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Company: Genesis HealthCare .
Location: US-PA-Kennett Square .
Base Pay: N/A .
Employee Type: Full-Time Employee .
Industry: Healthcare - Health Services .
Manages Others: no .
Job Type: Executive .
Req'd Education: Not Specified .
Req'd Experience: Not Specified .
Req'd Travel: Not Specified .
Relocation Covered: No .
Posted Date : 10/17/2006 .
Contact: Not Available Phone: Not Available .
Email: Not Available Fax: Not Available
Ref ID: 8190 .
DESCRIPTION .
Welcome to Genesis HealthCare! We're setting the standard for clinical excellence and responsiveness in meeting the unique needs of every resident and patient in our care. We're focused on becoming the recognized leader in clinical quality and customer satisfaction in every market we serve.
POSITION SUMMARY: Financial Officer responsible for providing leadership in the design, implementation and evaluation of R&D financial and IS functions in accordance with generally accepted accounting principles issued by the Financial Accounting Standards Board, the Securities and Exchange Commission, other regulatory and advisory organizations. Advises and assists the Vice President, R&D, program managers, project teams and work groups, and Life at Home Board of Directors, with respect to budgeting, financial reporting, financial stability and liquidity, risk management, and financial growth. Key areas of responsibility include financial planning, analysis, and forecasting, as well as health plan functions such as risk adjustment claims processing/adjudication, annual PDP bid development, and external financial reporting. Assumes accountability for liaison with GHC core systems for fiscal management functions such as accounts receivable, purchasing, accounts payable, general accounting, payroll, banking, resident trust funds, and financial eligibility. Provides strategic financial input and support to Vice President, R&D, on decision-making issues. Participates as a fully contributing member of the R&D senior management team.
RESPONSIBILITIES/ACCOUNTABILITIES:
1. Financial Strategy, Reporting, and Oversight:
1.1. Advises Vice President on strategic issues related to finance including: budgeting, risk management, actuarial analysis, program development, financial reserves, results of operations, contracting, program development, and other strategic issues.
1.2. Develops and ensures timely and accurate analysis of budget, financial reports and financial trends in order to assist the Vice President and the R&D senior management team in performing their responsibilities. Prepares monthly financial executive summary report of key financial statistics and measures.
1.3. Maintains and/or develops statistical standards for comparison of actual results to norms.
1.4. Ensures timely, accurate completion and submission of required reports, including internal R&D management reports, Life at Home Board reports, GHC reports, and external reports including state and federal reports.
1.5. Develops a reliable financial forecast and cash flow projection process and reporting mechanism.
1.6. Conducts financial program and project feasibility analysis as requested by Vice President.
1.7. Evaluates and advises Vice President on the fiscal impact of long range planning, introduction of new programs/strategies, and regulatory action.
1.8. Identifies cost containment opportunities and advises Vice President and R&D management team accordingly.
1.9. Serves as an advisor to Vice President from the financial perspective on any contracts into which the organization may enter; participates in network provider financial negotiations; contributes to network provider rate development.
1.10. As part of on-going analysis, reports and current or presenting adverse financial trends, and recommends corrective course of action.
2. Fiscal Operations
2.1. Serves as liaison with core GHC systems to plan, develop, organize, implement, direct and evaluate R&D s ongoing financial operations and performance to ensure appropriate, efficient, timely, and smooth transactions, including:
2.1.1. billing, collections and accounts receivable, maintenance of accurate membership records.
2.1.2. procurement, receiving, and inventory
2.1.3. development of monthly incurred but not reported claims (IBNR)
2.1.4. accounts payable
2.1.5. maintenance of risk reserves, formula, and funding approach
2.1.6. reinsurance policy and recovery submission (as required)
2.1.7. claims processing and adjudication
2.1.8. general accounting
2.1.9. payroll and personnel accounting
2.1.10. enrollee trust funds
2.1.11. financial eligibility
2.1.12. petty cash
2.2. Evaluates and plans the R&D Finance staff team functionality for continual improvement and effectiveness of the group within fiscal constraints.
2.3. Assumes responsibility for recruiting, recommending hiring, evaluating and on-going development of staff as well as ensuring adequate staffing to fulfill R&D goals within fiscal constraints. Ensures that job responsibilities of staff are clearly defined and understood.
