at Highmark Health in Dover, Delaware, United States
Job Description :
This job oversees the financial accounting and reporting activities for the Organization and certain subsidiaries in accordance with Generally Accepted Accounting Principles in the United States of America (GAAP) and Statutory Accounting Principles (SAP). The Organization, an integrated delivery and financing system, consists of insurance operations, provider operations and business platform/IT services. Accountabilities include directing the accounting and reporting department which is responsible for the internal and external financial statement compilation process, maintenance of general ledgers, operational accounting, research and implementation of applicable GAAP and SAP technical guidance and communicating implications of guidance to senior management. The incumbent leads various direct and indirect reports consisting of accounting and reporting managers, as well as lead and senior accountants and analysts that comprise the accounting and reporting department.
+ Perform 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. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
+ Direct the monthly financial close processes, supporting finance departments such as FP&A, treasury, cost accounting, tax, actuaries and subsidiary/affiliate finance units.
+ Timely and accurate issuance of various audited financial statements, board financial statements, debt holder filings and insurance department filings for the Organization and various subsidiaries. Coordinate external audit process/activities with external auditors. External auditors include Commonwealth of Pennsylvania & other State Insurance Department auditors, various government program auditors, the Organization’s external CPA auditors, and Blue Cross Blue Shield Association auditors. Ensures that financial information is presentable for the auditors and be available for explanations and questions.
+ Effectively develop financial accounting policies and direct the financial accounting functions of the Organization and assigned subsidiaries. Accountable for the general ledger of the Organization and assigned subsidiaries. This includes but is not limited to review of the general ledger activity, active monitoring of the general ledger rolling reports as well as maintenance/deployment of the general ledger, consolidation tools, data repositories and reconciliation tools.
+ Responsible for the proper recording and maintenance of accounting records in accordance with GAAP and SAP. This includes but is not limited to active monitoring/review of the general ledger activity, analysis and investigation of fluctuations, trends and account balances, including significant financial statement line items such as premium revenue, net patient service revenue and claims.
+ Stay abreast of new accounting pronouncements that impact the Organization’s business lines and advise senior management of their impact to the organization. Direct the adoption of the new guidance, periodically in conjunction with the impacted finance or business areas. Communication of Accounting Updates and/or Financial Statement presentations to Audit Committees or Board of Directors charged with governance for assigned companies. Responsible for explaining accounting positions, new accounting guidance and their impact to the organization, required financial statement disclosures and financial results.
+ Direct the Medical Loss Ratio forecasting and reporting activates in compliance with HHS regulations for applicable entities. Ensures the organization is compliance with other required Healthcare Reform filing and regulation requirements such as reinsurance contributions, Risk Corridor Calculations, etc. Responsible for monitoring and forecasting of Risk Based Capital for the Organization & insurance subsidiaries.
+ Other duties as assigned or requested.
+ Bachelor’s Degree in Accounting, Finance or related field
+ Master’s Degree in Business Administration
+ 7 years in Finance or Accounting field
+ 7 years of broad-based technical background in financial concepts
+ 7 years of Generally Accepted Accounting Principles, accounting practices and controls, corporate tax regulations
+ 5 years of Big 4 Public Accounting experience or comparable experience with large regional CPA Firm, preferably in the insurance or healthcare industry
+ 5 years in accounting for insurance or provider entities
+ 5 years in financial accounting consolidation practices
+ 3 years with computerized accounting systems (e.g. SAP, PeopleSoft) & consolidation packages (e.g. Hyperion)
LICENSES or CERTIFICATIONS
+ Certified Public Accountant (CPA)
+ Strong technical abilities and must be able to interpret and clearly understand authoritative accounting guidance
+ Proven leadership skills – ability to motivate others to quickly achieve results in a matrixed environment
+ Uses knowledge of industry and market trends to develop and champion long-term strategies
+ Demonstrates the ability to effectively persuade others to listen, commit, and act on a new approach
+ Self-confident with an ability to accept and respond to challenges in a positive manner. Strong and effective verbal and written communication skills
+ Strong and effective verbal and written communication skills
+ Effectively presents complex topics in a concise manner to audiences at various levels and in various sizes
+ Broad understanding of business issues, metrics, organizational linkages and customer value
+ Successful experience in achieving results through people in a complex environment
+ Strong organizational and analytical skills in addition to project leadership and management skills
Language (Other than English)
0% – 25%
PHYSICAL, MENTAL AND WORKING CONDITIONS
Teaches / trains others regularly
Travel regularly from the office to various work sites or from site-to-site
Works primarily out-of-the office selling products/services (sales employees)
Physical work site required
Lifting: up to 10 pounds
Lifting: 10 to 25 pounds
Lifting: 25 to 50 pounds
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
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