The position will assume financial responsibility for the Mid-Atlantic Market of Kaiser Foundation Health Plans and Hospitals (KFHP/H). This position has primary accountability for Driving the development of a sound, comprehensive strategic financial plan that promotes short term growth and financial stability, as well as ensures the long-term financial viability of the Region. Overseeing all aspects of financial management within the organization including the development of information and analysis on key financial and operational data, as well as performance management. Co-leadingan integrated regional planning process that encompasses business, capital, and financial planning in support of the Market and Enterprise strategy. Communicating to a variety of internal and external audiences regarding the Region-s financial performance, risks, opportunities, and plans. Ensuring the effectiveness of all regulatory compliance and Sarbanes-Oxley (SOX) programs. Ensuring the Market-s Finance leadership team is of superior quality. Building and maintaining a responsive, motivated, and high performing finance organization. Partnering with operational and regional leadership to ensure finance capabilities will enable the organizations near-term performance and support its overarching, long-term business (could be a better word than -business-) strategy. Overseeing the development and maintenance of key financial and planning relationships with the Mid-Atlantic Medical Group (MAPMG). Working with Program Finance leadership to develop a superior finance team and outstanding financial performance for the Program. Overseeing medical services contracting. Identifying and tracking key performance indicators relating to the Market-s financial performance. 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 licensing requirements (if applicable), and Kaiser Permanentes policies and procedures.
Essential Responsibilities:The CFO and VP of the Mid-Atlantic States Market will focus on the following major strategic areas: Develop a strategic financial planSystematically and comprehensively assess the financial opportunities, challenges and risks facing the region. Develop sound, comprehensive plans associated with budgeting, financial management, business and capital planning, FTE management and rate setting to address the regional opportunities, challenges, and risks. Effectively engage regional KFHP/H leadership and regional MAPMG leadership to do this.Serve as a key participant in Program financial leadership. Contribute to the overall financial leadership of the Program through participation with various program-wide groups. Support program-wide initiatives, which further enhance the financial and planning infrastructure of the program.Collaborate with Regional President to lead the annual negotiation of the Medical Services Agreement (MSA) between Health Plan/Hospital and its medical group, MAPMG.Drive organizational performancePartner with operations and regional leadership to develop short- and long-term financial and operational plans, as well as appropriate metrics required to strengthen the performance of the organization.Ensure that current reporting systems and oversight processes monitor and accurately identify relevant performance issues on a daily, weekly, and monthly basis. This includes both financial and key operating (e.g., hospital utilization, FTEs) reporting systems and metrics. Ensure that these reporting systems and oversight processes accurately predict performance issues and therefore allow for timely course corrections. Collaborate with operations leaders to ensure that plans are developed and implemented to address performance issues.Continue supporting existing intra-entity, multi-disciplinary initiatives as well as shape and launch new initiatives that will position Kaiser Permanente to improve performance.Collaborate with VP, Strategy and Business Development, to ensure a robust regional business planning process that incorporates rate setting, capital planning and financial planning to support the regions strategy. Communicate regarding the Region-s financial performanceEffectively communicate to a variety of audiences regarding the Region-s financial performance; drivers of performance; opportunities and risks; and plans for ensuring financial success. Internal audiences may include Program Office leadership, KFHP/H and MAPMG leadership, Finance leadership and staff, and managers and staff throughout the organization. External audiences may include bond agencies, major customers, and Labor or vendors during contract negotiations. Management of Key Finance FunctionsOversee management of all significant finance processes and functions. Some of these areas are part of Statewide or National Shared Services. Specific accountabilities include, but are not limited to: Financial Planning & AnalysisFinancial planningPreparation of operating and capital budgets ForecastingFinancial ReportingOperational analysisPerformance management and monitoringCapital Investment prioritization, business case development and value realization.Cost structure improvement plan development and analysisStaffing plan, productivity reporting and optimizationFinancial Shared Services Mid-Atlantic Controller function, including:Financial controls and SOX ComplianceCash managementGeneral accountingAnnual auditsTax complianceActuarial ServicesMonitoring claims/Determination of IBNRRevenue planning and Fee ScheduleRisk Adjustment and MLR reportingMedicare risk adjustment, revenue collection, compliance, and reportingTreasury ServicesWorkers- Compensation and Third-Party LiabilityUnion bargaining analysisMid-Atlantic Revenue CycleCollection of non-dues revenueNon-member revenuesBillable encounters by members Financial Operations and Finance leadership developmentBusiness PlanningPerformance ManagementRecruiting and RetentionLeadership DevelopmentRecruiting and RetentionManagement and staff developmentBuild and Maintain a High Performing Finance OrganizationDrive internal initiatives that improve overall performance by addressing unreliable, poorly controlled, ineffective, inconsistent, and duplicative processes and functions through the adoption of process standardization and leveraging the capabilities of Shared Services.Ensure that the Finance organization can attract, recruit and retain superior talent. Build a performance-oriented culture characterized by enthusiastic, motivated staff that feels accountable for operating as a team and meeting customer needs. Direct the development of appropriate recruitment, retention and training programs that will improve the overall efficacy and competency within the Finance organization. Create and follow through on succession plans. Basic Qualifications: Experience
Minimum ten (10) years of experience leading major financial activities of a multi-faceted health plan, health care system and/or multi-service provider setting, including but not limited to operational performance management, provider relationships, financial planning and budgeting, strategic planning, risk management, capital generation, revenue management (patient billing, Medicare revenue, and dues collection), controllership and internal audit. Education
Bachelors degree or equivalent in Finance, Business, Economics, Statistics, Accounting, or related field. License, Certification, Registration N/A Additional Requirements:
Successful experience managing a broad range of financial and organizational issues, such as organizational redesign, improving internal controls, significant contract negotiations; revenue cycle management, financial turnaround, creating a performance-oriented organization, and change management.Demonstrated expertise as a financial and strategic leader, including but not limited to:Outstanding financial technical skillsExcellent problem-solving skillsProven capability to motivate change and galvanize action through synthesis and interpretation of financial and operational data.Consistent delivery of results to the satisfaction of internal and external customers.Proven ability to balance execution of the strategic vision through leadership and delegation, with a willingness and competence to dive into the details, as required.Previous leadership leveraging information technology strategies for financial transaction and decision support systems.Demonstrated leadership capabilities, including but not limited to:Developing dynamic, constructive working relationships and partnerships with operational and physician partnersWillingness to challenge the status quoExcellent interpersonal skills (negotiation, listening and communication skills) characterized by effective interactions with a diverse range of internal and external constituents, stakeholders, and audiences.Demonstrated political savvy to operate in politically complex situations and remain effective.Decisiveness, action-orientation, personal integrity, capability to persevere in difficult situations, and a focus on strategic leadership issues highly desired. Models open, collaborative leadership style that promotes teamwork and partnership while achieving desired results. Preferred Qualifications:
Combination of health plan and health care delivery system finance experience preferred.Masters degree and/or CPA preferred.