Finance Operations Senior Manager

Role Description

We are looking for an experienced health insurance and/or healthcare Finance leader who is willing to roll up their sleeves and assume overall responsibility for partnering across a large group of internal and external stakeholders to ensure numerous aspects of contracting, accounting, settlement, forecasting and reporting for our provider risk and reinsurance arrangements.

This exciting opportunity is perfect for someone who understands value-based care and reinsurance, accounting and reporting, and who enjoys analytics and using/building cutting edge analytical tools.

This position is perfect for someone who wants to be on the forefront of how these types of contracts can be used to help change healthcare in an incredibly positive way.

Responsibilities and impact will include:

• Partnering with numerous stakeholders and leaders, including accounting, accounting operations, actuarial, claims, operations, network, market, product, data, engineering, legal and others.
• Owning or assisting with the generation of risk provider balances and various other aspects of the monthly financial closing process, including settlement statements, previews, invoicing, deficit collection and reserves, reinsurance accounting and surplus/deficit forecasting.
• Partnering closely with network, data, engineering and operations leadership to facilitate the exchange of information and enable reporting requested by third-party providers.
• Understanding the details of existing and future contractual provider risk and reinsurance arrangements.
• Collaborating with numerous senior leaders to influence, support and evolve the Company’s strategy around these agreements.
• Facilitating the successful execution and achievement of related policies, procedures, controls and reporting.
• Ensuring control activities within these areas are both designed and operating effectively.
• Being an integral part of a cross-functional team focused on policy, process and control continuous improvement and standardization.
• Supporting/assisting our direct counterparty facing, and other relevant functional, teams with building and maintaining provider relationships.
• Becoming recognized as both a key subject matter expert resource and process owner.
• Ownership and responsibility for satisfying applicable audit, examination and/or other regulatory or compliance related inquiries and requests.

Qualifications

• Healthcare services and/or health insurance experience.
• Experience with value-based care contracts.
• A minimum of 5–10 years of finance and/or accounting experience.
• An undergraduate and/or graduate degree in accounting, finance, business, or a related field.
• The ability to thrive in a fast-paced, startup environment.
• A highly motivated, proactive, relationship-natured, and detail-oriented approach.

Requirements

• Medicare Advantage experience (preferred).
• Experience with intercompany risk providers or other similar agreements (ideal).

Benefits

• Employer sponsored health, dental and vision plan with low or no premium.
• Generous paid time off.
• $100 monthly mobile or internet stipend.
• Stock options for all employees.
• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles.
• Parental leave program.
• 401K program.
• And more....