Director, Finance – Lines of Business

Are you excited to step into a complex world that requires a blend of mind, heart and flexibility? We at CareOregon have been strengthening communities since 1994 by making health care work for everyone. As a nonprofit health plan largely focused on Oregon’s Medicaid population, we find fulfillment in supporting the underserved.

General Statement of Duties

This position is responsible for leading execution of financial plans for each CareOregon line of business. Time is focused on business group partnership, as well as enterprise-wide engagement. Primary duties include operational planning and oversight, as well as resource, relationship, and people management. This position provides input into strategic plans for Finance, as well as the broader organization.

Essential Position Functions

Technical/Operational Leadership

Directs financial planning and operations activities across the lines of business (LOB) in support of Medicaid, Medicare, and Housecall Providers.
Leads the execution of LOB financial plans and goals in alignment with organizational vision and goals.
Serves as a strategic financial advisor to LOB leaders, monitoring areas relating to budgets, variances, allocations, trends, Prometheus, costs and utilization.
Works with LOB leaders to set Board of Directors and Finance Committee agendas; assists in presenting materials and information at related meetings.
Attends Finance Committee meetings, representing the lines of business and providing support to content experts; may attend Board meetings as needed.
Provides strategic support to Finance leadership team.
Serves as one of the organization’s liaisons between the CCOs and the Oregon Health Authority (OHA).
Develops internal systems and measures to ensure effective, efficient, and compliant operations.
Develops and regularly monitors and reports on performance against metrics.
Leads process improvement efforts.
May serve as a sponsor or chair for key projects and initiatives.

Strategic/Operational Planning

Participates in the development of vision, goals, and strategic plans for the lines of business and the Finance unit.
Develops short and long term plans and policies; oversees the development and execution of standard operating procedures.
Provides input into the LOB organization’s strategic plans.
Maintains a business unit view while establishing department priorities, being cognizant of broader business unit and organizational impacts.

Financial/Resource Management

Recommends line of business and department budgets that are in alignment with short and long term plans.
Assists with and recommends efforts to enact and support sustainability plans that have particular impact on the lines of business
Manages department resources to ensure priorities are accomplished.
Approves resource allocations within budget, including people, finances, and timelines; make decisions on exceptions.

Relationship Management

Leads effective communication system for work group(s), ensuring a collaborative culture.
Builds and ensures effective relationships across internal teams and external organizations for current or future integration.
Partners with internal leaders and managers in identifying improvement plans and processes.
Represents CareOregon CCOs in external meetings and functions, providing productive leadership presence and effectiveness.

People Management

Directs team(s) and establishes team and management goals.
Provides team members with ongoing understanding of business unit plans and expectations.
Performs employment functions in collaboration with Human Resources, including staffing, recruitment, performance management, professional development, and termination.
Coaches, motivates, and recognizes staff.
Creates opportunities for professional development.
Leads the development of performance goals, measurement, and evaluation of results.
Ensures participation in required training initiatives and organizational activities, as well as adherence to external regulations and internal policies.
Drives a culture of success in alignment with the organizational mission, vision, and values.

Essential Department and Organizational Functions
Supports and operates in alignment with the organization’s core values.
Strives to meet work goals that contribute to departmental and organizational goals.
Adheres to organizational standards, policies and procedures, as well as compliance requirements.
Performs other duties as assigned.

Knowledge, Skills and Abilities Required

Advanced financial knowledge
Understanding of the health insurance industry, including internal and external managed care systems, products, and methods
Understanding of financial structures, fiscal responsibility, and the economic impact of business decisions
Ability to balance strategic and operational thinking
Ability to plan, organize, manage, and monitor work projects
Skilled in budget management and oversight
Ability to effectively convey business unit goals and plans ensuring integration into strategic plans and initiatives
Ability to develop and lead high performing team members, including hiring, goal setting, coaching, performance management, and development
Excellent communication skills, both verbally and in writing, including strong presentation skills
Ability to lead multi-stakeholder meetings and collaboration
Ability to build and maintain professional relationships with business, community and internal management groups
Skilled in how to confidently diffuse difficult situations and resolve high exposure complaints
Consensus building skills; ability to negotiate favorable outcomes
Ability to respond timely to needs of business leaders
Ability to work in an environment with diverse individuals and groups
Basic computer skills, including spreadsheet and word processing

Physical Skills and Abilities Required

Lifting/Carrying up to 0 Pounds

Pushing/Pulling up to 0 Pounds

Pinching/Retrieving Small Objects

Crouching/Crawling

Reaching Above Shoulders

Climbing Stairs

Repetitive Finger/Wrist/Elbow/

Shoulder/Neck Movement

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3-6 hours/day

Standing

Walking

Sitting

Bending

Seeing

Reading

Hearing

Speaking Clearly

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More than 6 hours/day

More than 6 hours/day

More than 6 hours/day

3-6 hours/day

Cognitive and Other Skills and Abilities Required

Ability to focus on and comprehend information, learn new skills and abilities, assess a situation and seek or determine appropriate resolution, accept managerial direction and feedback, and tolerate and manage stress.

Education and/or Experience

Required:

Minimum 10 years’ experience in Finance, including 5 years’ in a financial leadership role. Experience should include business planning and execution, work with parent/subsidiary corporate structure, preparation of financial reports and performance management tools.
Minimum 3 years’ experience managing people
Preferred:

Strategic experience within health care or managed care
Experience working with Boards of Directors and corporate finance committees

Working Conditions

Environment: This position’s primary responsibilities typically take place in the following environment(s) (check all that apply on a regular basis):
☒ Inside/office ☐ Clinics/health facilities ☐ Member homes

☐ Other_________________________________________

Travel: This position may include occasional required or optional travel outside of the workplace, in which the employee’s personal vehicle, local transit, or other means of transportation may be used.
Equipment: General office equipment
Hazards: n/a

Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment

Veterans are strongly encouraged to apply.

Equal opportunity employer. This company considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

Position Description »