Pace of Southwest Michigan Hiring for Manager of Finance at St Joseph, Michigan, United States, 49085 Full Time

Manager of Finance

Status : Exempt

Type of Position : Full Time

Salary Range : Based on Experience

Reports To : Director of Finance

Job Summary

Responsible for maintaining accounting records and ensuring the timely, accurate and complete reporting of financial data and health plan operations at PACE of Southwest Michigan.

Specifications

Education : Bachelor’s degree in Accounting / Finance / Business required or equivalent with a minimum of five (5) years previous financial experience.

Experience : Previous health care experience and Medicaid / Medicare coding / billing / reporting knowledge preferred

Number / Type of Employees Supervised : Procurement Analyst, Contract Specialist, Claims Specialist.

Licensure, Registry, or Certification Required : CPR training will be required.

Special Training : Only acts within scope of practice. Meet a standardized set of orientation and / or individual competencies for the specific position description established by PACE of Southwest Michigan and approved by CMS before working independently.

Immunizations : Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.

Specific Requirements and Considerations : May be subject to exposure and handling of infectious waste, diseases, conditions, or hazardous chemicals, etc.

including potential exposure to TB, AIDS, and / or Hepatitis B.

Ages of Patients Rendered Care : Adult, Geriatric

Key Responsibilities

Oversight and guidance of finance operations as it relates to contracts, inventory / procurement, medical claims processing and accounts payable.

INVENTORY / PROCUREMENT :

• Supervise and Train Procurement Analyst as they navigate the process of receiving orders, placing orders, tracking of product, receipt of product and documentation.
• Create and oversee new inventory process and procedure for tracking.
• Oversee catalog implementation.
• Month end reports to document activity in procurement.
• Tracking and organization of inventory ordered by Procurement Analyst as it pertains to the clinic, therapy, and oxygen storage room.
• Identifies areas of improvement and implements efficiency.
• Back-up for Procurement Analyst.

CLAIMS MANAGEMENT :

• Implement process procedures for claims processing.
• Manually upload spreadsheets for manual claims to TPA (Peak).
• Track claims submitted by vendors and assure payment in a timely manner.
• Analyze potential issues with claims and find resolution.
• Process weekly pend list including any authorization research needed.
• Approve and submit Pre-check received by TPA (Peak).
• Upload weekly authorization manifest to SFTP site for TPA (Peak).
• Post month end claims accrual.

CONTRACTS :

• Supervise and Train Contract Specialist as they navigate the process of creating, collecting data, and processing contracts.
• Coordinate and oversee the processing of all payer contracts and amendments.
• Negotiate Single-Case agreements when necessary.
• Develops and maintain contracting decision making and tracking tools.
• Re-negotiate contracts with suppliers to produce better savings and further value for spend.
• Back-up for Contract Specialist.

ADDITIONAL ACCOUNTING DUTIES :

• Create and maintain process procedures for finance department.
• Track and post monthly prepaids and accruals
• Reconcile employee benefit plans monthly.
• Complete and post various monthly journal entries
• Maintain and reconcile fixed asset lapse schedules
• Maintain debt amortization schedules
• Responsible for maintaining the corporate credit cards and prepare the monthly statement reconciliation
• Assist in creating custom financial reports and analysis, as needed
• Prepare annual 1099s and 1096
• Assist during annual financial audit
• Assist with preparation of the annual budget
• Responsible for various data compliance and reporting with outside agencies
• Participate in various quality improvement initiatives
• Abides by all established PACE of Southwest Michigan policies, rules and regulations
• All other duties as assigned

Skills and Knowledge

• Proficient in data management systems
• Advanced user of MS Excel for spreadsheet analytics
• Proficient in Microsoft Outlook and Word.
• Excellent attention to detail.
• Excellent organizational skills.
• Excellent verbal and written communication skills.
• Knowledge of principles of accounting / finance.
• Self-directed analytical and problem-solving skills.
• Ability to work a flexible work schedule.
• Exceptional interpersonal skills.

PM20

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk and hear. The employee frequently is required to sit and use hands and fingers, handle or feel objects, tools or controls.

The employee is occasionally required to stand and walk.

The employee must be able to travel in all kinds of weather.

While performing the duties of this job, the employee is required to frequently move up to 50 pounds and perform physical demands expected while providing medical care for an elderly population.

Specific vision abilities required by this job include close vision, distance vision and the ability to focus.

Every effort has been made to identify the essential functions of this position. However, this in no way states or implies that these are the only duties you will be required to perform.

The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

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