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Manager, Cost and Regulatory Reporting

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Overview

Prepares timely and accurate NYS Department of Health (DOH) and NYS Department of Insurance (DOI) regulatory filings of VNS Health Plans financial reports. Supervises Lead Financial Analyst on all aspects of preparation of cost and operating reports to governmental and third-party regulatory agencies. Evaluates changes in regulatory requirements and modifies reporting processes as necessary. Confirms financial reports to required regulatory formats. Works under general supervision.

Compensation Range:$93,400.00 - $116,800.00 Annual

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.

Qualifications

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

Average salary estimate

$105100 / YEARLY (est.)

min

max

$93400K

$116800K

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What You Should Know About Manager, Cost and Regulatory Reporting, VNS Health

Are you ready to take your financial expertise to the next level? VNS Health is on the lookout for a dedicated Manager of Cost and Regulatory Reporting in the heart of Manhattan, New York. In this pivotal role, you'll be responsible for preparing timely and accurate regulatory filings for the NYS Department of Health (DOH) and the NYS Department of Insurance (DOI). You will supervise a team with the Lead Financial Analyst, guiding them in crafting cost and operating reports that ensure compliance with governmental standards. Your keen eye will be essential as you evaluate changes in regulatory requirements and adjust our reporting processes to stay ahead. With a salary range of $93,400.00 - $116,800.00 annually, you'll also enjoy a generous benefits package, including 30 days of PTO, health insurance options for you and your dependents, and substantial tuition reimbursement opportunities. If you have a strong background in financial reporting, especially within healthcare, and possess advanced knowledge of finance and accounting principles, this is your chance to shine. Get ready to lead, mentor, and be an integral part of a team that drives excellence in financial reporting. Join us at VNS Health, where your contributions will help shape the future of healthcare finance!

Frequently Asked Questions (FAQs) for Manager, Cost and Regulatory Reporting Role at VNS Health

What are the key responsibilities of the Manager, Cost and Regulatory Reporting at VNS Health?

The Manager, Cost and Regulatory Reporting at VNS Health is responsible for overseeing the preparation and accuracy of various regulatory filings including MMCORs, VBPTR, and MLR required by the NYS Department of Health and the NYS Department of Insurance. This role involves supervising the Lead Financial Analyst, ensuring compliance with regulatory standards, monitoring changes in regulations, and leading audits. Additionally, they provide mentorship and guidance to team members while preparing comprehensive financial analyses.