About this role
We appreciate your interest in our organization and assure you that we are sincerely interested in your qualifications. A clear understanding of your background and work history will help us potentially place you in a position that meets your objectives and those of the organization. Qualified applicants are considered for positions without regard to race, color, religion, sex (including pregnancy, childbirth and breastfeeding, or any related medical conditions), national origin, ancestry, age, marital or veteran status, sexual orientation, gender identity, genetic information, gender expression, military status, or the presence of a non-job related medical condition or disability (mental or physical).
KHS reasonably expects to pay starting compensation for the position of Accounting Manager - Medicare/DSNP and Reg. Reporting in the range of $117,487-149,796 Annual
About us
Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system.
About the role
The Accounting Manager will provide oversight and financial expertise to the accounting operations of Kern Health Systems (KHS). The Accounting Manager will assist with the financial review and regulatory reporting needs of the Medicare/DSNP line of business. Additionally, this position will also work collaboratively with other department directors to ensure compliance with contractual and regulatory requirements, including DHCS and CMS requirements.
Essential Duties and Responsibilities
- Assists the team in carrying out day-to-day department functions including those related to revenue, payables, investments, cash disbursements, purchasing, general ledger and financial reporting.
- Assists in the review and preparation of monthly, quarterly, and annual financial reporting. Monitors compliance with statutory accounting standards and reporting financial data in accordance with generally accepted accounting principles (GAAP) and Governmental Accounting, Auditing, and Financial Reporting (GAAFR).
- Manages financial reporting and compliance activities, ensuring recording and reporting of financial transactions are accurate, transparent, timely and adhere to regulatory agencies, including DHCS, DMHC, and CMS.
- Manages department workflows and priorities to meet department and organizational objectives and compliance with critical due dates.
- Drives continuous improvement in financial processes, systems, and the establishment of internal controls and policies to enhance efficiency and effectiveness.
- Assists with the development and implementation of strategies to forecast revenue and trend medical and administrative expenses related to the Medicare/DSNP line of business.
- Prepares statistical reports and reviews actuarial calculations including those for incurred but not reported (IBNR) claims liabilities.
- Provides leadership and coordinates the timely and proper development and preparation of budget schedules.
- Reviews and evaluates accounting and financial activity reports for the purpose of medical management review and evaluation, medical costs utilization, and explaining budget variances.
- Participates in the hiring, training, and evaluations of department staff; directs, motivates and assists in the development of staff.
- Responsible for the processing and handling of manual checks to various vendors and providers.
- Assists with the preparation of audited financial statements, footnotes, and supplemental information and ensures compliance with required accounting pronouncements
Other Functions
- Assists management in the preparation and review of various accounting, statistical and financial reports.
- Performs other related duties as assigned.
- Adheres to all company policies and procedures relative to employment and job responsibilities.
Employment Standards:
Education: Bachelor’s degree from an accredited four-year college or university with a major in Accounting, Finance, Business Administration, or a related field of study is required.
Experience: Minimum of 6 years of accounting or auditing experience including three (3) years of progressive leadership experience. Experience in health insurance or HMO accounting is preferred and experience in public accounting is preferred.
We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis.
Other facts
About KHS
Kern Health Systems, known as Kern Family Health Care, was established in 1993 as a managed care health plan, and is the largest health plan in Kern County. Kern Health Systems is committed to providing quality health care to our members. It is important to ensure good health through continuity of care by connecting each member to a provider of their choice within our provider network. Our extensive provider network includes the Traditional and Safety-Net Providers that historically delivered care to Medi-Cal recipients and private providers throughout Kern County and some parts of Los Angeles County. We believe good patient/physician relationships and effective preventive care are true indicators of our success. We also offer a continuum of care that extends beyond doctor visits. With a full range of health education classes and Care/Disease Management programs, we provide quality educational and preventive services to the population we serve. We are able to achieve this through partnerships with our providers and community-based organizations within Kern County. The difference is clear: We hold the standard high when it comes to quality health care for our members.
Our Mission:
Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system.
As Kern Health Systems continues to move forward, we will continue to uphold our mission of being dedicated to improving the health status of our members through an integrated managed healthcare delivery system. As the healthcare landscape has been transformed, we will pursue tomorrow with community and provider innovation, enhanced member access, and strengthened member health and wellbeing...Together.
What you'll do
- The Accounting Manager will oversee the accounting operations and assist with financial review and regulatory reporting for the Medicare/DSNP line of business. This role includes managing compliance activities and driving improvements in financial processes.
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