Manager, Health Plan Finance Operations

Role Overview

• Oversee the day-to-day operations of the AP and AR/Premium Billing functions.
• Manage and develop a team, providing guidance, training, and performance feedback to ensure departmental goals are met.
• Oversee all accounts payable processes, including vendor invoice processing, provider claims payment processing, and commission payments, ensuring accuracy and timeliness.
• Drive enhancements to the AP/invoicing platform to increase efficiency and improve the customer experience.
• Own and manage the entire member/group premium billing cycle, including invoicing, collections, cash posting, and reconciliations.
• Oversee the application of payments from various sources (lockbox, EFT, member portal), ensuring accuracy and timeliness.
• Manage the collections process for outstanding receivables, including the relationship with the collection agency.
• Identify opportunities for process improvements and workflow automation within the AP and AR cycles.
• Serve as the business lead for system enhancements, including performing User Acceptance Testing (UAT).
• Ensure compliance with all relevant regulations, including CMS, State DOI, and HIPAA.
• Serve as the subject matter expert and business owner for all audits (Financial, SOX, State, Federal) related to AP and AR/Premium Billing, including managing evidence requests.

Requirements

• Bachelor’s degree in Finance, Accounting, or a related field.
• 7+ years of progressive experience in finance or accounting, including management experience.
• Strong leadership skills and demonstrated success in leading, developing, and managing a team.
• Excellent database skills and financial modeling experience.
• Strong analytical, quantitative, and problem-solving skills.
• Advanced proficiency in Microsoft Office Suite, particularly Excel, PowerPoint, and Access.
• Ability to work in a fast-paced, high-pressure environment.
• Exceptional ability to communicate effectively, both verbally and in writing, with all levels of the organization.
• Self-starter with the ability to work independently and as part of a team.
• MBA.
• Previous experience with financial analysis in the technology industry.
• Previous experience in a high-visibility role.

Benefits

• Medical, Vision and Dental Plans
• Tax-Advantage Savings Accounts (FSA & HSA)
• Life Insurance and Disability Insurance
• Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)
• Employee Assistance Program
• 401k with company match
• Employee Resource Groups
• Employee Discount Program
• Learning and Development Opportunities