Manager, Cost and Regulatory Reporting

What We Provide

• Referral bonus opportunities
• Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
• Employer-matched retirement saving funds
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities

What You Will Do

• Coordinates, prepares, and ensures the accuracy and timeliness of NYS Department of Health (DOH) regulatory financial reporting including MMCORs, VBPTR and MLR for all lines of business.
• Coordinates and prepares annual/quarterly Medicaid Managed Long Term Care Operating Reports (MLTC), Medicaid Advantage Plus Operating Reports (MAP) and Special Needs Plan Operating Report (HIV SNP) to DOH and NYS Department of Insurance (DOI).
• Maintains up-to-date knowledge of financial issues that may affect VNS Health Plans capitation rates; identifies reporting strategies that may limit future financial exposure.
• Prepares responses to inquiries from DOH and plan senior leadership.
• Works with Government Affairs, regulators and third parties to anticipate and/or project the impact of new legislation and regulation on financial reporting.
• Coordinates financial components of DOH and DOI audits and functions as content expert for on-site audits.
• Provides leadership and ongoing mentoring to new and less experienced staff members.
• Prepares annual reconciliation between regulatory and certified reports.
• Builds, implements, monitors and enhances analytic process(es) necessary for timely and accurate regulatory cost reporting across all products. Identifies necessary enhancements/modifications to source data systems and collaborates with owners/stakeholders of such systems to ensure effective implementation.
• Performs duties inherent in a managerial role. Ensures effective staff training, evaluates staff performance, provides input for the development of the department budget, and hires, promotes, and terminates staff and recommends salary actions as appropriate.
• Participates in special projects and performs other duties as assigned.

Education:

• Bachelor's Degree in Accounting , Finance, Public Health, Healthcare Informatics, Health Administration or other relevant discipline required
• Master's Degree in Accounting, Finance, or Business Administration or related field preferred

Work Experience:

• Minimum of five years working in a financial project manager or senior financial analyst role required
• Experience in regulatory reporting including MMCORs, MLR, VBPTR required
• Experience with Workday Financials preferred. Advanced knowledge of finance and accounting principles required
• Ability to handle multiple priorities and work well both independently and as part of a cross-functional team required
• Strong written and verbal communication skills required. Ability to produce financial analyses on deadline required
• Data manipulation skills with SQL (Snowflake, Dbeaver, SQL Server) preferred
• Excel proficiency required
• Experience preparing DOH financial operating reports and/or knowledge of DOH Medicaid Managed Care plan operations preferred