Manager Financial Operations

Independence Blue Cross, LLC; Philadelphia (Philadelphia County); On-site; USD 110,000 - 140,000; Full time

Job summary

Independence Blue Cross, LLC seeks a Financial Operations Manager to oversee disbursements, reconciliations, and provider payments within a health insurance finance environment. You will own SME responsibilities for check/EFT platforms, ensure GL data transfer, and lead AR oversight while driving process improvements and cross-functional training.

The role requires a strong background in finance within healthcare or a comparable industry, proficiency with PeopleSoft and MS Office, and

Qualifications

• Bachelor's Degree in Business, Finance, Accounting, or related field.
• Eight or more years of related experience in health insurance or comparable industry in a finance function.
• Demonstrated ability to define complex business issues and determine best-fit solutions; strong project management skills.
• Experience integrating new systems and managing system implementations.
• Proven ability to analyze trends and compile detailed financial and operational reporting.
• Proven ability to build successful teams, establish strategic direction, promote adoption and execution of the vision.
• Ability to participate in knowledge transfer activities and deliver training/cross-training.
• Working knowledge of Web based applications, including PeopleSoft.
• High proficiency with Microsoft Excel, Word, and Outlook.

Responsibilities

• Oversee the disbursements function, including financial and operational reconciliation and provider payment releases.
• Serve as relationship owner and SME for provider check and EFT payment platforms, including reporting.
• Ensure proper transfer of cash/payables data to the general ledger.
• Own accounts receivable reconciliation, maintenance, support, and reporting to internal partners.
• Identify customer-focused process improvements, system inconsistencies, root-cause analysis, and business solutions; facilitate training.
• Act as a business consultant to internal/external customers to maintain workflow controls and consistency.
• Consult with management regarding solutions to streamline processes and minimize adverse customer impact.
• Oversee design, development and implementation of complex business needs; manage projects.
• Coordinate with Accounting to ensure accurate financial reporting.

Skills

Analytical skills

Project management

Process improvement

Training & knowledge transfer

Communication

Education

Bachelor's Degree in Business, Finance, Accounting, or related field

Tools

PeopleSoft

MS Excel

Microsoft Word

Outlook

Job description

Job Description

The Financial Operations Manager is responsible for understanding the financial operations of the TPA including collections, cash application, and finance business systems and support including workflow, processes, related systems, and procedures.

• Responsible for overall disbursements function including financial and operational reconciliation, provider payment releases and inquiries
• Relationship owner and subject matter expert for provider check and EFT payment platforms, inclusive of inventory reporting and oversight of file transmission.
• Ensure the proper transfer of cash/payables data to the general ledger.
• Ownership of Accounts Receivable reconciliation, maintenance, support, and reporting to internal business partners.
• Must be able to identify customer focused process improvement opportunities, system inconsistencies, assess root cause issues, apply business solutions and facilitate training opportunities.
• Acts as a business consultant and partner with internal and external customers to maintain workflow controls and consistency.
• Consults with management regarding business solutions to streamline processes and reduce adverse impact to customers.
• Oversees the design, development and implementation of complex business needs and has overall project management responsibilities.
• Acts as liaison with Accounting to ensure accurate financial reporting

Qualifications

• Bachelor's Degree in Business, Finance, Accounting, or related field
• Eight or more years of related experience to include working in a health insurance or comparable industry (size and complexity) in a finance or related function.
• Demonstrated ability to define complex business issues and determine "best fit" solutions. Demonstrated effective project management skills necessary.
• Experience integrating new systems and managing system implementation processes.
• Proven ability to analyze trends and compile detailed financial and operational reporting to support business needs.
• Proven ability to build successful teams, develop and establish strategic direction, promote adoption and execution of the vision.
• Proven ability to participate in departmental knowledge transfer activities and facilitating/delivering training and crosstraining opportunities.
• Working knowledge of Web based applications, including PeopleSoft preferred.
• High proficiency with Microsoft Excel, Word, and Outlook.