Senior Accountant – Statutory

Role Overview

• Performs a wide range of professional accounting functions in accordance with Generally Accepted Accounting Principles (GAAP) and Statutory Accounting Principles (SAP) to support the month-end financial statement process of Peak Health entities.
• Completes documentation and schedules during month-end, budget preparation, and external audit.
• Prepare quarterly and annual statutory reporting, filings, and compliance tasks.
• Provides financial guidance to department managers to help control costs and provide organization-wide efficiencies.
• Aid in the planning and build out of statutory quarterly and annual financial statements.
• This may include the coordination and preparation of all footnote disclosures, management discussion and analysis, and internal controls.
• Tracking, managing, and submitting all U.S. (State based and NAIC) Finance related regulatory fees and filings.
• Making, recording, and reconciling government business capitated payments.
• Prepare and file State-Specific Finance Forms and supplements including various schedules.
• Monitor due dates and ensure timely compliance with state filing deadlines pertaining to Finance filings.
• Track and submit renewals, fees, and changes in company information to each state regulator.
• Coordinate with regulatory reporting function to ensure Finance accountabilities align with overall regulatory filing calendar.
• Corresponding with regulators proactively as needed.
• Partner with applicable parties to ensure proper support of general ledger data/applications supporting external statutory accounting and financial reporting.
• Reconcile and explain GAAP vs STAT differences, particularly in areas like loss reserves and premium recognition.
• Manage risk-based capital (RBC) calculations, asset admissibility, and premium deficiency testing.
• Oversee reinsurance accounting, including ceded/assumed premiums and recoverables.
• Support loss reserve development, including IBNR estimation and actuarial collaboration.
• Respond to state regulatory inquiries to support routine financial inquiries.
• Analyze underwriting results and trends impacting statutory profitability.
• Reconcile cash accounts associated with claim disbursements associated with government products.
• Accountable for ensuring governmental products premium billing process is accurate.
• Reconciling Medicare Advantage Prescription Drug payable and receivables, including cost sharing programs and rebates.
• Assist in accounting and treasury management of the investment portfolio.
• Coordinate with the tax department in accounting for and transacting various regulatory taxes.
• Supporting the accounting classification of expenses between Medical and Administrative.
• Supporting the development of regulatory rate setting, by assisting in the provision of administrative expense actual and projections.
• Support the filing of various regulatory financial schedules and attestations, including but not limited to MLR filings, Medicare DIR filings, etc.
• Coordinate with the Actuarial and Operational Analytic functions to maintain risk adjustment accruals.
• Develop strong relationships with Department managers to help coordinate and monitor financial controls over the organization’s cost centers according to approved budget guidelines.
• Coordinate accounting and financial processes to maximize efficiency in the daily accounting operations. Ensure that internal control measures are being followed.
• Maintain general ledgers to complete and submit accurate financial data during month-end process according to predetermined deadlines.
• Lead and coordinate month end variance analysis.
• Oversee and review month end general ledger reconciliations.
• Directly supervise the work and development of assigned Accounting Department staff.
• Coordinate other staff duties to accomplish department goals and objectives. Delegate projects/duties, as necessary.
• Develop and submit analytical financial data as needed by department director/manager.
• Assist in completing and compiling financial support documentation for budget and external audit purposes.
• Assist in coordination of the budget and external audit review.
• Train new personnel and monitor their progress.
• Participate in educational opportunities as provided by Peak Health to enhance skill related abilities.
• Complete other duties as assigned by manager.
• Support performance improvement and quality assurance initiatives.

Requirements

• Bachelor’s degree in accounting or related field.
• Five years’ of insurance accounting experience.
• Five years’ Health Insurance Accounting experience required, preferably with experience directly in Medicare Advantage or Medicaid.
• Statutory regulatory accounting experience highly preferred.