Job Summary:
The person filling this role is an influential leader with internal and external constituents and supports the Executive Leadership Team's decision-making and advocacy regarding Medicaid throughout the Program. She/he provides leadership, technical expertise, and direction for the key accountabilities related to Medicaid initiatives and operations. The incumbent ensures that the functions, systems, and processes are integrated, coordinated, and continually enhanced including Medicaid revenues, regulatory requirements and audits, strategic and financial analytics. The Vice President, Finance Leader - Medicaid contributes to a strong control environment and champions continuous process improvement. This requires influence and strong change management skills to gain buy-in from different constituencies including senior executives in support of future direction. This position consistently supports compliance and the Principles of Responsibility (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to the applicable federal, state, and local laws and regulations, accreditation and licensure requirements (if applicable), and Kaiser Permanentes policies and procedures.
Essential Responsibilities:
Accountable for rate setting and financial reporting in all regions
Manages Medicaid finance teams in direct contract regions of CA, MD and HI
Develops deep understanding of market strategy, capabilities, financial drives, data analytics, financial operations, and metrics.
Provides leadership in rate setting and risk adjustment activities.
Develops and maintains meaningful relationship with state and plan partner finance teams
Provides overall market profit and loss (P&L) management and leadership with budgets, forecasts, financial analysis, trends, projections, and analytics.
Responsible for financial analysis, identification of financial drives, and forecasting.
Responsible for financial reporting to the State regulators and financial audits
Collaborates with other leaders to develop strategies that optimize Medicaid and "Duals" performance objectives in support of the enterprise.
Stays abreast of industry trends, the evolving regulatory environment, and internal operational changes to assess risks and opportunities that apply to the Medicaid line of business.
Partners with operational leaders to ensure that Medicaid performance targets are set, clearly communicated and are aligned with financial targets, forecasts and economic plans.
Partners with Medicare leaders regarding the performance of "Duals" members to align with overarching operational and financial performance objectives.
Ensures compliance with regulatory, administrative, and legal requirements by providing leadership, strong technical expertise, and extensive use of analytics to ensure appropriate due diligence.
Establishes appropriate internal controls to support SOX and Model Audit Rule requirements for the Medicaid line of business.
Responsible for the integrity of Medicaid and "Duals" financial reporting, economic plan, annual budgets, forecasting, and analysis.
Serves as liaison with Accounting, Finance, Revenue Management, Medicaid line of business, Compliance, National and Market Health Plan Operations, Government Relations, Legal and other related departments across the enterprise.
Builds and maintains collaborative partnerships with the markets to assure the success of financial business strategies and to ensure that they complement overall organizational strategies. Serves on numerous cross-functional and special projects and committees involving key leaders.
Represents Medicaid with internal and external stakeholders, other Kaiser Permanente functions, vendors, and regulatory agencies.
Recruits, develops, and maintains a high performing, talented, and engaged team.
This position has a target base salary of $297,000 to $371,250 and is eligible for incentive compensation, an executive allowance, comprehensive health, wellness, time off, savings, and retirement benefits, as well as relocation support, as applicable.
Basic Qualifications:
Experience
Minimum ten (10) years of experience in various financial areas of a multi-faceted health plan, health care system, and/or multi-service provider setting including strong knowledge of the Medicare line of business.
Education
A Bachelor-s degree in accounting, finance, or a related discipline is required.
License, Certification, Registration
N/A
Additional Requirements:
Specific experience/qualifications include the following:
Demonstrated history of developing and leading high performing teams.
Demonstrated history in providing financial leadership in a large, complex business, serving as a strategic business partner to the senior team.
Technically savvy with experience / familiarity with government programs, and analytical tools to support keen oversight of results and forecasts.
Experience implementing financial controls and reporting systems to improve management capabilities and results.
Leadership experience working with regulatory agencies and their contract auditors.
Experience managing a broad range of financial and organizational issues, such as organizational redesign, improving internal controls, and change management.
Willingness to challenge the -status quo-.
Demonstrated political savvy to operate in politically complex situations and remain effective.
In alignment with our Leading as One operating model, demonstrates open, collaborative, and transparent leadership style that promotes teamwork and partnership while achieving desired results.
Ability to understand and assess complex market conditions and develop recommendations to respond to risks or opportunities.
Demonstrated history of leveraging information technology strategies for financial transaction and decision support systems.
Ability to build effective partnerships and influence other leaders.
Ability to consistently demonstrate integrity, prudence, high energy, initiative, and self-confidence.
Dedication to maintaining and building an inclusive culture and values aligned with principles of diversity.
Preferred Qualifications:
Masters degree with a CPA, MBA, or equivalent work experience is preferred.
Combination of health plan and health care delivery system finance experience preferred, with specific experience in Medicaid managed care plans.
Decisiveness, action-orientation, personal integrity, capability to persevere in difficult situations, and a focus on strategic leadership issues highly desired.
COMPANY: KAISER
TITLE: VP, National Medicaid Finance
LOCATION: Oakland, California
REQNUMBER: 1362969
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
