Chief Financial Officer

7 days ago

Smithfield, Rhode Island, United States Neighborhood Health Plan of RI Full time
Job Title: Vice President of Finance

Neighborhood Health Plan of Rhode Island is seeking a highly experienced and skilled Vice President of Finance to join our team. As a key member of our executive leadership team, you will be responsible for leading our financial operations and ensuring the accuracy and integrity of all financial analysis and operations.

Key Responsibilities:

  • Maintain sound, transparent budgeting, forecasting, and monitoring practices to identify opportunities for revenue optimization and medical and administrative expense management.
  • Oversee all financial analysis and operations activities to ensure company compliance with federal and state regulatory agencies.
  • Develop and execute financial strategies, overseeing all budgeting activities, and ensuring company compliance with federal and state regulatory agencies.
  • Serve as the company liaison and lead person responsible for activities with external business partners, including The Executive Office of Health and Human Services (EOHHS), Office of the Health Insurance Commissioner (OHIC), Centers for Medicare and Medicaid (CMS), Department of Business Regulations (DBR), and independent Auditors and Actuaries.
  • Oversee and have management responsibility for coordinating actuarial services, including services required to obtain both the annual Actuarial Opinion and Actuarial Memorandum.
  • Oversee and have management responsibility for all regulatory reporting requirements and audits, including external reporting to the National Association of Insurance Commissioners (NAIC), CMS, the DBR, and EOHHS, and the annual financial audit, including audited financials and the DBR and CMS audits.
  • Oversee and have management responsibility for the company's Accountable Entity (AE) Program, including Total Cost of Care (TCOC) development, all analysis related to trend, comparisons, and performance analysis to other AE and Non-AE entities.
  • Oversee and have management responsibility for revenue recognition for the company, including the validation of revenue received from external sources to internal systems in collaboration with internal stakeholders, Product VPs, and Operations.
  • Oversee and have management responsibility for the company's tax filings, including the preparation of the annual 990 Tax Return in accordance with Internal Revenue Service guidelines.
  • Oversee and have management responsibility for the company's financial operations, including accounts payable, accounts receivable, payroll, and cash and investment management.
  • Serve as a member of the Enterprise Initiative Governance Committee, responsible for the prioritization and implementation of operational improvements and projects, and regular review of the IT Strategic Plan.
  • Corporate Compliance Responsibility: As an essential function, responsible for complying with Neighborhood's Corporate Compliance Program, Standards of Business Conduct, applicable contracts, laws, rules, and regulations, policies, and procedures as it applies to individual job duties, the department, and the Company.

Qualifications:

  • Excellent and extensive senior-level financial and general management experience with significant leadership and supervisory experience.
  • Ten (10) years progressively increasing senior-level performance within a managed care environment or in a high-profile financial position at a well-respected organization or minimum of six (6) years progressively increasing senior-level performance within a managed care environment or in a high-profile financial position at a well-respected organization with a Certified Public Accountant (CPA) certification.
  • Bachelor's degree in Accounting, Finance, or related field of study from an accredited institution.
  • Demonstrated ability to be an effective change agent, with experience leading an organization through growth or transition.
  • Ability to influence strategic business decisions by providing financial guidance to enterprise committees and projects.
  • An understanding of the dynamic nature of the current health care industry, and how changes in federal and state policy and regulation impact Neighborhood.
  • A hands-on, unpretentious style with the ability to build and maintain relationships quickly and naturally, and thrive on working with all functional groups within the organization in a highly visible role.
  • Experience working with Medicaid and Medicare funding as well as Commercial Products.
  • Exceptional organizational management, leadership, and development skills, problem-solving, planning, priority setting, and interdepartmental program implementation.
  • The ability to think strategically in order to position Neighborhood for future growth.
  • Broad-based technical background in financial concepts, including thorough knowledge of generally accepted accounting principles, insurance industry accounting practices, and controls.
  • Proficient written and verbal communication skills.
  • Ability to lead, coach, develop, and mentor all associates throughout the organization.

Preferred Qualifications:

  • MBA
  • Certified Public Accountant (CPA) certification

FDR Oversight:

  • Senior Leadership Level:

Assures effective oversight and monitoring of the performance of all applicable First Tier, Downstream, and Related Entities (FDR) so that the services being provided are consistent with all contractual and legal requirements as well as company policies and procedures.

Neighborhood Health Plan of Rhode Island is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

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