Dir, Finance (Houston, TX)

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.

UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards.



The Health Plan Finance Director is a member of the Segment Finance Department and Health Plan senior management team reporting directly to the Regional CFO with a matrix line of responsibility to the Health Plan CEO. The individual will be responsible for the market's financial results, as well as, monitoring, understanding and explaining operational results and influencing appropriate action to ensure financial results and objectives are maximized. This position is responsible for the front-line direction and oversight of internal financial reporting and analysis, budgeting, forecasting, and financial planning, and balance sheet management (especially key financial estimates of IBNR and receivable reserves). Financial analyses will transverse a broad spectrum from routine to ad-hoc analysis designed to support an understanding of market operations, identification of sources of trend drivers and strategy development. Additional responsibilities include the support and consultation for regional audit and recovery, audit, litigation and regulatory compliance and reporting functions.



Responsibilities:

-Participate as a key member of Pricing Reviews, Block Renewals, Expansion Market Strategy sessions, and Business Strategy and Planning sessions.

-Provides market specific oversight, information and support of provider contract analysis for financial and strategic impact on the Health Plan; rate proposals, contract strategies, fee schedule analysis, hospital contract analysis; provides consultation on contract negotiations. Participate as a key member of the local Affordability Plan committee; identifying opportunities, evaluating the financial and operational value of each action item, and tracking/reporting progress toward achievement.

- Provides relevant market specific information and guidance and participates in the forecasting and budgeting of membership, revenue yield, ASO fees, benefit cost and benefit cost ratio, utilization and unit cost trend, FTE and headcount planning, compensation and fringe benefits, advertising and direct mail, insurance and business taxes, premium taxes and assessments, as well as other direct SG&A categories. Provides guidance and participates in the reconciliation of forecasts to targeted goals and objectives.

- Support the regional regulatory and compliance processes such as the quarterly NAIC filings, state specific requests for all products, the financial portion of HEDIS reporting, compliance committee and audits, quality improvement and management initiatives, state specific revisions and/or new plan filings.

Provides guidance and participates in the A/R collection process including account reconciliation, receivable reduction initiatives and achieving DSO targets. Supports the collection and analysis of provider receivables.




Job Requirements:

- Four year degree majoring in Accounting, Finance or related field. CPA/CMA or MBA preferred.

Minimum of ten years of progressive experience in multi-location service industry environment (preferably health care). Must be able to demonstrate strong working knowledge and relationship of operational, financial and strategic functions of a business.

Strong strategic focus, combined with operational, analytical and project management skills

Excellent oral and written communication skills.

Strong management and coaching skills.

Team member / leader. Supervisory experience preferred.

Performs effectively in matrix relationships.

Ability to understand and influence the necessary and appropriate actions to ensure maximization of health plan financial results and objectives.

Effectively transition from operational to strategic to financial focus, as demanded by the circumstances.

Communicate health plan financial results and performance against goals to all levels of staff and management with equal effectiveness.

Coach, mentor, leader inside and outside of finance.

Expertise in financial analysis/ability to think outside the box

Strong interpersonal skills, ability to work with all levels of management across all functional areas and local, regional, and corporate entities, as well as, business partners in other UHG entities.

Ability to both identify and visualize the big picture, while utilizing the requisite project management and execution skills to attend to effective communication and implementation.

Leadership skills, including change agent capability, working with management to identify value-added opportunities and develop creative approaches to problem solving.

Demonstrate technical and financial understanding of physician and provider claim submission and contracts, claim system operations, and the resulting generation of data into financial and IBNR reporting information.



Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V