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Hours Full-time, Part-time
Location Buena Park, CA
Buena Park, California

About this job

AppleCare Medical Management was formed in 1996. Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors—but the mission has remained the same. Today, AppleCare Medical Management is comprised of hundreds of board-certified private-practice, independent physicians. Collectively, our physicians have been serving the Southeast area of Los Angeles and Northern Orange County for decades, providing their medical expertise and passion to improving the health of our communities.

 


If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Financial discipline and accountability count more today than ever. Which is why your performance and innovation will find a reception here like nowhere else as you help people live healthier lives while doing your life's best work.(sm) 


Summary:

Assists Chief Financial Officer and senior leadership in exercising appropriate oversight of financially-related functions and internal controls, including establishing and implementing policies and procedures for those areas of responsibility. Oversees all activity related to producing an accurate, consistent, and timely monthly close and annual audit, as well as the trade accounts payable, medical claims, capitation, commissions and payroll functions. Works with the Chief Financial Officer to set long and short-term goals for the department and to establish best practice policies and processes.     

 

 

Essential Duties and Responsibilities Include Some Or All Of The Following:


  • Oversight of general ledger, including monthly balances sheet & bank account reconciliation's, financial statement preparation & submission, and the overall month end close process.

  • Reviews and provides logical explanations for monthly, quarterly, and annual variances in general ledger accounts.

  • Directs and coordinates all accounting policies, procedures and maintains appropriate internal control safeguards to ensure systems are maintained in accordance with generally accepted accounting standards.

  • Acts as liaison with internal and external stakeholders, including the DMHC and health plans, in providing required financial reports and information both on a regular and ad-hoc basis.

  • Assists the Chief Financial Officer with internal/external presentations as needed.  Presents analyses to senior management.

  • Reviews and approves all disbursement activity, including regular claims and trade payable payments, bi-weekly payroll, and monthly capitation and commissions payments.

  • Coordinates all banking activities, including payroll funding, fraudulent checks, stop payments, wire transfers and online banking, with bank representatives.

  • Facilitates annual E&O, D&O, general liability, workers comp, and provider stop loss renewals.

  • Reviews health plan revenue and receipts before upload to accounting system.

  • Provides oversight of daily and monthly cash trends.

  • Prepares monthly IBNR calculation for multiple IPA's and product lines.

  • Ensures timely and successful completion of all external audits, including required IPA annual audits, regulatory audits and internal audits.

  • Coordinates the accurate and timely filing of all regulatory reports including DMHC financial statements & quarterly tax filings.

  • Assures department is adequately staffed with qualified personnel, evaluations are performed timely, and job descriptions are current.  Provides regular feedback and coaching.

  • Develops, maintains, and ensures compliance with P&P for supervised function.

  • Responds to all reasonable requests in an appropriate and timely manner.


Requirements


  • BS/BA degree in finance, accounting, business or a related discipline required.

  • Strong Knowledge of accounting in accordance with U.S. Generally Accepted Accounting Principles (GAAP).

  • 8 to 10 years of progressive career experience in Healthcare/Accounting.

  • Requires demonstrated understanding and experience with financial reporting, revenue cycle management, accounting, budgeting, accounts payable, treasury, audit, tax, payroll, information technology and IBNR.

  • Demonstrated ability to effectively communicate the financial condition of the organization to the CFO and other members of the leadership team.

  • Treats company resources and property with respect and in a manner that reflects awareness of financial responsibility.

  • Embraces diversity within the work environment and consistently deals with all customers in a friendly and respectful manner. Supports teamwork and cooperation with work partners in daily activities. Readily volunteers to assist co-workers complete tasks.

  • Proactive self-starter and change agent.

  • Strong intelligence, both in critical thinking and conceptual reasoning.

  • Confidence to make good decisions in a timely manner.

  • Ethical leader able to set high standards in business ethics and decision making.

  • Computer literate in MAS200 and the Microsoft Office Suite of Tools with advanced skills in Excel and Word.

 

 

Preferred


  • CPA, MBA.

  • IPA or Medical Group experience

 


 


 


 


 


Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.



UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.