed • Support annual budgeting and monthly/quarterly forecasting for the applicable market • 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 trending analysis and modeling for market-specific 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 • MBA or equivalent graduate degree is preferred • Minimum of seven (7) years of experience in accounting/finance • Minimum of three (3) years of management experience • 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 • Occasional travel may be required • General office environment; ability to sit or stand for extended periods

🏖️ Benefits

• Bonus tied to company and individual performance may be available • Comprehensive total rewards package • Equal Opportunity Employer environment focused on belonging and supporting individuals of all backgrounds