REMOTE - AVP, Market Finance - Tricare(Preferred Experience In Military & Managed Care) - R11323 jobs in United States
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CareSource · 3 days ago

REMOTE - AVP, Market Finance - Tricare(Preferred Experience In Military & Managed Care) - R11323

CareSource is seeking an AVP, Market Chief Financial Officer who will provide financial oversight, leadership, and strategic support to the region and corporate. The role involves ensuring accurate financial reporting, supporting business development, and collaborating with various departments to achieve financial targets.

Health CareMedicalNon Profit
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Comp. & Benefits
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H1B Sponsor Likelynote

Responsibilities

Provide timely, accurate comprehensive and transparent financial reporting including, but not limited to, operating statements, trend reports and key business reports as needed to region/market and corporate leadership
Assist growth and business development opportunities in existing/additional markets; work with appropriate region/market leadership to ensure reasonable assumptions are made around premium and claims for new markets or products
Provide strategic support to region/market/Senior leaders to establish/reach targets
Work with region/market leaders to prepare/present Monthly/Quarterly Business Review documents
Ability to act with diplomacy and sensitivity to drive favorable resolution to internal and external issues
Understand reimbursement methodologies impacting market products
Support monthly close process by providing journal entries, accruals and supporting analysis as needed; have region/market specific knowledge of trends/drivers to influence IBNR models
Drive QAI plan for region/market; responsible for coordinating with market/work stream leaders to identify, implement and measure QAI initiatives to exceed targets
Coordinate with department leaders on rate advocacy, revenue maximization efforts (risk adjustment and quality initiatives) and regarding pricing of Medicare, marketplace and other products as appropriate
Responsible for cost reports and other regulatory filing requirements, interact with regulatory agencies as needed
Support the annual budget and monthly/quarterly forecasting process for applicable region/market; provide necessary region/market specific data to ensure assumptions are reasonable
Support the strategic planning process by providing long term financial projections reflecting the assumptions outlined in the strategic plan
Provides insight into the risk sensitivity associated with the current and future business drivers
Coordinate and support independent financial accounting audits and other regulatory financial related audits
Utilize ad hoc and trending analysis – both proactively and as requested to identify drivers and mitigating QAI opportunities; modeling to support market specific contracting and enhancement initiatives; lead trend discussions with region/market leaders
Responsible for management of departmental staff and expense budget
Responsible for making staffing decisions
Develop, implement, and modify processes to ensure efficiency and effectiveness
Assess internal controls and make appropriate changes to ensure compliance with MAR, regulatory and other organization requirements
Perform any other job duties as requested

Qualification

Financial reportingManaged care experienceAccounting principlesBudget forecastingMicrosoft OfficeCertified Public AccountantLeadership skillsProblem solvingConflict resolutionDetail-oriented

Required

Bachelor's Degree in accounting, finance or related field or equivalent years of relevant work experience is required
A minimum of seven (7) years of experience in accounting/finance is required
Previous senior level management experience is required
Familiar with variety of financial analysis concepts, practices and procedures
Relies on extensive experienced and judgment to plan and accomplish goals
Familiar with variety of accounting concepts, practices and procedures
Intermediate proficiency level with Microsoft Office
Ability to interact and provide insight and guidance to region/market leadership as well as Executive leadership regarding financial and business matters
Ability to lead the region/market finance function as well as interact with external partners (including Regulators, Actuaries, providers and peer MCO's)
Ability to multitask and demonstrate flexibility in supporting several market leaders/business areas simultaneously
Ability to lead and direct the work of others including the development, motivation and rewarding of staff
Knowledgeable of internal control framework and ability to successfully perform and document owned internal controls
Decision making/problem solving skills
Critical listening and thinking skills analytical skills
Conflict resolution skills
Planning, problem identification and resolution skills
Detail-oriented

Preferred

Master of Business Administration (MBA) or equivalent graduate degree is preferred
Managed care or healthcare experience is preferred
Certified Public Accountant (CPA) or other equivalent certification is preferred

Benefits

You may qualify for a bonus tied to company and individual performance.
A substantial and comprehensive total rewards package.

Company

CareSource

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CareSource provides managed care services to Medicaid beneficiaries.

H1B Sponsorship

CareSource has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (30)
2024 (39)
2023 (35)
2022 (21)
2021 (37)
2020 (28)

Funding

Current Stage
Late Stage

Leadership Team

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Erhardt Preitauer
President & Chief Executive Officer
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Larry Smart
Chief Financial Officer
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Company data provided by crunchbase