Fidelis Care - New York · 1 day ago
Healthcare Supervisor, Finance - Regulatory Cost Reporting
United States
Full-time
Remote
Mid, Senior Level
$70K/yr - $126K/yr
2+ years expFidelis Care is transforming the health of communities and is seeking a Healthcare Supervisor for their Finance team. The role involves supervising the cost reporting team, providing mentorship and guidance while focusing on healthcare finance and regulatory reporting.
AssociationCommunitiesHealth CareInsurance
Responsibilities
Supervise the cost reporting team, providing guidance, mentorship, development
Familiarity with New York State cost reports such as MMCOR, MLTCOR, MAPOR, EPPOR, and related CMS or state regulatory filings
Understanding of Medicaid/Medicare payment structures, premium groups, regions, category-of-service mapping, and encounter vs. financial claim alignment
Strong knowledge of accrual accounting, revenue/expense recognition, medical loss ratios, IBNR concepts, and variance/root cause analysis
Ability to review and validate financial data, perform reconciliations, and ensure accuracy prior to submissions
Advanced Excel skills, including pivots, lookups, complex formulas, and data quality checks
Ability to work with large datasets (multiple regions, premium groups, and cost categories)
Experience owning recurring monthly/quarterly finance deliverables with strict deadlines
Ability to create workflows, improve processes, and ensure completeness and accuracy of reporting
Understanding of Medicaid managed care, MLTC, MAP, Medicare Advantage, and cost-sharing arrangements
Knowledge of utilization, claims, member-months, and how they relate to cost reporting
Experience supervising or mentoring staff, reviewing work for accuracy, and providing feedback
Ability to escalate issues, interpret state guidance, and ensure the team follows reporting instructions correctly
Qualification
Required
Strong foundational background in healthcare finance, with an emphasis on regulatory reporting and data-driven analysis
Familiarity with New York State cost reports such as MMCOR, MLTCOR, MAPOR, EPPOR, and related CMS or state regulatory filings
Understanding of Medicaid/Medicare payment structures, premium groups, regions, category-of-service mapping, and encounter vs. financial claim alignment
Strong knowledge of accrual accounting, revenue/expense recognition, medical loss ratios, IBNR concepts, and variance/root cause analysis
Ability to review and validate financial data, perform reconciliations, and ensure accuracy prior to submissions
Advanced Excel skills, including pivots, lookups, complex formulas, and data quality checks
Ability to work with large datasets (multiple regions, premium groups, and cost categories)
Experience owning recurring monthly/quarterly finance deliverables with strict deadlines
Ability to create workflows, improve processes, and ensure completeness and accuracy of reporting
Understanding of Medicaid managed care, MLTC, MAP, Medicare Advantage, and cost-sharing arrangements
Knowledge of utilization, claims, member-months, and how they relate to cost reporting
Experience supervising or mentoring staff, reviewing work for accuracy, and providing feedback
Ability to escalate issues, interpret state guidance, and ensure the team follows reporting instructions correctly
Associates degree or equivalent work experience
Minimum two years applicable work experience in a related environment with minimum one year experience in a supervisor/manager capacity
Preferred
Specialized training in specific area of responsibility is helpful
Benefits
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
A flexible approach to work with remote, hybrid, field or office work schedules
Company
Fidelis Care - New York
Fidelis Care - New York is proud to provide quality, affordable health coverage for more than 2 million members, at all stages of life.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2017-09-13Acquired
Leadership Team
Thomas Halloran
EVP & CFO
Andi Gillentine
Plan Chief Operating Officer
Recent News
Rochester Business Journal
2025-11-29
2025-11-08
Central New York Business Journal
2025-11-06
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