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Insurance & Claims

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As a member of our Claims Connect team, you'll help process and deliver the claims information Kaiser Permanente's members, providers, regulators, and customers need, and expect, from a world-class health care organization.

Accounting Manager

Location: Aurora, CO Additional Locations:
Job Number: 754832 Date posted: 12/06/2018
Description:

Reporting to the Assistant Controller, the Accounting Manager manages the General Accounting team, including the monthly GAAP close leading the review of journal entries, reconciliations, production of fact-based financial analysis which supports decision making and regional performance, development of appropriate control environment to ensure the safeguard of company assets, the establishment and maintenance of strong effective internal controls, ensuring compliance with the requirements of the Sarbanes-Oxley Act of 2002 and the related regulatory and professional standards and leadership for regional finance issues. This position also has compliance accountability and/or responsibility for Kaiser Permanente's policies and procedures, the Principles of Responsibility, accreditation standards, and applicable federal, state, and local laws and regulations. Accountable for creating a culture of compliance, ethics and integrity. Maintains knowledge of and assures compliance with Kaiser Permanente's Principles of Responsibility and policies and procedures, and applicable regulatory requirements and accreditation standards. Responds appropriately to observed fraud or abuse.


Essential Responsibilities:

  • Participates in the accurate and timely preparation of the regions financial reporting, both internal and external. Ensures that all financial statements and data fairly represent the financial condition of the organization and the financial statements are prepared in conformity with US GAAP.

  • Coordinates and directs the preparation of fact-based financial analysis to support regional financial decisions. This responsibility includes coordination of various analyses to support the financial performance of the region and to assist senior management in understanding the results and making appropriate financial decisions. Demonstrated ability to ensure quality processes and continual process improvement.

  • Manages the financial reporting of the region ensuring accurate data and support work to enable leadership to make effective regional financial decisions.

  • Responsible for ensuring compliance with the requirements of the Sarbanes-Oxley Act of 2002 and the related regulatory and professional standards and leadership for regional finance issues. This includes the development of an appropriate control environment to ensure the safeguard of company assets.

  • Responsible for the efficient, ongoing operation of the General Accounting Department through effective organization, selection, development, appraisal, motivation and retention of competent staff. Hires, trains and exercises overall responsibility for personnel under supervision. Develops strong cross-functional relationships with peer groups, including Financial Planning, Pricing and Underwriting, Membership Accounting, Provider Contracting, Claims, Patient Financial Services, Marketing and Business Development and Pharmacy and Optical. Demonstrated ability to achieve high quality relationships, processes and results through cross-functional channels.

  • Develops metrics and accountabilities for department functions.

  • Designs tools and develops data expertise to support operational productivity, analysis, and reporting.

  • Establishes effective relationships with key internal and external customers.

  • Actively participates in efforts to improve systems and processes.

  • Develops and implements policies and procedures to support business and regulatory requirements.

  • Provides leadership to accounting team members by planning and coordinating activities, helping as needed to prioritize workloads, and monitoring quality and performance.

  • Understands work flows to ensure that best practices are applied and gaps are identified and remediated.

  • Supervises assigned staff; including coaching, motivating, training, performance review, hiring, and terminating.

  • Reviews and approves system testing and defect remediation, journal entries, reconciliations, and capitated payments.

  • Oversees specifications for systems to meet business requirements.

  • Leads the design and implementation of operational and system enhancements to ensure production capabilities are both effective and efficient.

  • Leads cross-functional linked teams to address business or systems issues.

  • May perform duties by working in conjunction with contracted or outsourced organizations.

  • Analyzes financial data and makes recommendations to operating departments on various financial internal controls and risks.

  • Responsible for SOX controls.

  • Compiles, analyzes and prepares data for a wide variety of accounting reports and studies pertaining to costs, reimbursables, forecasts and expenditures.

  • Assumes responsibility for planning, development, and implementation of effective accounting strategies, policies, and procedures.

  • Basic Qualifications:

    Experience

  • Minimum five (5) years of progressive responsibility in accounting, finance, or business.

  • Education

  • Bachelor's degree in accounting, finance, or related field.

  • License, Certification, Registration

  • N/A


  • Additional Requirements:

  • Extensive knowledge and application of professional accounting principles, concepts, and techniques.

  • Exposure to IT project management and data analysis.

  • Ability to work and communicate well with staff at all levels of the organization in support of a team environment.

  • Ability to work with constant change and new processes.

  • Proficient in spreadsheet, database, and word processing computer applications.

  • Strong leadership skills.

  • Experience leading change management.

  • Experience managing technology change and process improvement.

  • Knowledge of claims processing, provider contracts, health insurance practices, auditing/monitoring, and compliance related to external medical costs.

  • Extensive knowledge of financial accounting, reporting, and auditing experience.

  • Strong leadership skills.

  • Excellent verbal and written communication skills.

  • Understanding of internal controls.

  • Ability to work independently and exercise sound ethical judgment.


  • Preferred Qualifications:

  • Master's degree preferred.

  • CPA preferred.
  • Primary Location: Colorado,Aurora,Waterpark I 2500 S. Havana St. Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 8:00 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Manager with Direct Reports Job Category: Insurance / Claims Department: General Accounting Travel: Yes, 5 % of the Time

    About Insurance & Claims Careers

    Careers in Insurance & Claims

    Our insurance and claims teams are committed to meeting customer and member expectations when it comes to the timely and accurate processing of claims, while remaining in compliance with federal, state, and local laws, as well as regulations and rules. Make an impact as you contribute to the implementation of contemporary technology in areas such as claims quality, claims operations, business analysis, processing, configuration, reporting, and more.

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