Position Summary:

Develops and implements accounting policies, controls and reporting procedures as well as directs and manages the day-to-day financial activities and manages the accounting and financial reporting and budget functions. Additionally, the position oversees accounts receivable, accounts payable, treasury, tax, and audit.

Primary Duties and Responsibilities:

• Oversees the preparation of all financial statements, financial reports, tax returns and reports for regulatory agencies, including CCIIO, Bureau of Insurance, and IRS.
• Reviews monthly accounting close process including analytical review of the monthly operating results to ensure accurate accounting records are maintained.
• Assists with the preparation of Finance Committee and Board of Directors’ materials. Reviews financial results with internal stakeholders.
• Reviews quarterly and annual insurance company financial statements prepared in accordance with Maine Bureau of Insurance and NAIC statutory accounting principles along with reconciliations of the statutory-basis financial statements to generally accepted accounting principles.
• Maintains, monitors, and develops a documented system of accounting procedures, financial controls, and systems to ensure the integrity of the financials and to maximize the return on financial assets.
• Supports compliance with relevant federal and state laws and regulations, to include regulatory requirements which impact health care including CO-OP and Exchange rules and Bureau of Insurance regulations.
• Manages relationships with outside auditors and oversees annual audit and tax preparations and financial examinations.
• Manages relationship with IT, providing guidance around system testing, system implementations and enhancements as well as necessary processes and controls.
• Analyzes and oversees self-insured billing, claims funding process and stop loss reinsurance reporting.
• Develops and implements the annual budgeting process. Communicates budget guidelines/goals/timeline to all departments, reviewing required feedback and ensuring integrity and completeness of budget process output. Develops the budget summary for executive presentation and coordinates the Board of Directors approval.
• Coordinates preparation of multi-year forecast to include premium, claims, administrative expenses, and membership levels. Oversees preparation of balance sheet, income statement, equity and cash flow statements related to these forecasts.
• Provides status of financial condition by collecting, interpreting, and reporting financial data, including comparisons of actual results to budgets and forecasts on a periodic basis, updates future forecasts, as necessary.
• Manages relationship with outside broker on business insurance renewals and oversees claims reporting, if necessary.
• Oversees broker commission process and reporting.
• Supports all areas of the company with financial analysis, data interpretation and recommendations to optimize performance.
• Maintains premium billing policies, procedures, and processes.
• Business owner of the company’s proprietary billing and premium application.
• Maintains financial staff job results by coaching and counseling, planning, monitoring, and appraising employee job results.
• Other duties as assigned.

Key Competencies:

People within Community Health Options are expected to work with integrity, humility, strategic vision, curiosity, and discipline. They must be self-motivated professionals, highly effective and compassionate communicators, effectively collaborating with people, and actively engaging in continuous process improvement.

Health Option diversity initiatives are applicable—but not limited—to our practices and policies on recruitment and selection; compensation and benefits; professional development, and training; promotions; transfers; social and recreational programs, and the ongoing development of a work environment built upon the premise of diversity equity, which encourages and enforces:

• Respectful communication and cooperation between all employees.
• Teamwork and employee participation, permitting the representation of all groups and employee perspectives.
• Work/life balance through flexible work schedules to accommodate employees’ varying needs.
• Employer and employee contributions to the communities we serve to promote a greater understanding and respect for the diversity.