Director Market Segment Finance - Medicaid

Job ID: J142736
Company: Highmark Inc
Location: Pittsburgh, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: Mar 14, 2019

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Description

General Overview:

This job is responsible for oversight of the financial operations of a business segment within the company and support of the direct operating expense oversight of the department.  Appraises operating results in terms of costs, budgets, operational policies, trends and increased profit opportunities.  Partners with segment and matrix partner leaders to drive achievement of current year and multi-year financial commitments.

Essential Job Functions:

  • Performs management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.
  • Plans, organizes, staffs, directs and controls the day-to-day operations of the department; develops and implements policies and programs as necessary; may have budgetary responsibility and authority.
  • Functions as a member of the team responsible for developing vision and strategy.  Provides detailed guidance on the preparation of all financial components of the strategic plans across the business segment.  Oversees communication of strategy and vision to management and staff and to representatives of the company.
  • Accountable for activities required to maintain financial records, the preparation of financial statements, the preparation of Board of Director statements, and the preparation of statutory reports for submission to the Department of Insurance in various states. 
  • Leads the business segment department operating expense oversight, including maintenance of budget development processes and assessment of operating effectiveness with respect to current and multi-year financial performance targets.
  • Oversees the detailed, multi-year earnings improvement initiatives under the direct and indirect control of the segment leadership, including measurable initiatives across all Profit & Loss (P&L) categories.
  • Partners with actuarial functions, enabling effective product pricing, in-year claim analysis, and incurred but not recorded reserve decision making.
  • Oversees compliance matters including product filings, resolution of regulatory issues, responses to regulatory inquires, for a variety of products and programs marketed across the United States.  Provides counseling/advice with respect to regulatory developments in the external environment, product development issues, and the interpretation and administration of Commercial Markets products.
  • Provides oversight of the business segments initiatives, ensuring that initiative business cases are thoroughly documented and that measurable success criteria are contemplated in current and multi-year budgets, projections, etc.
  • Other duties as assigned or requested.

Minimum Qualifications:

  • Bachelor's Degree- Finance, Accounting or other related field.
  • 7+ years' progressive management experience in finance or accounting.

Preferred Qualifications:

  • Healthcare Payer Sector experience.
  • CPA Licensure
  • Medicaid experience
  • Financial Modelling experience
  • P&L support experience

Knowledge, Skills & Abilities:

  • Ability to analyze financial results and to comprehend complex rating structures impacting financial results and used for financial forecasting
  • Effectively interact with all levels of management, which includes strong written and verbal communication skills and the ability to concisely explain financial principles and practices
  • Must be detail-oriented and possess strong organizational and analytical skills
  • Ability to work in a matrixed organization/environment

Summary

This job is responsible for oversight of the financial operations of a business segment within the company and support of the direct operating expense oversight of the department. Appraises operating results in terms of costs, budgets, operational policies, trends and increased profit opportunities. Partners with segment and matrix partner leaders to drive achievement of current year and multi-year financial commitments.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf)
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please call HR Services at 844-242-HR4U or visit HR Services Online at HRServices@highmarkhealth.org

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