Director-Financial Ops-SHPO
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*Bonus available to new employees and may require previous work experience. Employment commitment to Samaritan is required.
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Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services’ self-funded employee health benefit plan.
As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.
- Our ideal candidate will be a strong finance leader to help guide our financial strategy and improve financial operations in a growing regional Health Plan. Preferred candidates would possess the following:
- Experience in insurance or healthcare
- Financial reporting, budgeting, and analysis experience
- Strong leadership experience managing a team including mangement level
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Our ideal candidate will reside or be willing to relocate to Oregon but are open to remote/remote out of state. We are able to employ in the following states: Alabama, Alaska, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin
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JOB SUMMARY/PURPOSE
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Directs the financial reporting, analysis and reimbursement strategy for Samaritan Health Plans. Directs operational strategies and financial plans for all lines of business based on trend analysis, revenue streams, sustainability, cost data and knowledge of the plans, systems and industry. Serves as project leader for complex data analysis projects that can be multi-disciplinary or interdepartmental.
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EXPERIENCE/EDUCATION/QUALIFICATIONS
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Master's degree in Finance, Mathematics, Statistics, Economics or a related field and seven (7) years of finance experience in health care or a related field, or an equivalent combination of education and experience required.
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Experience in the following areas required:
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Leadership to at least the Management level.
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Pricing and forecasting models/methodologies.
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Data interpretation, analysis and reporting to find efficient solutions.
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Clinical and financial data.
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Facilitation and negotiation.
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Intermediate MS Access and advanced MS Excel.
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KNOWLEDGE/SKILLS/ABILITIES
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Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.
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Conflict resolution - Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner.
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Critical thinking – Identifies complex problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions.
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Communication and team building – Leads effectively with excellent verbal and written communication. Delegates and initiates/manages cross-functional teams and multi-disciplinary projects.
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PHYSICAL DEMANDS
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Rarely
(1 - 10% of the time)Occasionally
(11 - 33% of the time)Frequently
(34 - 66% of the time)Continually
(67 – 100% of the time)LIFT (Floor to Waist: 0"-36") 0-20 Lbs
LIFT (Knee to chest: 24"-54") 0 - 20 Lbs
LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
CARRY 1-handed, 0 - 20 pounds
CARRY 2-handed, 0 - 20 pounds
KNEEL (on knees)
BEND FORWARD at waist
CLIMB - STAIRS
STAND
WALK - LEVEL SURFACE
ROTATE TRUNK Standing
REACH - Upward
PUSH (0-20 pounds force)
PULL (0-20 pounds force)
SIT
ROTATE TRUNK Sitting
REACH - Forward
MANUAL DEXTERITY Hands/wrists
FINGER DEXTERITY
PINCH Fingers
GRASP Hand/Fist
None specified
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