AmeriHealth Caritas Director of Finance in Raleigh, North Carolina

Director of Finance

Location: Raleigh, NC

Telecommuter?: No

ID**: 16401

Job Brief

The Director, Finance is responsible for the oversight of all financial activities for the plan

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com .

This position is contingent upon an award of new business

The Director, Finance is responsible for the oversight of all financial activities for the plan including but not limited to financial statements, audit activities, active participation in the annual budget process and reconciliation of operational staff. The director is a critical member of management who provides membership, financial results and support during the budgeting process. The director is the main point of contact and develops partnerships with other departments including Implementations, Sales, Account Management, Informatics, Customer Service, and corporate accounting regarding membership. Responsible for managing and supporting a team of finance professionals. The director is required to interface with all levels of management and outside vendors in order to resolve funding issues, accounts receivable balances and any finance related issues. The director also provides ongoing direct support to cost center managers regarding staffing and around G&A Expenses.

Financial Management

  • Oversee key financial aspects of operational activities (Revenue, Expenses, Management Fee & Intercompany)

  • Ensure accurate and timely processing of cash receipts (accounts receivable & network administration fees)

  • Directs the individual and consolidated reporting of results for cost centers.

  • Develop budget projections (forecasts, reforecast) and monitors performance monthly.

  • Maintain and review Operating Revenue models for new business and strategic planning needs

  • Responsible for leading the annual operating budget plans

  • Validate and ensure all costs that are associated with the family of companies are passed onto the plans

  • Provide financial oversight to ensure contract compliance with suppliers

  • Ensure accurate and timely invoicing of clients for service performed by plan

  • Provide financial compliance and oversight for contracts between plan and outside vendors

  • Act as a liaison with internal and external business partners on all financial matters

  • Review and provide approval for claims processor payment and dispute costs as necessary

Administration

  • Manage the daily activities of the Finance Administration staff.

  • Act as a liaison with internal and external business partners

  • Review and provide sign off on business quotes for claims processor

  • Ensure all membership and quarterly reporting is accurate and distributed to management

  • Provide ACFC corporate with organizational wide cost allocation to support business model

  • Communicate with all departments managers on span of control, staff and cost center expenses

  • Develop and maintain a process to provide reliable critical metrics to management

  • Hire, train, coach and evaluate performance of direct reports

Education and Experience:

  • Five to Ten years Accounting/Finance Leadership Experience

  • Managed Care/Medicaid experience preferred

  • Bachelors Degree required, Masters Degree preferred

EOE Minorities/Females/Protected Veterans/Disabled