Manager II Financial Operations Dept.- PS39206

Primary duties

may include, butare not limited to :

Working with teams and state health plan partners to coordinate data mining overpayment recoveries.

Assists in the development and implementation of vision, strategies, and tactics to maximize the department’s effectiveness while minimizing costs.

Reviews statistical data of various systems in order to verify accuracy and timely processing.

Ensures internal controls are appropriate and develops policies and procedures and ensures compliance with government regulations.

Provides counsel to senior management.

Works with other areas for solutions to complex problems and participates in critical interactions with both internal and external customers.

Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Qualifications

Requires 5-6 years experience with operations,financial reporting and analysis, audit guidelines, budgeting and multi-stateoperations and processes;

experience with complex business environmentsincluding multiple entity and highly automated situations; 3 years managementexperience;

or any combination of education and experience which would providean equivalent background. Any knowledge orexperience of the PaymentIntegrity Recovery Claim Operations in the Medicaid markets is a plus.