Job DescriptionThe Financial Operations Manager is responsible for understanding the financial operations of the TPA including collections, cash application, and finance business systems and support including workflow, processes, related systems, and procedures.
- Responsible for overall disbursements function including financial and operational reconciliation, provider payment releases and inquiries
- Relationship owner and subject matter expert for provider check and EFT payment platforms, inclusive of inventory reporting and oversight of file transmission.
- Ensure the proper transfer of cash/payables data to the general ledger.
- Ownership of Accounts Receivable reconciliation, maintenance, support, and reporting to internal business partners.
- Must be able to identify customer focused process improvement opportunities, system inconsistencies, assess root cause issues, apply business solutions and facilitate training opportunities.
- Acts as a business consultant and partner with internal and external customers to maintain workflow controls and consistency.
- Consults with management regarding business solutions to streamline processes and reduce adverse impact to customers.
- Oversees the design, development and implementation of complex business needs and has overall project management responsibilities.
- Acts as liaison with Accounting to ensure accurate financial reporting
Qualifications - Bachelor's Degree in Business, Finance, Accounting, or related field
- Eight or more years of related experience to include working in a health insurance or comparable industry (size and complexity) in a finance or related function.
- Demonstrated ability to define complex business issues and determine "best fit" solutions. Demonstrated effective project management skills necessary.
- Experience integrating new systems and managing system implementation processes.
- Proven ability to analyze trends and compile detailed financial and operational reporting to support business needs.
- Proven ability to build successful teams, develop and establish strategic direction, promote adoption and execution of the vision.
- Proven ability to participate in departmental knowledge transfer activities and facilitating/delivering training and cross-training opportunities.
- Working knowledge of Web based applications, including PeopleSoft preferred.
- High proficiency with Microsoft Excel, Word, and Outlook.
