Accounting Manager- Healthcare Risk
2 weeks ago
Accounting ManagerWe are seeking a highly skilled and strategic Accounting Manager to lead complex accounting operations related to healthcare facility and provider contracts, with a focus on Non-Claim Benefit Expenses (NCBE), Medical Loss Ratio (MLR) impacts, self-funded group billings, and provider risk arrangements within our Controllership organization (Enterprise Accounting). This role requires a strong technical accounting foundation, deep understanding of GAAP and healthcare statutory principles, and proven leadership in managing teams and collaborating across departments and executive leadership. The ideal candidate will bring a blend of analytical rigor, operational excellence, and interpersonal effectiveness to drive governance, accuracy, and efficiency in high-risk accounting areas.Key ResponsibilitiesLead and oversee accounting for facility and provider contracts with unique risk and NCBE structures, ensuring compliance with GAAP and healthcare statutory requirements.Establish and maintain governance frameworks for risk and NCBE accounting, ensuring complete, accurate, and timely financial reporting.Develop and implement standardized, centralized, and controlled processes for high-risk accounting areas, driving operational efficiency and internal control.Plan, organize, and direct the activities of the assigned accounting team, including staffing, development, performance management, and labor relations.Serve as a key liaison with internal stakeholders, including actuarial, senior health services, finance, legal, and executive leadership, to ensure alignment and transparency in financial reporting.Deliver timely and accurate financial results and insights to internal and external stakeholders, including regulatory bodies and senior leadership.Identify and monitor performance metrics that support departmental and organizational strategic goals.Provide strategic solutions to complex accounting and business challenges, leveraging data and cross-functional collaboration.Continuously improve operational policies and procedures to uphold sound business practices and robust internal controls.Lead and support special projects, audits, and initiatives as assigned.Champion a culture of accountability, innovation, and continuous improvement within the accounting team.QualificationsBachelor's degree in Accounting, Finance, or related field required; Master's degree preferred.CPA, CMA, or CFM certification strongly preferred.Minimum of 6-10 years of progressive accounting experience, with at least 3 years in a leadership or supervisory role.Demonstrated expertise in GAAP and healthcare statutory accounting principles.Experience with healthcare contract accounting, including risk-based arrangements and NCBE.Strong leadership and team management skills, including experience with union and non-union environments.Excellent analytical, organizational, and problem-solving abilities.Exceptional communication skills, with the ability to influence and collaborate across all levels of the organization.Proficiency in financial systems and tools, including Microsoft Excel, Word, PowerPoint, and ERP platforms.Ability to manage multiple priorities in a fast-paced, deadline-driven environment.All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.
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Accounting Manager- Healthcare Risk
2 weeks ago
Detroit, Michigan, United States Blue Cross Blue Shield of Michigan Full timeJob DescriptionWe are seeking a highly skilled and strategic Accounting Manager to lead complex accounting operations related to healthcare facility and provider contracts, with a focus on Non-Claim Benefit Expenses (NCBE), Medical Loss Ratio (MLR) impacts, self-funded group billings, and provider risk arrangements within our Controllership organization...
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Healthcare Risk Manager: Investigations
7 days ago
Detroit, United States Henry Ford Health System Full timeA respected healthcare institution in Detroit is seeking a Risk Management professional to oversee event investigations and manage claims across various coverage lines. The ideal candidate will have an Associate's or Bachelor's degree with 2 years of related experience or 7 years of specific job experience. This role involves evaluating risk management...
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Account Executive, Commercial Lines
2 weeks ago
Detroit, United States Risk Strategies Full timeAccount ExecutiveThe primary role of the Account Executive is responsibility for placement and client management on an assigned book of business, as well as guiding the Service team. If they are responsible for house accounts, they are also accountable for business development and retention for the house book of business.The AE is responsible for a more...
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Healthcare Claims
1 week ago
Detroit, United States Henry Ford Health System Full timeA leading healthcare provider in Detroit is seeking a Claims Consultant in Risk Finance and Insurance Services. You will conduct investigations, negotiate claims, and provide essential support in managing liability claims. The ideal candidate holds a Bachelor's degree and has 0 to 5 years of experience, preferably in healthcare. Join a dynamic team focused...
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Healthcare Claims Specialist
4 weeks ago
Detroit, United States Henry Ford Health Full timeA leading healthcare institution in Detroit is seeking a Claims Consultant for their Risk Finance and Insurance Services team. In this full-time role, you will manage investigations, resolve liability claims, and maintain relationships with office personnel. The position requires a Bachelor's Degree and offers opportunity for professional growth in a dynamic...
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Risk Manager
2 weeks ago
Detroit, Michigan, United States Henry Ford Health Full timeRisk Manager – Full Time Exempt - Day ShiftWill float between locations in Metro Detroit including but not limited to HF Warren, Madison Heights and Southfield with potential Ascension Medical Group coverage as neededGENERAL SUMMARYManages event and claim investigations, management and litigation across all coverage lines. Serves on the appropriate...
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Detroit, MI, United States Great Lakes Water Authority Full timeCompensation $75,801.78 - $137,018.33 (Based on Experience) Summary It's an exciting time to be at the Great Lakes Water Authority (GLWA)! GLWA employs hundreds of technical and administrative staff, all working to ensure effective wastewater treatment and to provide our award-winning drinking water to more than 80 wholesale customers in Michigan. We are...
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Detroit, MI, United States Great Lakes Water Authority Full timeCompensation $75,801.78 - $137,018.33 (Based on Experience) Summary It's an exciting time to be at the Great Lakes Water Authority (GLWA)! GLWA employs hundreds of technical and administrative staff, all working to ensure effective wastewater treatment and to provide our award-winning drinking water to more than 80 wholesale customers in Michigan. We are...
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Finance & Accounting Manager
2 weeks ago
Detroit, United States Detroit Staffing Full timeFinance & Accounting ManagerWe are seeking a highly skilled Finance & Accounting Manager to oversee the regional banking client's outsourced Finance & Accounting operations and ensure proper execution of our financial close, consolidation, and transactional processes. This role serves as the primary liaison between the banking client and Accenture, ensuring...
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Remote Healthcare Account Connector
3 weeks ago
Detroit, United States MLee Healthcare Staffing and Recruiting, Inc Full timeForge Your Own Path as a Remote Account Connector for Dynamic Healthcare Teams - Make Meaningful Connections from AfarOverview Imagine embarking on a career where you're not just filling a position, but shaping destinies. Each inquiry you make could be a breakthrough moment for a medical professional, transforming lives and propelling them into their ideal...
