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Summary of Position
Oversee accounting and analysis functions for premium revenue and medical expense. Ensure that the monthly close for EmblemHealth is performed timely, accurately and in accordance with generally accepted accounting principles (GAAP). Review and approve journal entries, account reconciliations and other analyses. Participate in the development and enhancement of internal controls over financial reporting and process improvements to streamline the monthly close process
Responsibilities:
* Manage the monthly premium revenue, medical expense and ASO accounting close processes.
* Ensure that journal entries, account reconciliations and other analyses are prepared in a complete, accurate and timely manner and that financial information is recorded in accordance with GAAP.
* Identify and implement process improvements to achieve an 8-business day close and to ensure compliance with corporate policy and MAR controls.
* Streamline the close process through automation to eliminate manual processes and improve efficiencies.
* Partner with other corporate groups to identify and implement “best practices” in accounting, reporting and financial controls.
* Train, mentor and support staff to ensure they possess the appropriate understanding of underlying transactions for journal entries recorded/accounts reconciled.
* Realign responsibilities and cross-training to address close-critical bottlenecks.
* Implement programs to enhance staff’s skillsets and to further their professional development
* Coordinate several close processes and the review of financial results with various other departments within the organization, including Billing, Membership, Treasury, Government Programs, Accounts Payable, Underwriting Account Management and Budget Financial Analytics.
* Collaborate with other corporate groups and serve as the Finance Liaison on all system initiatives involving premium revenue and medical expense.
* Improve the accuracy and granularity of financial data in the general ledger to enhance analytics and reporting directly with Billing, Underwriting/Account Management, Budget Financial Analytics and IT.
* Participate as a member in work groups to assess changes in health care reform and other regulations and the impact on systems and reporting processes.
* Provide supporting financial analysis and other documentation to internal business partners.
* Prepare documentation in support of financial statements for internal and external auditors, as well as for CMS, DOH and DFS audits.
Qualifications:
* Bachelor’s degree in Accounting; MBA/MSA (preferred)
* CPA (preferred)
Relevant Work Experience, Knowledge, Skills, and Abilities:
* 5 – 8+ years of relevant, professional experience in finance and accounting environment (required)
* 2 years of experience in public accounting (preferred)
* Supervisory/managerial experience (staff/processes) (required)
* Accounting experience in the healthcare industry (required)
* Proficiency in MS Office (Word, Excel, Access, PowerPoint, Outlook, Teams) (required)
* Experience with Oracle Cloud or similar financial software (required)
* Excellent communication skills (verbal, written, presentation, interpersonal) (required)
* Strong understanding of GAAP. (required)
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