Controller / Director of Accounting for MEDIGOLD - Medicare Advantage Plan
August 15, 2018
Full Time - Experienced
4 Year Degree
HARTZ Search is excited to share an exciting opportunity with our client, MediGold - HealthPlan for Mount Carmel Health System for a Controller / Director of Accounting to provide executive leadership and ensure that timely, accurate and relevant financial and management information is developed, analyzed and disseminated on a monthly, quarterly and annual basis to support effective management.
MediGold, a Health Plan / Medicare Advantage Plan is seeking a Controller to provide executive leadership and ensure that timely, accurate and relevant financial and management information is developed, analyzed and disseminated on a monthly, quarterly and annual basis to support effective management. Our client is a subsidiary of a Regional Health Ministry of 6 hospitals, 2000 Physician Member Clinically Integrated Network, 400 Employed Physicians and one of the most successful regions under one of the largest Faith Based Health System in the US – Trinity Health (94 hospitals in 22 states throughout the US). Our client is seeking to expand their services throughout the state of Ohio and into additional states by 2020.
Our client is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries in Ohio. This organization is dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage.
Responsibilities of the Controller:
Directs and supervises the accounting staff in the preparation of all accounting, budgeting and forecasting, and other financial information.
Establishes and maintains accounting principles, practices, procedures and internal control mechanisms.
Establishes and maintains banking arrangements and procedures. Develops and administers cash management plan, including but not limited to, revenue projections, expense projections, loan requirements, reserve requirements, cash flow analysis and cash handling procedures.
Develops the annual financial budget including projections of all revenue and expenses, and various operating cost center reports.
Assists in the preparation of all required tax filings and documents.
Responsible for the preparation of all accounting and regulatory financial statements.
Establishes and manages purchasing policy, procedure and program (equipment, service/vendor agreements)
Serves as the principal liaison between the plan and external accountants and agencies responsible for financial audits.
Maintains current industry knowledge through association memberships, annual meetings, etc.
Identifies management information system needs, coordinates system development and identifies critical performance measures
Responsible for all statutory reporting and contact involving financial statutes to the Ohio Department of Insurance and the National Association of Insurance Commissioners.
Responsible for oversight of Investment Manager and policy compliance.
Responsible for approval on all premium and miscellaneous refund disbursements.
Responsible for approval of all requests for payment received by the Plan.
Assists in the development of the annual CMS bids.
Assists in underwriting, premium determination and renewal arrangements for employer groups.
Oversees and monitors subrogation arrangement with third party vendor.
Responsible for approval of monthly marketing commission calculation and approval
Implements the operational objectives of the financial strategy
Assists other departments with implementing sound reporting practices
Implements and coordinates financial and operational initiatives and objectives within the organization
Responsible for all formal financial reporting to Regional system and for maintaining all financial policies for the organization
Responsible for all general ledger account reconciliations, including the investment and cash account reconciliations
All other duties as assigned.
Central Ohio is home to growing and thriving metropolitan areas and access to the heart of Ohio and numerous outdoors activities, shopping, restaurants, an international airport and entertainment for everyone.
Requirements for Successful Controller Candidates:
Education: Bachelor's degree in Finance, Accounting, Business Administration or related degree Master's (MBA) preferred
Licensure/ Certification: CPA preferred
Experience in a comparable financial role within a Medicare Advantage Plan - REQUIRED
Experience: Previous Health Plan financial management experience; at least five years of progressively more responsible positions. Previous experience in managing a health plan accounting department is required.
Effective Communication Skills
Thorough knowledge of Generally Accepted Accounting Principles (GAAP) is required;
Thorough knowledge of statutory accounting principles for health plan companies is required.
Experience in Model Audit Rule (MAR) & ORSA reporting is preferred
Experience with Medicare Advantage revenue recognition accounting policies & procedures and with Part D Pharmacy accounting
Strong analytical skills
Employer will assist with relocation costs.
Additional Salary Information: Highly Competitive - Excellent Benefits and Bonus
Internal Number: MCHS Ohio
HARTZ|Search is a service-oriented, specialty, retained search firm centered on Healthcare and Higher Education operating from our headquarters in Charlotte, North Carolina.
HARTZ|Search provides distinctive and personalized Executive Search for all aspects of the Healthcare industry – including Higher Education, Outsourced Managed Services firms, Construction/ Project Management Firms, Integrated Delivery Systems, and Medical Groups. Our goal is to find the highest quality individual to satisfy our client organization's goals as well as ensure each of our candidates finds the position that will further enhance their career.