Vice President, Chief Financial Officer CHRISTUS Networks
Company: CHRISTUS Health
Location: Irving
Posted on: January 26, 2023
Job Description:
Summary:
This position directs the fiscal functions of the CHRISTUS Networks
Division, which includes Health Plans and Population Health
(Accountable Care Organization and Clinically Integrated Network),
in accordance with generally accepted accounting principles issued
by the Financial Accounting Standards Board, the Securities and
Exchange Commission, State Department of Insurance other regulatory
and advisory organizations.
This position is responsible for making critical business judgments
and recommendations for existing and new business development in
the Medicare, Health Insurance Exchange, Uniformed Services Family
Health Plan, Nueces County Hospital District Indigent Care Program,
Medicare Shared Savings ACO, CIN Managed Care value-based care
agreements, and Third-Party Administration products. The incumbent
will lead and manage the finances of the organization in
collaboration with other health plan and population health
executives and report directly to the Senior Vice President,
Population Health and Health Plans. This position will provide
financial reports to the Health Plan Boards, ACO and CIN Boards,
and be responsible for reporting the financial position of the
company to external regulatory agencies. The position is
responsible for overseeing the actuarial and analytics functions of
the organization, including, but not limited to, the annual bid
process for applicable products, the financial analysis function,
and the annual budgeting process. Actuarial Services can be managed
through vendor relationships when needed and appropriate.
The incumbent must have a proven financial background with a deep
understanding of the managed care insurance business. The incumbent
must demonstrate an ability to think strategically while managing
both short-term and long-term goals. Strong communication skills
are required to communicate strategy to top-level executives while
also managing all levels of staff.
Education:
- Bachelor's degree in business or related field required.
- Master's degree in Business Administration, Mathematics or
related field preferred
- CPA preferred.
- Actuarial skills and background helpful.
Experience:
- Seven or more years of experience in health plan financial
management and/or actuarial function, with experience as a health
plan CFO Pricing or Actuary preferred. Managed care and/or Medicare
Advantage plan experience preferred.
- A strategic thinker and tactical executor who is able to move
an agenda from concept to reality and drives results and
organizational improvement through performance outcomes.
Skills:
- Works independently, accountable for decisions that impact the
entire business.
- Demonstrates strong interpersonal and project management
skills, with an aptitude for building high-performance,
cross-functional teams.
- Experience in fostering a culture of embracing new ideas.
- Has managed dynamic and differing needs, interests and
viewpoints of multiple stakeholders.
- Demonstrates a strong commitment to Health Plan's mission and
the people the company.
- Makes best use of resources and creating opportunities;
comfortable assessing and taking risks.
Major Responsibilities:
- Serves as corporate Officer for Health Plan entities in both
Texas and Louisiana with the respective Departments of
Insurance.
- Provides leadership for all health plan financial operations
(accounting, budgeting, finance, long range and capital planning,
financial reporting, actuarial functions).
- Provides leadership for health plan enrollment, eligibility and
billing operations, in coordination with departmental
management.
- Leads and directs actuarial function in annual bid preparation
process, risk management initiatives, and other ad-hoc analysis in
support of the strategic initiatives of the organization.
- Development and coordination of financial management systems
necessary to achieve health plan financial goals.
- Identifies opportunities for improvement and communicates these
to senior leadership.
- Accountable for the profitability of the health plans in
conjunction with the CEO and executive team.
- Develops and maintain effective relationships with key contacts
at applicable regulatory agencies; function as primary contact for
all financial related inquires, including, but not limited to state
Departments of Insurance, state Medicaid agencies, the Department
of Defense (DoD) and the Center for Medicare and Medicaid Services
(CMS).
- Plans and coordinates all aspects of health plans Finance
Committee meetings.
- Develops and presents financial reports as needed to present
financial results to key audiences (e.g. Boards, partners, CMS,
management, legislators).
- Participates on health plan's negotiating team for annual state
and federal contract renewal and interim rate increases; work with
Actuaries to develop appropriate rate proposals by category of
aid.
- Participates in contract negotiations related to regional
expansion.
- Creates cost benefit analyses to support business, including
but not limited to: provider rate negotiations, subcontractor rate
negotiations, financial proformas, and provider incentive
programs.
- Develops and administers health plan financial policies and
procedures.
- Coordinates preparation of monthly financial statements.
- Ensures required financial reports are filed with appropriate
state agencies in a timely, accurate manner.
- Provides support to external and internal auditors.
- Coordinates the approval and processing of operating expenses
in accordance with guidelines approved by Finance Committee.
- Establishes credibility throughout the organization with
management and the associates in order to be an effective listener
and problem solver of people issues.
- Develops specific and measurable performance standards for all
direct reports. Holds self and others accountable to goals and
standards of department and company.
- Guides and encourages career development, conducts timely
performance evaluations and provides open/ongoing constructive
feedback to all direct reports.
- Leads by example: Sets an example of personal performance,
which encourages excellence and integrity.
- Assists in the establishment and achievement of business
objectives for the area of responsibility based upon company's
overall strategic plan and operating goals.
- Maintains current knowledge of and applies all applicable
licensing, regulatory and industry standards. Keeps abreast of
current industry trends.
- Writes, speaks and presents clearly and concisely. Is
thoroughly prepared prior to beginning any negotiation or conflict
resolution process.
- Assess departments work quality and develops/implements process
improvements to improve and achieve regulatory and oversight
compliance
Keywords: CHRISTUS Health, Irving , Vice President, Chief Financial Officer CHRISTUS Networks, Accounting, Auditing , Irving, Texas
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