Manager, Health Plan Finance Operations

Lumeris•Missouri, MO

2d•$84,600 - $113,775•Onsite

About The Position

At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact. Position Summary: The Manager, Health Plan Finance Operations is responsible for the oversight of the Accounts Payable (AP) and Accounts Receivable (AR) & Premium Billing functions. This includes the management of timely and accurate processing of vendor invoices and provider claims/payments, and commissions. This role will also be responsible for the full cycle of member/group premium billing, collections, cash posting, and correspondence. This position plays a critical role in the accuracy of the company’s financial statements, and in driving process improvements and system enhancements to improve the customer experience and create efficiencies.

Requirements

Bachelor’s degree in Finance, Accounting, or a related field.
7+ years of progressive experience in finance or accounting, including management experience.
Strong leadership skills and demonstrated success in leading, developing, and managing a team.
Excellent database skills and financial modeling experience.
Strong analytical, quantitative, and problem-solving skills.
Advanced proficiency in Microsoft Office Suite, particularly Excel, PowerPoint, and Access.
Ability to work in a fast-paced, high-pressure environment.
Exceptional ability to communicate effectively, both verbally and in writing, with all levels of the organization.
Self-starter with the ability to work independently and as part of a team.

Nice To Haves

MBA
Previous experience with financial analysis in the technology industry
Previous experience in a high-visibility role

Responsibilities

Oversee the day-to-day operations of the AP and AR/Premium Billing functions.
Manage and develop a team, providing guidance, training, and performance feedback to ensure departmental goals are met.
Oversee all accounts payable processes, including vendor invoice processing, provider claims payment processing, and commission payments, ensuring accuracy and timeliness.
Drive enhancements to the AP/invoicing platform to increase efficiency and improve the customer experience.
Own and manage the entire member/group premium billing cycle, including invoicing, collections, cash posting, and reconciliations.
Oversee the application of payments from various sources (lockbox, EFT, member portal), ensuring accuracy and timeliness.
Manage the collections process for outstanding receivables, including the relationship with the collection agency.
Handle correspondence, premium refunds, and adjustments as necessary.
Partner with third-party print/mail and payment portal vendors to enhance the customer experience and resolve issues.
Identify opportunities for process improvements and workflow automation within the AP and AR cycles.
Serve as the business lead for system enhancements, including performing User Acceptance Testing (UAT).
Ensure compliance with all relevant regulations, including CMS, State DOI, and HIPAA.
Serve as the subject matter expert and business owner for all audits (Financial, SOX, State, Federal) related to AP and AR/Premium Billing, including managing evidence requests.