Finance Supervisor/Manager - Healthcare

The Finance Manager will over the team of Analysts, oversee and develop SOP's and financial solutions, create and package financial products, lead transition of accounting functions and financial reporting into ERP system.

Responsibilities:Identify cost drivers and drill down with the Team utilizing paid claims reports to calculate claims costReview lag report for claims paid and receivedIBNR model using appropriate methodologiesCreate summary reports for Hospital Capitation monthly, to ensure Analysts have captured in the financial reports accuratelyPreparation of Risk Pool summaries by line of business, Health plan and aid category.Review the preparation Risk Pool summary with combined health plansOversee the preparation of Capitation summaries Lead preparation of the report of claims by month & type of serviceCreate reports to present to hospital clients and Leadership Maintenance of daily cash flow and monthly bank reconciliationReview the preparation EOM financial and board packagesOversee the preparation of other financial packages to present for Joint Operations Meeting (JOM)Automation of data mining needed for financial reportingValidate queries through SQL Review hospital financial risk pools to ensure a complete understanding of the performance of each hospital risk pool and all factors that influence its performanceReview Risk pool contracts and interpret them into a schedule of payments for tracking purposes and ensure timely settlement payments

Minimum Job Requirements:Education: Bachelor’s degree (Accounting/Finance) Experience: 3+ years of Healthcare, Physician Organization or Health Plan, Hospital Finance and/or Health Plan experienceStrong understanding of provider and health plan contracting, delineation of risk, medical terminology and standard industry reimbursement methodologies required.