About the role
Job Description A bit more about this role: 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 and provide us with the ability to establish the relationships to deliver on our core values of treating every member as family while also being a paragon of hypercompliance with the letter and spirit of the law. 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, to ensure policies and procedures, controls and reporting, facilitate the achievement of provider risk sharing and reinsurance objectives. This includes 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. In addition, this role will partner closely with network, data, engineering and operations leadership to facilitate the exchange of information and enable reporting requested by third-party providers. This role will also include, but not be limited to, the following: Understanding the details of existing and future contractual provider risk and reinsurance arrangements. Collaborating with numerous senior leaders to influence, support and evolve, both the Company’s strategy around, as well as the nature of these agreements. Facilitating the successful execution and achievement of related policies, procedures, controls and reporting, both as desired by the Company and/or as contractually agreed upon. This will include either supporting and/or leading various aspects related to the end-to-end process, such as contracting/negotiations, monitoring, reconciliation and reporting, governance, dispute resolution, accounting, settlement and recoupment/collection. Ensuring control activities within these areas are both designed and operating effectively to ensure the achievement of the Company’s objectives, including, but not limited to, accurate and timely accounting and reporting, compliance with contractual terms, appropriate stewardship over cash and other assets, as well as the achievement of desired counterparty performance and service levels. Being an integral part of a cross-functional team focused on policy, process and control continuous improvement and standardization, with a heavy emphasis on technology development. Supporting/assisting our direct counterparty facing, and other relevant functional, teams with building and maintaining provider relationships, through education, tools, analytical and other support, performance monitoring, supplemental reporting and direct interactions, as needed. Becoming recognized, over time, as both a key subject matter expert resource and process owner, both internally and externally. Ownership and responsibility for satisfying applicable audit, examination and/or other regulatory or compliance related inquiries and requests. Required Skills and Experience: 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. Desired Skills and Experience: Medicare Advantage experience (preferred). Experience with intercompany risk providers or other similar agreements (ideal). #LI-DS1 #LI-Remote Salary Range: $110,500-$155,000 / year The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the
