Overview
Under the direction of the General Manager, the Financial Planning and Analysis Manager is responsible for supporting these various entities while ensuring high quality financial and analytical support to meet the business needs and objectives.
While the primary focus of this position will be to support the Medicare Advantage Institutional Special Needs Plan (I-SNP), the Manager will work in collaboration with all clinical and operations staff on varying initiatives including but not limited to quality improvement, reporting, clinical informatics, and strategic improvement models all with the intent to optimize services across all lines of business.
In addition, this position will support the Company’s efforts to implement a comprehensive SOX framework, policies, and procedures to ensure the organization's financial integrity and compliance with relevant laws and regulations.
Responsibilities
- Update, validate and communicate impact of strategic operational changes to senior management and Company operations on a consistent basis
- KPI & Analytical Model / Reporting development (design, create and improve), and manage distribution; to include the ability to visualize reports through excel, PowerBI, or other tools
- Prepare forecasting / recasting analysis & support : audit historic data, model current and future assumptions, coordinate and collaborate with operations and senior leadership to validate assumptions
- Build pro formas for De Novos growth decisions, and tracking tools once implemented
- Assist in development of strategic presentation sets to support Budget, MOR, Sales, Key Strategic Operational changes, etc.
- Assist with Member reconciliation, Part D recon, LIS tracking, rebate tracking, claim subrogation, and reinsurance claims
- Assist with preparing and submitting statutory filing requirements, actuarial needs, annual financial audits, and other audit engagements as they arise
- Advise corporate and senior managers as well as operational leaders as to the status of set objectives in the development of the budgeting process
- Assist with managing budgeting process including coordinating and procuring all required inputs / assumptions
- Prepare and submit accounting entries monthly
- Produce, review, and analyze P&L complete with variance explanations
- Collaborate with executive management, cross-functional teams, and external auditors to assess and identify financial, operational, and compliance risks, and develop appropriate controls and mitigation strategies
- Areas of responsibility include managing and performing internal assessment projects as well as control design; especially in the business (Non-IT) areas to strengthen the overall corporate Governance and to identify process improvement opportunities
- Establish and maintain strong relationships with internal and external stakeholders, including auditors and business process teams to ensure effective collaboration and communication regarding SOX compliance matters
- Monitor and review control testing results, root cause analysis, and support timely remediation of control deficiencies and identified risks
- Assist with the development of training programs to enhance awareness and understanding of SOX compliance requirements among employees at all levels of the organization
- Prepare and present regular reports to management and the Audit Committee on the status of the SOX compliance program, audit findings, and recommended actions
Qualifications
- Bachelor’s degree in finance or accounting, with preference for an MBA
- Must possess five (5) or more years of progressive financial work experience, including prior responsibility with strategic financial analysis / reporting, preferably within managed care, Medicare / Medicaid, or other health insurer
- Prior experience in a regulated environment supporting Government reporting regulations and meeting high standards for integrity and accuracy of financial transactions
- Expertise in data analytics, excel reporting, and preferable Power BI and related tools
- Demonstrated capability to work cross functionally within corporate environments
- High level of competency using Microsoft products such as Excel, Power BI, etc, along with various accounting and financial systems
- Strong analytical and problem-solving skills
- Strong attention to detail and accuracy, excellent organizational skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity
- Approachable, flexible, and adaptable to change
- Excellent verbal and written communication skills necessary to communicate with all levels of staff, and community partners
- Ability to manage competing priorities and meet deadlines
- Ability to work independently under general instructions and with a team
- Strong presentation and written communication skills with an attention to detail
- Ability to react quickly and with a sense of urgency to requests, issues, e-mails, or other events in a timely and flexible fashion
- Travel up to 20% may be required
About our Line of Business
Abode Care Partners is a leading provider of integrated medical services caring for individuals from post hospitalization to home in various settings ranging from skilled nursing facilities, assisted living, independent living, group homes, and private homes.
We bring quality medical care to seniors, people with complex conditions, special needs, and individuals with intellectual and / or developmental disabilities while increasing quality of life and safeguarding the dignity of those we serve.
For more information about Abode Care Partners, visit .