Claims and Value Based Care Finance Manager

Lakeview Hospital•Bloomington, MN

10h

About The Position

HealthPartners is hiring Claims and Value Based Care Finance Manager. The Manage provider reimbursement and FP&A support of off-system payments, including value-based care (VBC) arrangements. Manage system changes related to non-standard provider reimbursements such as provider VBC arrangements. Responsible for estimating claims IBNR and claims performance reporting as part of month end process. At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work. We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world. At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change. Benefits Designed to Support Your Total Health As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care. Join us in our mission to improve the health and well-being of our patients, members, and communities. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.

Requirements

Bachelor’s degree (Finance, Accounting, or related) with 5+ years of experience or 7+ years of equivalent experience
Health Industry Experience
Leadership experience
Effective communication skills, written and oral
High level of business and organization knowledge
Excellent financial analysis skills
Strong systems skills and ability to keep up to date with system changes

Nice To Haves

Health Plan Insurance experience
Experience with Claims Forecasting and/or IBNR estimation

Responsibilities

(20%) – Manage the month end review of claims lags and IBNR estimation process along with providing reporting/analysis of claims trends and performance
(20%) – Off-system Claims General Ledger and FP&A Support
(20%) – Provide oversight of the financial reporting for value-based care (VBC) arrangements
(15%) – Administer HealthPartners Provider Withhold settlement process.
(15%) – Lead daily operations of Claims/Value-based Care Finance support team.
(10%) – Manage system changes related to provider value-based care (VBC) changes and withhold settlement process