Director of Finance (16441)

Job Summary:

ProCare Advantage, a Medicare Advantage ISNP and CSNP, is seeking an experienced and highly analytical Director of Finance to lead all nancial functions, including planning, reporting, and analysis for the organization. This role will be responsible for overseeing nancial operations, preparing, analyzing and supporting strategic decision-making through actionable insights of the nancial statements (P&L, EBITDAR, revenue, costs, and MLR.), This will include the production of periodic financial reports, maintenance of an adequate system of accounting records, and a comprehensive set of controls and budgets designed to mitigate risk, enhance the accuracy of the company's reported financial results and ensure that reported results comply with generally accepted accounting principles.

Qualifications

Qualifications:

• Education: Bachelor's degree in Finance, Accounting or Business Administration
• CPA or MBA preferred
• Experience: 3 - 5 years of experience in financial management, preferably within healthcare, Medicare Advantage or SNP environments (ISNP, CSNP or DSNP)
• Experience in financial reporting, budget Management and forecasting
• Proficiency in financial software and tools, experience in Microsoft Dynamics preferred
• Effective communication and collaboration skills
• Ability to present complex financial data to executive leaders, clients and non-financial stakeholders
• Knowledge of CMS regulations and reporting requirements is highly desirable
• Analytical thinking and problem-solving
• Attention to detail and accuracy
• Strong organizational skills
• Ability to thrive in a fast-paced, evolving healthcare environment

Essential Functions:

• Planning, directing, and coordinating all accounting operational functions
• Guides financial decisions by establishing, monitoring, and enforcing internal controls, policies, and procedures
• Provides status of financial condition by collecting, interpreting, and reporting financial data
• Developing and monitoring business performance metrics
• Prepares special reports by collecting, analyzing, and summarizing information and trends
• Managing the accumulation and consolidation of all financial data necessary for an accurate accounting of consolidated business results
• Coordinating and preparing internal financial statements
• Providing management with information vital to the decision-making process for business operations
• Assisting with the budget process
• Assessing current accounting operations, offering recommendations for improvement, and implementing new processes
• Evaluating accounting and internal control systems

Key Responsibilities:

• Financial Management & Reporting:

• Prepare, analyze, and present monthly, quarterly, and annual financial statements, including Profit & Loss (P&L) reports, balance sheets, EBITDAR, and key performance indicators (KPIs)

• Work with appropriate parties to resolve potential or unforeseen challenges

• Develop and maintain accurate revenue, cost, and margin tracking, including Medical Loss Ratio (MLR) analysis

• Monitor cash flow, forecasting, and working capital to ensure financial stability.

• Maintain a documented system of policies and procedures

• Manage outsourced functions

• Oversee the operations of the billing department, including the design of an organizational structure adequate for achieving the department's goals and objectives

• Recommend benchmarks against which to measure the performance of company operations

• Calculate and issue financial and operating metrics

• Assist the FP&A department with the production of the annual budget and forecasts as needed

• Provide information for the preparation of Medicare cost reports

• Provide financial analyses as needed, in particular for capital investments, pricing decisions, and contract negotiations

• Budgeting, Forecasting & Transactions:

• Lead the preparation of annual budgets and financial forecasts

• Provide variance analysis between actuals and forecasts, offering recommendations for corrective actions when necessary

• Ensure claims are submitted timely and within payor guidelines

• Ensure timely and accurate posting of cash receipts

• Payor setup completed/updated in EMR

• ERA/EFT setup completed in billing clearinghouse or other portals

• Maintain system to process payments

• Review of all AR accounts

• Compliance & Risk Management

• Develop and implement internal controls to safeguard assets and maintain financial accuracy

• Comply with local, state, and federal government reporting requirements and tax filings

• Strategic Analysis & Decision Support

• Deliver financial insights to support executive decision-making and strategy development

• Analyze market trends and operational data to identify opportunities for financial improvement

• Drive initiatives to optimize EBITDAR and reduce MLR

• Implement best practices in financial processes, systems, and tools

• Collaborate cross-functionally with operational, clinical, and administrative leaders to align financial goals

#Corp

We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package