Finance Supervisor/Manager - Los Angeles, United States - Addison Group

Description

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 cost
Review lag report for claims paid and received
IBNR model using appropriate methodologies
Create summary reports for Hospital Capitation monthly, to ensure Analysts have captured in the financial reports accurately
Preparation of Risk Pool summaries by line of business, Health plan and aid category.
Review the preparation Risk Pool summary with combined health plans
Oversee the preparation of Capitation summaries
Lead preparation of the report of claims by month & type of service
Create reports to present to hospital clients and Leadership
Maintenance of daily cash flow and monthly bank reconciliation
Review the preparation EOM financial and board packages
Oversee the preparation of other financial packages to present for Joint Operations Meeting (JOM)
Automation of data mining needed for financial reporting
Validate 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 performance
Review 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 experience
Strong understanding of provider and health plan contracting, delineation of risk, medical terminology and standard industry reimbursement methodologies required.

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