Note: The job is a remote job and is open to candidates in USA. Devoted Health is a company on a mission to improve the health and well-being of older Americans. They are seeking a Finance Operations Senior Manager to lead financial responsibilities related to provider risk and reinsurance arrangements while ensuring compliance and effective reporting. The role involves collaboration with various stakeholders to enhance financial processes and support the company's strategic objectives.
Responsibilities
- 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
- 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
Skills
- 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
- 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
Company Overview