2.4. Regularly meets with GHC CFO.
3. Compliance and internal controls
3.1. Stays abreast of trends and regulations to ensure effectiveness and compliance for the finance functions, including PACE, Medicare Advantage Special Needs Plan, Medicare Prescription Drug Plan, and other regulations.
3.2. Attests to audited financial statement that all disclosures have been made that Financial Officer is aware of.
3.3. Assures that R&D financial functions are conducted in accordance with GHC policies, and applicable state and federal requirements.
3.4. Maintains and retains documentation in accordance with applicable statutory and regulatory requirements.
4. Information Systems
4.1. Serves as liaison with core GHC systems to plan, develop, organize, implement, direct and evaluate R&D s ongoing information systems and technology to ensure appropriate, efficient, timely, and smooth performance, including:
4.1.1. claims system
4.1.2. risk adjustment
4.1.3. referral/enrollment
4.1.4. clinical system
4.1.5. utilization
4.1.6. credentialing
4.1.7. resource management and scheduling
4.1.8. billing
4.1.9. multiple external reporting requirements
4.2. Evaluates and plans the R&D IS staff team functionality for continual improvement and effectiveness of the group within fiscal constraints.
4.3. Assumes responsibility for recruiting, recommending hiring, evaluating and on-going development of staff as well as ensuring adequate staffing to fulfill R&D goals within fiscal constraints. Ensures that job responsibilities of staff are clearly defined and understood.
4.4. Regularly meets with GHC CIO.
5. Administration and Other
5.1. Maintains leadership through a close relationship with agencies which support community based long term care.
5.2. Actively participates in NPA and other trade association networks.
5.3. Manages ad hoc and special projects as assigned.
5.4. Participates as a fully contributing member of the R&D Senior Management Team, participating in meetings, contributing to strategic plan, supporting the decisions of the Senior Management Team.
5.5. Participates in the determination of resource needs.
5.6. Participates in formulation and maintenance of policies and procedures.
5.7. Participates in committees as requested.
5.8. Furnishes advice on ways and means to establish better accountability of services to enrollees and referral sources.
5.9. Knows and adheres to the mission, philosophy and goals of Life at Home and other R&D programs; holds subordinates accountable for serving those missions, as applicable.
5.10. Serves as a leader for area of accountability; leads by example; motivates staff through sound leadership principles.
5.11. Keeps confidentiality of enrollee records, reports and discussions.
5.12. Attends and participates in scheduled staff meetings as requested.
5.13. Maintains flexibility in schedule and responds to unexpected emergencies and changes in workload in order to fulfill responsibilities.
5.14. Utilizes supplies and equipment economically.
5.15. Informs supervisor of unusual occurrences .
5.16. Identifies service delivery problems and uses good judgment in their solution.
5.17. Is professional in appearance and manner in the clinical area; recognizes own limits and seeks help and guidance from supervisor as appropriate; responds in a positive manner to constructive criticism; serves as a role model for students and staff members.
5.18. Maintains courteous, helpful and professional behavior on the job. Displays a willingness and ability to be responsive in a warm and caring manner to all customer groups.
5.19. Optionally holds membership in professional organizations; maintains any required certifications.
5.20. Pursues professional growth through the continuing education process.
5.21. Performs other related duties as required in a positive and helpful manner to ensure a smooth-running work area. .
REQUIREMENTS .
SPECIFIC EDUCATIONAL/VOCATIONAL REQUIREMENTS:
Bachelor s Degree in Accounting; Master s degree in a relevant field (MBA, Healthcare Administration, Accounting, Finance) and/or CPA preferred. Must have 6 years previously demonstrated success as a senior financial manager in a HMO, insurance company, or other healthcare risk contracting environment, applying a thorough knowledge of HMO budgeting, IBNR, and the use of actuarial analyses. Also must have 4 years in accounting in a management role, overseeing fiscal services, and must be knowledgeable of Generally Accepted Accounting Principles (GAAP). Must also experience with Managed Care and claims processing procedures. Experience supervising others.
JOB SKILLS:
An energetic, forward-thinking and creative individual with high ethical standards and strong managerial and interpersonal skills. A strategic visionary with analytical ability, good judgment and strong operational focus. A well-organized and self-directed individual who is a team player. An intelligent and articulate individual who can relate to diverse individuals at all levels of an organization and possesses excellent communication skills. A good educator who is willing to share information and serve as a mentor. .
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