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Highmark Health Manager Operational Accounting in Pittsburgh, Pennsylvania

Company :

Highmark Health

Job Description :

GENERAL OVERVIEW

This job supervises a team responsible for the review of monthly journal entries and reconciliations, analysis and oversight of the maintenance of related financial records, reconciliations and analytical reports. The Manager leads GAAP and Statutory / IDR reporting processes for general ledger, financial statements, footnotes and exhibits for assigned processes; serves as the department leader for large-scale projects impacting assigned processes such as system or business migrations, company integrations, new product offerings etc. that may span outside of the finance department; develops business policies and supervises special financial and business related studies and interact with other departments in the preparation of analyses; supervises data modeling and analysis of the current business as well as projecting and forecasting of future activities; develops and maintains databases and spreadsheets to facilitate accounting, analysis and reporting; ensures internal controls related to assigned processes are in place and operating effectively and meeting MAR documentation standards; and communicates with other departments and/or outside agencies to address information or analysis requests for internal and external customers. In addition, responsible for staff personnel related matters such as hiring, mentoring, training, disciplinary action and performance appraisals.

ESSENTIAL RESPONSIBILITIES

  • Communicate effectively. This position displays effective communication skills while performing the following functions:

  • Lead a group of 4 -6 accountants and analysts. Management duties include establishing objectives, performing annual reviews and relaying information from senior management.

  • Provide functional coaching to staff to enhance development.

  • Coordinate with other departments, locations, and divisions items critical for assigned processes.

  • Communicate with other departments and/or outside agencies to address information or analysis requests for internal and external customers.

  • Advise management of expected outcomes, and recommending ways to improve the outcomes.

  • Effectively oversee and support the financial accounting and analysis functions of Highmark.

  • Responsible for ensuring accounting activity generated by the company is accurate and recorded timely to the various GL’s and other data repositories in accordance with accounting principles (GAAP and SSAP).

  • Review of monthly journal entries and reconciliations, analytical review and variation analysis and oversee the maintenance of related financial records, reconciliations and analytical reports.

  • Provide technical accounting and Highmark system guidance to staff as necessary.

  • Identify non-routine transactions and their proper accounting treatment.

  • Responsible for supervision of staff and financial reporting deliverables.

  • Develop and implement internal controls for assigned processes and verify they are in place and operating effectively to meet MAR documentation standards.

  • Facilitation of analysis and reporting.

  • Expert knowledge of Highmark’s financial and operational systems including but not limited to billing, revenue estimation, claims, supporting source systems, and general ledger including how these systems interact with each other during day to day operations and monthly reporting processes.

  • Expert knowledge of product structures to ensure product results are reflected appropriately in the general ledger and other data repositories to facilitate financial analysis and forecasting processes.

  • Leverage staff to develop and maintain databases and spreadsheets to facilitate reporting & analysis.

  • Automate accounting, reporting and analysis processes leveraging system development personnel to develop or enhance systems where appropriate.

  • Process/Project Management

  • Leveraging staff, manage multiple accounting and analysis deliverables with aggressive deadlines independently.

  • With department leader, manage corporate initiatives such as system or business migrations or enhancements, new product offerings, company integrations etc. impacting assigned processes. Lead staff to develop or enhance current processes to accommodate.

  • Develop and implement projects to re-engineer current processes to increase efficiency and effectiveness of accounting, reconciling, balancing and analysis procedures.

  • Manage resources and staff in order for the project to be completed meeting project and financial reporting deadlines.

  • Other duties as assigned or requested.

QUALIFICATIONS

Minimum

  • Bachelors Degree in Finance, Accounting, Business Administration or closely related discipline, or relevant experience and/or education as determined by the company in lieu of bachelor's degree

  • 7 or more years of experience in Finance, Accounting, and/or Financial Analysis

  • 5 or more years of experience managing staff and/or projects of varying size and complexity

  • 7 or more years of experience with various computer applications to include MS Excel and/or MS Access.

  • 3 years of experience utilizing an automated general ledger and consolidation package and/or various other data repositories.

Preferred

  • MBA

  • 3-5 years experience in health insurance industry accounting practices particularly with respect to accounting, reporting and analysis of revenues and claims

  • 3-5 years public accounting experience, preferably within the insurance or healthcare industry

  • Expert knowledge of Highmark’s operational and financial systems and reporting processes

  • 8 or more years of experience managing staff and/or projects of varying size and complexity

  • Proficient in the use of an automated general ledger and consolidation package

  • CMA

  • CPA

SKILLS

  • Experience managing multiple processes to meet deadlines.

  • Proven leadership skills – ability to motivate others to quickly achieve results in a matrixed environment.

  • Uses knowledge of industry and market trends to develop and champion long-term strategies.

  • Demonstrates the ability to effectively persuade others to listen, commit, and act on a new approach.

  • Self-confident with an ability to accept and respond to challenges in a positive manner.

  • Strong and effective verbal and written communication skills.

  • Effectively presents complex topics in a concise manner to audiences at various levels and in various sizes.

  • Broad understanding of business issues, metrics, organizational linkages and customer value.

  • Successful experience in achieving results through people in a complex environment.

  • Strong organizational and analytical skills in addition to project leadership and management skills.

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf )

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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID: J235774

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