Gainwell Technologies Hiring for Finance Manager (Reno, NV) Job at Reno, NV Full Time

The Finance Manager will be responsible for overseeing the day-to-day operations of the Finance team for Nevada Medicaid. In addition to the responsibilities of a people leader, this person will manage to the desired outcomes of the team ensuring Gainwell is meeting the fiscal contract requirements while making sure team activities are cost-effective and high-quality.

Basic Qualifications & Experience

• Bachelor’s degree in business administration, finance, accounting, or related field preferred.
• Three or more years of leadership / supervisory experience.
• Demonstrated understanding of the fiscal components of claims processing including adjudication, adjustments, and provider payment.
• Minimum of five (5) years’ experience with Medicaid in a public or private setting.
• Working knowledge of HIPAA requirements and appropriate processes for handling Personal Health Information (PHI).
• Demonstrated analytical capabilities with experience in Microsoft Excel, MS PowerPoint, and MS Word skills.

Skills

• Advanced interpersonal communication skills to effectively train, support, and collaborate productively with key stakeholders at all levels.
• Ability to apply advanced problem-resolution skills to highly complex issues, quickly diagnose problems, and develop, test, and implement appropriate and practical solutions on time.
• Effective documentation, written and verbal communications skills to convey complex information in a specific, clear, and concise manner.
• Advanced organizational and project management skills and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.
• Self-starter and solutions oriented.
• Outstanding relationship-building and employee coaching and development skills.
• Comfortable working with a remote team.
• Excellent computer skills in a Microsoft Windows environment including intermediate or better Microsoft Excel skills.

Primary duties include but are not limited to:

• Responsible for fiscal aspects of the contract including, cost containment, third party liability and subrogation collections/reconciliations, oversight of claims payments, preparation, and analysis of various fiscal reports.
• Serves as Gainwell’s primary point of contact for fiscal matters with the Nevada Department of Health and Human Services, Division of Health Care Financing and Policy.
• Hire, train, coach, lead and evaluate Finance Analysts as required to meet all productivity, quality, and customer service expectations. Take corrective action as needed.
• Conduct monthly reviews with staff members to review quality, production, attendance, and behavior status based on the KPI guidelines.
• Lead, manage, and guide analysts to exercise initiative and judgment in solving common issues and complex business/technical issues within established policies.
• Manage complex relationships to ensure good client relations.
• Ensure audit checks are performed on client invoices. Work with Gainwell Account Business Managers to ensure all invoicing risks are being communicated.
• Manage the preparation and maintenance of reports necessary to carry out the functions of the department. Prepares periodic reports (KPI’s) for management, as necessary or requested, to track strategic goal accomplishment.
• Provides guidance on process improvements and recommends changes in alignment with business tactics and strategy for area of responsibility.
• Develops and produces systems and process improvements for invoicing and reconciliation transactions.

Work Environment

• Office environment in Reno, NV (once COVID restrictions are lifted)