The Director, Cost Reporting is responsible for directing and overseeing the work of the required state and federal reporting for CareSource markets, including gathering and reconciling data, ensuring adherence to all applicable regulations, and interacting with regulatory agencies as needed.
Essential Functions:
- Ensures compliance with reporting requirements to state department of insurance, Medicaid administrator, Centers for Medicare & Medicaid Services (CMS), or other regulators
- Ensures all cost reports and data are reconciled to appropriate sources, processes are thoroughly documented, and appropriate attestations and sign-offs are completed
- Utilizes expertise and knowledge of the business to partner with markets and other areas within finance (i.e. Market Finance, Accounting, Actuarial) to interpret cost reporting requirements and develop efficient and clear processes
- Manages a team as they perform necessary functions to accurately complete all cost reporting, removing barriers to ensure success
- Utilizes tools and coding to access data warehouses and financial systems to gather and organize required data and information
- Prepare for and timely support all financial audits (external and internal) as required and appropriate, interact with regulatory agencies as needed
- Develop, implement, and modify processes for new programs and lines of business
- Ensure transparency of financial information as necessary to the company
- Hire, train, develop and appraise staff effectively, ensuring a strong, competent and talented team of high integrity finance professionals, as well as development and adherence to departmental budget
- Ensure efficiency and effectiveness
- Perform any other job duties as requested
Education and Experience:
- Bachelor’s Degree in accounting, finance or related field or equivalent years of relevant work experience is required
- A minimum of six (6) years of experience in accounting/finance is required
- Five (5) years of management experience is required
- Managed care or healthcare experience is preferred
Competencies, Knowledge and Skills:
- Knowledge of health care industry and government programs
- Familiar with a variety of financial analysis, accounting, and actuarial concepts
- Advanced proficiency level with Microsoft Excel
- Intermediate proficiency level with data coding
- Relies on experience and judgment to plan and accomplish goals
- Ability to multitask and demonstrate flexibility in supporting several market leaders/business areas simultaneously
- Ability to interact with all levels of management, as well as external audit management
- Ability to lead and direct the work of others including the development, motivation and rewarding of staff
- Knowledgeable of internal control framework and ability to successfully perform and document owned internal controls.
- Decision making/problem solving skills
- Critical listening, thinking, and analytical skills
- Planning, problem identification and resolution skills
- Detail-oriented
Licensure and Certification:
- None
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
- May be required to travel occasionally
Compensation Range:
$130,300.00 – $228,100.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type:
Salary. APPLY HERE