Job Summary:
The AVP, Market Chief Financial Officer provides financial oversight, leadership and support to the region/market/corporate; ensures the department proactively collaborates with other departments within the organization; and provides strategic/tactical support to region/market leaders to reach targets.
Essential Functions:
- Provide timely, accurate comprehensive and transparent financial reporting including, but not limited to, operating statements, trend reports and key business reports as needed to region/market and corporate leadership
- Assist growth and business development opportunities in existing/additional markets; work with appropriate region/market leadership to ensure reasonable assumptions are made around premium and claims for new markets or products
- Provide strategic support to region/market/Senior leaders to establish/reach targets
- Work with region/market leaders to prepare/present Monthly/Quarterly Business Review documents
- Ability to act with diplomacy and sensitivity to drive favorable resolution to internal and external issues
- Understand reimbursement methodologies impacting market products
- Support monthly close process by providing journal entries, accruals and supporting analysis as needed; have region/market specific knowledge of trends/drivers to influence IBNR models.
- Drive QAI plan for region/market; responsible for coordinating with market/work stream leaders to identify, implement and measure QAI initiatives to exceed targets
- Coordinate with department leaders on rate advocacy, revenue maximization efforts (risk adjustment and quality initiatives) and regarding pricing of Medicare, marketplace and other products as appropriate
- Responsible for cost reports and other regulatory filing requirements, interact with regulatory agencies as needed
- Support the annual budget and monthly/quarterly forecasting process for applicable region/market; provide necessary region/market specific data to ensure assumptions are reasonable
- Support the strategic planning process by providing long term financial projections reflecting the assumptions outlined in the strategic plan
- Provides insight into the risk sensitivity associated with the current and future business drivers
- Coordinate and support independent financial accounting audits and other regulatory financial related audits
- Utilize ad hoc and trending analysis – both proactively and as requested to identify drivers and mitigating QAI opportunities; modeling to support market specific contracting and enhancement initiatives; lead trend discussions with region/market leaders
- Responsible for management of departmental staff and expense budget
- Responsible for making staffing decisions
- Develop, implement, and modify processes to ensure efficiency and effectiveness
- Assess internal controls and make appropriate changes to ensure compliance with MAR, regulatory and other organization requirements
- Perform any other job duties as requested
Education and Experience:
- Bachelor’s Degree in accounting, finance or related field or equivalent years of relevant work experience is required
- Master of Business Administration (MBA) or equivalent graduate degree is preferred
- A minimum of seven (7) years of experience in accounting/finance is required
- Previous senior level management experience is required
- Managed care or healthcare experience is preferred
Competencies, Knowledge and Skills:
- Familiar with variety of financial analysis concepts, practices and procedures
- Relies on extensive experienced and judgment to plan and accomplish goals
- Familiar with variety of accounting concepts, practices and procedures
- Intermediate proficiency level with Microsoft Office
- Ability to interact and provide insight and guidance to region/market leadership as well as Executive leadership regarding financial and business matters.
- Ability to lead the region/market finance function as well as interact with external partners (including Regulators, Actuaries, providers and peer MCO’s)
- Ability to multitask and demonstrate flexibility in supporting several market leaders/business areas simultaneously
- Ability to lead and direct the work of others including the development, motivation and rewarding of staff
- Knowledgeable of internal control framework and ability to successfully perform and document owned internal controls.
- Decision making/problem solving skills
- Critical listening and thinking skills analytical skills
- Conflict resolution skills
- Planning, problem identification and resolution skills
- Detail-oriented
Licensure and Certification:
- Certified Public Accountant (CPA) or other equivalent certification is preferred
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
- May be required to travel occasionally
Compensation range $150,000-$300,000. CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
SalaryOrganization Level Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Energize and Inspire the Organization
Influence Others
Pursue Personal Excellence
Understand the Business
Brand=ElderServe
Skills Required
- Must live in New York
- Bachelor's degree in accounting, finance or related field (or equivalent experience)
- Minimum seven (7) years experience in accounting/finance
- Previous senior level management experience
- Familiarity with financial analysis concepts, accounting practices and procedures
- Intermediate proficiency with Microsoft Office
- Ability to manage departmental staff and expense budget and make staffing decisions
- Knowledge of internal control framework and ability to perform and document internal controls
- Experience with managed care or healthcare (preferred)
- Master of Business Administration (MBA) or equivalent graduate degree (preferred)
- Certified Public Accountant (CPA) or equivalent certification (preferred)
CareSource Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CareSource and has not been reviewed or approved by CareSource.
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Strong & Reliable Incentives — Bonuses are regularly available and serve as a meaningful part of total compensation. Annual performance-based awards are considered a strong component.
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Leave & Time Off Breadth — PTO starts around four weeks and increases with tenure, complemented by paid holidays and a floating day. Volunteer time expands the available leave options.
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Affordable Benefits — Health plan options are considered affordable, supported by wellness incentives that can reduce premiums. Coverage breadth includes medical, dental, vision, and cost‑lowering programs.
CareSource Insights
What We Do
Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for nearly 30 years and we will continue to be a transformative force in the industry by placing people over profits. CareSource is and will always be members first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to nearly 2 million members through plan offerings including Marketplace, Medicare Advantage and Medicaid. With our team of 4,000 employees located across the country, we continue to clear a path to better life for our members. Visit the "Life" section to see how we are living our mission in the states we serve. CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law. If you’d like more information about your EEO rights as an applicant under the law, please click here: https://www.eeoc.gov/employers/upload/poster_screen_reader_optimized.pdf and here: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf Si usted o alguien a quien ayuda tienen preguntas sobre CareSource, tiene derecho a recibir esta información y ayuda en su propio idioma sin costo. Para hablar con un intérprete, Por favor, llame al número de Servicios para Afiliados que figura en su tarjeta de identificación. 如果您或者您在帮助的人对 CareSource 存有疑问,您有权 免费获得以您的语言提供的帮助和信息。 如果您需要与一 位翻译交谈,请拨打您的会员 ID 卡上的会员服务电话号码







