Job Description

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:

  • Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women
  • Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR
  • Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.
  • Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.

Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

Skills / Requirements

VICE PRESIDENT AND CONTROLLER

JOB SUMMARY
The Controller stands accountable for the day-to- day operations of Community's accounting functions. The Controller owns the monthly financial close process, production of internal financial statements and notes, balance sheet reconciliation, and the preparation and filing of regulatory reports for HHSC, TDI and NAIC. The Controller also owns and coordinates all activities related to external audits. In addition, the Controller maintains an effective system of accounting records, and a comprehensive set of controls designed to mitigate risk, enhance the accuracy of the company's reported financial results, and ensure that reported results comply with statutory reporting requirements. The Controller must be a self-starter that enjoys working in a fast-paced environment while managing multiple work streams and competing priorities, has strong business acumen, is a proven leader, practices excellent communication and listening skills, is process oriented, and has a superior finance and accounting foundation.
JOB SPECIFICATIONS AND CORE COMPETENCIES

Accounting Oversight and Organizational Financial Reporting

  • Responsible for overseeing the accuracy and timeliness of GAAP and Statutory financial reporting; Manages the day-to-day operations of Community's accounting function; and creates an effective organizational structure and team to perform all accounting functions on both a GAAP and Statutory basis of accounting.
  • Directs accounting related operations including Accounts Receivable, Accounts Payable, Reconciliations and Service Contracts
  • Preparation and analysis of Internal Financial Reporting including Monthly Financial Close.
  • Disseminates monthly results of financial performance to departmental leadership to promote financial transparency and budget oversight.
  • Responsible for Statutory Financial Reports including Texas Department of Insurance Annual & Quarterly Statements.

Governmental Reporting and Tax Reporting

  • Responsible for overseeing the preparation, accuracy and timeliness of Regulator Financial Reports including, but not limited to, Health and Human Services Commission (FSRs), CMS  reporting for all lines of business (including Medicaid, CHIP, STAR Plus, Marketplace and DSNP).
  • Responsible for ensuring compliance with all Internal Revenue Service requirements and reporting (1095-Bs, 1099s and Form 990)
  • Establishes and Oversees Accounting Practices, Internal Control Framework, Spend Controls and Financial Audits.
  • Establishes an internal control framework for the organization to ensure the safeguarding of assets, the accuracy of financial reporting, and the integrity of business processes involved in financial reporting.
  • Manages all financial audit related matters, including Annual External Audits and Regulatory (FSR & CMS & Annual Statement)
  • Reviews and evaluates transactions to determine appropriate treatment and compliance with written policies and procedures.
  • Determines account valuations when reconciling balance sheet accounts and proposed adjustment when necessary.
  • Ensures that bank activity/transactions are properly posted to the general ledger and bank accounts are reconciled.

Oversees Accounts Payables and Medical Disbursement functions:

  • Oversees the timely and accurate payment of invoices through the ERP accounts payable system and banking ACH tools.
  • Oversees the timely and accurate payment of medical expense disbursements for claims, capitation, provider incentives.

Technical and Interpersonal Leadership:

  • Monitor the Community Chart of Accounts and financial system architecture, PeopleSoft.  Implement and coordinate adjustments needed for new lines of business, regulatory compliance, and enhanced management clarity into our financials.
  • Identifies and completes personal and professional goals in employee's annual performance appraisal document.
  • Actively contributes to and ensures that departmental goals identified in the annual departmental business pan, including specific department process improvement plans, are met.

MINIMUM QUALIFICATIONS:
Education/Specialized Training/Licensure:  Bachelors degree in Accounting, Finance, Business Administration or other related field required. Certified Public Accountant required MBA or Masters Degree in Accounting or related field preferred.

Work Experience: At least ten (10) years of Accounting or Financial experience with at least five (5) years of experience in a health care organization. At least five (5) years of experience in monthly financial close process required. 

Application Instructions

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