Director, Finance - Health Plan

Responsible for oversight of the financial operations of a business segment within the health plan, and support the direct operating expense oversight of the department. Appraise operating results in terms of costs, budgets, operational policies, trends and increased profit opportunities. Partner with segment and matrix partner leaders to drive achievement of current year and multi-year financial commitments.


Essential Job Functions:


1.  Performs management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.


2.  Plans, organizes, staffs, directs and controls the day-to-day operations of the department; develops and implements policies and programs as necessary; may have budgetary responsibility and authority.


3.  Function as member of the team responsible for developing vision and strategy. Provide detailed guidance on the preparation of all financial components of the strategic plans across the business segment. Oversee communication of strategy and vision to management and staff and to representatives of the company.


4.  Accountable for activities required to maintain financial records, the preparation of financial statements, the preparation of Board of Director statements, and the preparation of statutory reports for submission to the Department of Insurance in various states.


5.  Lead the business segment department operating expense oversight, including maintenance of budget development processes and assessment of operating effectiveness with respect to current and multi-year financial performance targets.


6.  Oversight of detailed, multi-year earnings improvement initiatives under the direct and indirect control of the segment leadership, including measurable initiatives across all P&L categories.


7.  Partner with actuarial functions, enabling effective product pricing, in-year claim analysis, and incurred but not recorded reserve decision making.


8.  Oversee compliance matters including product filings, resolution of regulatory issues, responses to regulatory inquires, for a variety of products and programs marketed across the United States. Provide counseling/advice with respect to regulatory developments in the external environment, product development issues, and the interpretation and administration of Commercial Markets products.


9.  Oversight of the business segments initiatives, ensuring that initiative business cases are thoroughly documented and that measurable success criteria are contemplated in current and multi-year budgets, projections, etc.


10.  Other duties as assigned or requested.


Minimum Qualifications:


Bachelor's degree in Finance, Accounting or other related field 7+ years management experience in finance or accounting in the health care payer sector

Preferred Qualifications:


MBA Certified Public Accountant (CPA)


Benefits - Full 
Relocation Assistance Available - Yes 
Bonus Eligible - Yes 

7+ to 10 years experience
Management Experience Required - Yes
Minimum Education - Bachelor's Degree
Willingness to Travel - Occasionally


Location: PA