Senior Technical Accountant

The pay range above represents the minimum and maximum rate for this position in California. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. Salary range will vary for remote positions outside of California and future increases will be based on the pay band for the city and state you reside in.

Work Culture:

GCHP strives to create an inclusive, highly collaborative work culture where our people are empowered to grow and thrive.  This philosophy enables us to create the health plan of the future and do our best work – Together.

GCHP promotes a flexible work environment. Employees may work from a home location or in the GCHP office for all or part of their regular workweek (see disclaimer).

GCHP’s focuses on 5 Core Values in the workplace:

•    Integrity

•    Accountability

•    Collaboration

•    Trust 

•    Respect

Disclaimers:

•    Flexible work schedule is based on job duties, department, organization, or business need.

•    Gold Coast Health Plan will not sponsor applicants for work visas.

POSITION SUMMARY

The Sr Technical Accountant, reporting to the Sr. Manager of Accounting will perform advanced accounting activities and financial reporting using generally accepted accounting principles (GAAP) and statutory accounting principles (SAP). Serves as a mentor and reviewer of the work of peers in the Accounting department.

Reasonable Accommodations Statement

To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.

ESSENTIAL FUNCTIONS

•    Responsible for recording, reconciling and analyzing fee-for-service medical expenses and related claims reserves on a timely basis each month. This includes: 1) collaborating with the Actuarial Department to ensure paid claims used to set claims reserves are reconciled to the source claims system; and 2) analyzing medical expense and claim reserve trends to share insights with department leadership.

•    Provides management support to department leadership including, but not limited to, serving as Finance point person on company-wide projects and initiatives, as assigned, ensuring Finance responsibilities are appropriately assigned and completed on time.

•    Responsible for preparation and reconciliation of all schedules for the DHCS Quarterly Financial Reports.

•    Responsible for overseeing, and completing the first level review of, membership, claims and premium schedules for all other quarterly and annual regulatory financial filings (Orange Blank, DMHC filings, MLR filing, etc.)

•    Researches, documents conclusions for, and implements technical accounting guidance from regulatory agencies (including but not limited to DHCS, DMHC, CMS, MLR).

•    Prepares or reviews, certain GAAP & SAP financial statement information related to premium and medical expense, including appropriate footnote disclosure for external auditing purposes. Prepares timely and error-free financial and/or statistical reports including spreadsheets, graphs, tables, and account reconciliations.

•    Processes financial transactions for all product lines, to include the preparation and posting of journal entries into the general ledger, and reviews and approves journal entries prepared by peers.

•    Ensures process documentation is complete and accurate for all directly assigned responsibilities and responsibilities the position oversees.

•    Supports administration of the annual financial audit, as well as any regulatory financial audits/reviews.

•    Communicates work status and results through verbal and written reports to Management, regulators, and other internal and external constituents.

•    Performs additional duties and responsibilities as assigned by management.

POSITION QUALIFICATIONS

Competency Statements

•    Business Acumen - Ability to grasp and understand business concepts and issues.

•    Decision Making - Ability to make critical decisions while following company procedures.

•    Goal Oriented - Ability to focus on a goal and obtain a pre-determined result.

•    Interpersonal - Ability to get along well with a variety of personalities and individuals.

•    Diversity Oriented - Ability to work effectively with people regardless of their age, gender, race, ethnicity, religion, or job type.

•    Time Management - Ability to utilize the available time to organize and complete work within given deadlines.

•    Delegating Responsibility - Ability to allocate authority and/or task responsibility to appropriate people.

•    Leadership - Ability to influence others to perform their jobs effectively and to be responsible for making decisions.

•    Ethical - Ability to demonstrate conduct conforming to a set of values and accepted standards.

•    Judgment - The ability to formulate a sound decision using the available information.

•    Communication, Oral - Ability to communicate effectively with others using the spoken word.  

•    Communication, Written - Ability to communicate in writing clearly and concisely.  

•    Problem Solving - Ability to find a solution for or to deal proactively with work-related problems

SKILLS & ABILITIES:  

 Education: 

•    Bachelor's Degree Required, Field of Study: Accounting preferred, or Business/Finance or a related field

•    Equivalent In lieu of degree: 4 years’ experience in a related field which is equivalent to a Bachelor’s degree

•    CPA Preferred

Experience:  

•    Minimum 5 years of progressive experience in Accounting/Finance management.

•    Minimum 5 years of experience with health insurance: Required.

•    Experience with Medicare and/or Medi-Cal managed care: Preferred.

Computer Skills:

•    Strong working knowledge and experience with Microsoft Office products (Advanced Excel- Lookups, SumIfs, pivot tables, data management)

•    Knowledge of business intelligence tools and experience with PowerBI and Milliman MedInsight: Preferred.

•    Knowledge of relational databases and MS SQL Query tools experience a plus but not required

Other Requirements:    

•    Familiarity with both GAAP and GASB.

•    Ability to work in a team environment, take and give directions and follow through with tasks and projects.  

•    Excellent analytical, problem-solving and research ability.

•    Knowledge of principles and practices of managed health care industry and strategies, provider contracting, IBNR, pricing and rate setting, claims, provider network structures and risk sharing arrangements.

•    Must have strong verbal and written communication and developed presentation skills.