Director, Medicaid Financial Planning and Analysis

VNS Health; New York (NY); Presencial; USD 154.000 - 206.000; Tempo integral

Benefícios oferecidos por esta vaga

Referral bonus opportunities

Generous paid time off (PTO) and 9会社の祝

Health insurance plan for you and your

Employer-matched retirement savings

Tuition reimbursement

Resumo da vaga

VNS Health is seeking an experienced FP&A leader to oversee financial planning, forecasting, budgeting and performance analytics for our health services programs.

The role partners with FP&A, Accounting, Actuarial and Program Management to drive financial health, develop strategic plans, and support senior leadership with forward-looking analyses and robust budgeting processes.

Qualificações

• Bachelor’s degree in finance, accounting, business administration or related field.
• Master’s degree or CPA preferred.
• Progressive experience in finance within healthcare is desirable.

Responsabilidades

• Directs major FP&A activities, including monthly financials, forecasting and budgeting.
• Collaborates with FP&A, Accounting, Actuarial and Program Management to identify improvement opportunities.
• Develops reporting, KPIs and metrics to improve financial performance.
• Prepares the program's annual budget and reviews monthly variance reports.
• Interacts with Corporate Finance on budgetary matters and audits.

Conhecimentos

Financial planning

Forecasting

Budgeting

Variance analysis

Leadership

Formação

Bachelor's degree in finance/Accounting/Business Administration

Master's degree in finance/Accounting/Business Administration or CPA

Ferramentas

MS Office

Advanced Excel

Adaptive

Workday

Essbase

Enterprise Planning Database

Descrição da vaga

Overview

Oversees financial planning and analysis (FP&A) activities for either Health Plans or Provider Services, as well as coordinating financial activities across other strategic business units to ensure the financial health of VNS Health. Financial planning activities include, but are not limited to, reviewing operational performance, identifying key issues and trends, developing new financial approaches, preparing financial forecasts/projections, and performing financial modeling and analysis of business operations, new programs and acquisitions and presenting findings to senior leadership. Serves as primary liaison to FP&A leads as well as program leadership. Collaborates with finance leadership to coordinate and monitor the activities of financial planning in accordance with departmental goals and policies. Coaches and mentors staff to increase financial analytical ability. Plans, directs, and coordinates the business and financial functions for a specific Program to ensure streamlined, effective and efficient operations. Collaborates with Program leadership in the development, evaluation, and implementation of business, operational and financial activities, including policies and procedures. Works under general direction.

Overview

Oversees financial planning and analysis (FP&A) activities for either Health Plans or Provider Services, as well as coordinating financial activities across other strategic business units to ensure the financial health of VNS Health. Financial planning activities include, but are not limited to, reviewing operational performance, identifying key issues and trends, developing new financial approaches, preparing financial forecasts/projections, and performing financial modeling and analysis of business operations, new programs and acquisitions and presenting findings to senior leadership. Serves as primary liaison to FP&A leads as well as program leadership. Collaborates with finance leadership to coordinate and monitor the activities of financial planning in accordance with departmental goals and policies. Coaches and mentors staff to increase financial analytical ability. Plans, directs, and coordinates the business and financial functions for a specific Program to ensure streamlined, effective and efficient operations. Collaborates with Program leadership in the development, evaluation, and implementation of business, operational and financial activities, including policies and procedures. Works under general direction.

What We Provide

• Referral bonus opportunities
• Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
• Employer-matched retirement saving funds
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities

What You Will Do

• Directs major financial planning activities and milestones, including monthly financials, forecasting and budgeting.
• Works closely with FP&A, Accounting, Actuarial and Program Management to identify operational improvement opportunities and ensure financial health.
• Facilitates the establishment of key planning targets, which serve as the basis for budget and multi-year operating goals.
• Tracks operational performance of business units against budget targets and reports results to senior management.
• Utilizes actual and budgeted financial results to estimate future forecasted volumes, revenues and expenses.
• Analyzes the business and financial operations for the Program.
• Develops, evaluates and implements reporting, standard key performance indicators and business metrics to ensure that the financial performance of the Program is enhanced through the provision of efficient, high-quality services.
• Directs and prepares the Program’s annual budget for areas including revenue, expense and capital budgets.
• Reviews and analyzes monthly variance reports and makes recommendations to Program leadership for action.
• Participates in the financial aspects of strategic planning.
• Manages financial and statistical reporting requirements, including performance indicators, monthly key driver reports, profitability by product and other financial analyses required by VNS Health senior leadership and/or the Board.
• Acts as the primary representative to Corporate Finance on all budgetary matters, including audits, operational flows and cost report activities, relating to the Program.
• Works closely across the Enterprise to identify emerging issues, coordinate planning activities and assemble forward-looking plans. Assists with program improvement prioritization and the development and monitoring of success indicators.
• Creates and reviews strategic plans and business cases for program improvement, including new product offerings, payer-level profitability, managed care business plans, interdepartmental operational analyses, cost-control initiatives, referral source profitability and forecasting models.
• Performs sensitivity analyses as needed. Supports the development of a consistent approach to these evaluations.
• Establishes and fosters positive relationships with internal and external customers and acts as a liaison between the Program and Corporate Finance to ensure timely accrual and monthly and ad hoc reporting of Program expenses.
• Identifies, evaluates and resolves issues and problems as needed.
• Collaborates with Program leadership to create statistical and financial reports for presentations, reports and publications, including quarterly reports to senior leadership and the Program Board of Directors.
• Ensures financial forecast models are consistent with key operating targets and management goals. Works with staff and provides hands‑on modeling support to effectively utilize existing financial models and develop new models.
• Performs quality assurance on all major assigned work products.
• Analyzes internal trends, monitors external market trends and incorporates findings into existing volume forecasting models.
• Applies quantitative methodologies to infer likely future results. Manages and integrates multiple data sources. Performs quality assurance on volume forecasting as needed.
• Analyzes new reimbursement methodologies for new and emerging third‑party payment mechanisms.
• Identifies new areas for potential operational efficiencies and work process review and quantifies operational efficiencies realized from completed work process redesigns.
• Serves on and participates in various committees, task forces and meetings, as required.
• Interfaces with Business Intelligence & Analytics, Product Management, Provider Network & Contracting and other department leadership to support and enhance the strategic business direction of the Program as delivered to members and business partners.
• Performs all duties inherent in a senior managerial role. Approves staff training, hiring, promotions, terminations and salary actions. Collaborates with Finance leadership to grow key Finance talent within VNS Health. Prepares and ensures adherence to the department budget.
• Participates in special projects and performs other duties as assigned.

Qualifications

Education

Bachelor's degree in finance, Accounting, Business Administration or related area required

Master's degree in finance, Accounting, Business Administration, or CPA preferred

Work Experience

• Minimum seven years of progressive experience working in finance/accounting functions in a health care organization required.
• Minimum three years of experience in a supervisory role preferred.
• Minimum five years of experience dealing with Medicare and third‑party reimbursement, including in-depth knowledge and understanding of all applicable regulations, preferred.
• Demonstrated experience designing transformational, cost‑effective and sustainable operating care delivery financial models required.
• Effective oral and written communication and interpersonal skills required.
• Strong budgeting techniques and administrative, organizational and analytical skills required.
• Application proficiencies required include MS Office, advanced Excel and Enterprise Planning Database familiarity with Adaptive, Workday and Essbase.
• Experience working in Medicare programs, particularly with metric and sales reporting, preferred.
• Experience in payer‑provider risk modeling preferred.

Pay Range

USD $154,400.00 - USD $205,800.00 /Yr.

About Us

VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.