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Finance Manager

Baltimore, MD, United States

Responsibilities The Finance Manager (FM) is responsible for providing subject matter expertise, advice, and assistance in the interpretation, application, and implementation of regulatory and/or contractual requirements, and ensures all contract operations related to payments and banking, as specified in the Statement of Work (SOW) or Performance Work Statement (PWS), are performed and all deliverables are submitted on time and meet or exceed the quality standards specified in the contract. The FM is responsible for the development and documentation of processes in compliance with ISO standards. The FM is responsible for selecting, hiring, and training of employees to perform specialized technical, quality assurance, and professional job functions required by the contract. Responsibilities include performing risk management to address potential issues before they become problems and remedying problem situations to achieve corrective actions, conducting specialized tasks specific to areas of subject matter expertise, work experience, and education and training, conducting analyses of operations for the purpose of devising and/or implementing strategies for improvement, devising and implementing automated and other reports to aid in the analysis of project activities, and analyzing reports and other data to offer guidance and direction to ensure quality and timeliness of contract deliverables. Work is done in a manner that protects the confidentiality of patient information through compliance with the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH). The FM shall attend annual security awareness training and testing, rules of conduct and conflict of interest training.

Qualifications and requirements Essential Knowledge and Experience: Experience in devising and executing complex operational requirements; managing a team of professional and/or technical staff; managing government projects and/or contracts; and developing and managing budgets for government contracts. Knowledge of health insurance claims payment and applicable laws and regulations. Other Desirable Knowledge: *Payment and Finance Modernization *Payment Process Improvements (transitioning from manually validating payment requests to an automated process) *Post-payment reviews/audits *Maintain banking relations *Demands for and collection of overpayments Essential Education and Experience: A bachelor's degree in Health Care Administration, Public Health, or Health Services Administration and experience in health insurance claims payment or other directly related field. Project Management Professional (PMP) is desirable. Complementary specialized licensures or certifications are desirable. Five years of related leadership or managerial experience. Experience in and knowledge of quality assurance, case review, project management best practices, ISO standards and devising detailed operational processes and flows.

Desired Characteristics Essential Skills: Work requires professional written and verbal communication and interpersonal skills. Demonstrated ability to lead and motivate teams to produce quality materials within tight timeframes and simultaneously manage task functions, and/or complex contractual requirements. Organizational "Fit" Considerations: This may require extended hours of work during the week, weekends, and on holidays, on demand or in order to prevent adverse situations from occurring.

Posted: 6 hours ago Locations: Maryland

Annapolis Junction, MD 20701

Clearance Requirement: Not applicable Telecommuting options: Full-time telecommuting is okay

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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Finance Manager jobs in Baltimore, MD, United States

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