November 4
• Enjoy the opportunity to work based out of your home and support our award winning culture! • Under the direction of the Business Senior Manager, the Claims and Finance Manager oversees and helps direct the claims, rates, and related information systems functions for Lakeland Care (LCI). • Recommends and implements systems to meet contract compliance requirements and strategic goals as well as serves as Claims advisor to LCI staff in their roles as they relate to fiscal aspects of the Family Care program. • This position contributes to monthly analysis of metrics to identify variances and trends, assists in financial reporting, and conducts various analytical assignments as needed. • The Claims and Finance Manager works in collaboration with management, other Finance and Accounting functions, Data Analytics and Applications support to integrate analysis and provide accurate, timely, complete, and relevant business and fiscal intelligence to organizational decision makers.
• Bachelor’s Degree in Accounting, Finance, Statistics, Business, other related field, or equivalent combination of education and experience (includes knowledge, skills, and abilities). • Certified Management Accountant (CMA) or Certified Public Accountant (CPA) a plus. • Minimum of three (3) years of experience in a position requiring development of progressively more complex analyses and reporting required. • Minimum of three (3) years of experience leading claims or revenue cycle management process and procedures required. • Ability to lead and develop staff and others across a wide spectrum of backgrounds. • Ability to propose and develop metrics designed to meet organizational goals required. • Experience with advanced level of Microsoft Excel required. • Experience with accounting information systems preferred. • Demonstrated strong analytical skills and proficiency in statistical and financial analysis required. • Ability to summarize complex and technical information for lay and expert audiences required. • Effective oral, written, and interpersonal communication skills required. • Ability to function effectively in a fast-paced, evolving and team-oriented environment with multiple priorities and objectives required. • Knowledge of claims processing, especially Medicare and Medicaid claims, required. • Knowledge or experience with managed care and insurance industry operations and functions preferred; knowledge of Family Care program a plus. • Knowledge or experience with the Encounter Reporting System a plus. • Current driver’s license, acceptable driving record and proof of adequate insurance required.
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