Manager, Value Based Finance

Manager, Value Based Finance

Full Time (Monday-Friday 8AM-5PM)

Fort Myers, FL preferred, but remote possibility

The Manager, Value Based Finance leads the financial operations and analytical efforts of the fast-growing company's value-based contracts ranging through MSSP ACOs, Medicare Advantage Plans, and Commercial ACOs.

This position will collaborate with various payor partners and internal stakeholders to deliver enhanced performance on value-based contracts.

Duties will include financial system development, financial operations process development, process oversight, and financial analytics.

Furthermore, the individual will lead the Medicare Advantage Attribution team. Works closely with the company's value-based analytics, payor contracting, and finance teams to ensure appropriate and meaningful collaboration drives results.

The position works on multiple projects as a subject matter expert in a fast-paced environment for the support of executive management, physicians, and other internal clients.

Essential Duties and Responsibilities :

• Creates, analyzes, and utilizes financial data to create reporting related to :
• Incurred but not Reported claims
• Medical Loss Ratio history
• Per Member Per Month revenue and expense for value-based contracts
• Develops then oversees weekly, monthly, quarterly, annual, and ad-hoc management reports and analysis including :
• Value Based Revenue Forecasts
• Attribution Reporting
• Geography and Cohort Based Performance Analysis
• Other miscellaneous reports as required
• Normalizes payor data to maintain appropriate and accurate financial databases
• Enhances and refines databases to improve reporting and analysis capabilities
• Oversees tracking and reconciliation of variances in capitation and care management fee arrangements
• Oversees tracking and reconciliation of variances in expected to actual cash collections on value-based arrangements
• Audits and contests various payor reports including :
• Shared Savings reconciliations
• Membership estimates
• Develops then oversees weekly, monthly, quarterly, annual, and ad-hoc management reports and analysis including :
• Cash Audit Findings and Results
• Attribution Audit Findings and Results
• Other miscellaneous reports as required
• Maintains all reports, data models and raw data storage in a timely and accurate manner.
• Is the go-to expert regarding system data and report building
• Create proactive analyses comparing company results to industry data to evaluate program performance for internal management and internal clients
• Participates in project teams, analyzing various new programs, projects or ventures
• Prepares reports, presentations and other documents and presents these materials in meetings
• Identify problematic areas and conduct research to determine the best course of action to correct the data
• Maintains a working knowledge of relevant Government and third-party health care initiatives in which the company participates.

It is assumed, in order to maintain these skills, that relevant seminars, books, periodicals and regulations be routinely reviewed

• Identify and research anomalies and outliers in data
• Performs other related duties as assigned or requested

Supervisory Responsibilities

This job has no supervisory responsibilities.

Education and Experience :

Preferred :

• Coding skills (SQL)
• BI tools (Tableau or PowerBI)
• Medicare Advantage and MSSP ACO experience
• Statistics (basic understanding)

Benefits :

• 3 weeks PTO & 7 paid holidays
• Medical, Dental, Vision
• Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full-time employment)
• 401(k) with match
• Employee Wellness
• Other Employee Discount programs like Tickets at Work and cell phone discounts
• Other benefits : Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and more

See Full Job Description for more details

Why Millennium?

Millennium Physician Group is one of the largest comprehensive primary care practices with healthcare providers throughout Florida.

At Millennium Physician Group, you will find an organization that focuses on family and building a strong network of people to care for the communities we serve.

We are always searching for employees who have a strong customer service attitude, fantastic teamwork skills and a willing smile ready to share.

Our promise is to provide you with the tools to do your job successfully, as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families.

We also promise to care for you as an individual, and help you grow in your role with Millennium Physician Group.

If you are interested in joining an organization that puts an emphasis on team work and family, then Millennium Physician Group is the right choice.