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• Director of Finance
• Manager of Finance
• Chief Financial Officer
• Controller
• CFO Leadership Profile
• Network Relations Consultant
• Network Manager
• Provider Data Services Consultant
• Children’s Hospital Colorado

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Aetna Currently has the Following Opportunities to Join the Team in the New York City Office



Director of Finance – 5187

Hiring a Director of Finance for a family medical center providing healthcare services to low-income, under-served residents and those lacking access to health care. Reporting to the CFO, the Director of Finance will provide ongoing finance leadership and oversight of financial operations. The Director of Finance will oversee the annual operating budget. The ideal individual will be a proven leader that is able to motivate and develop their staff.

Responsibilities:

• Responsible for overall financial operations including business services,operational and capital financial planning, budgeting, financial reporting and auditing functions.
• Supervises a staff of 10+ in Accounting, Revenue Cycle and Purchasing
• Oversee training and development of staff to improve quality and efficiency of work practices
• Provide finance leadership to the management team; helps implement short term and long-term financial strategies and visions.
• Lead the annual budgeting process
• Perform monthly and quarterly budget variance analysis and forecasts to ensure financial obligations are met
• Lead the development and maintenance of comprehensive financial and operational reporting
• Participate in various presentations to all level of leadership, including Board of Directors and CFO
• Develop, review, and oversee recruitment and expansion business plans
• Provide financial leadership to divisional managers in fiscal oversight best practices including but not limited to: budgeting, planning, and maintaining internal controls.
• Facilitate departmental cost savings by implementing and maintaining financial best practices.

Requirements:

• Bachelor’s Degree in Business Administration or Healthcare Administration required
• MBA, MPA or Master’s Degree in a related field preferred
• Minimum of 5 years’ experience in healthcare and revenue cycle experience preferred


Manager of Finance- 5416

Our client, a world-class, patient-centered, integrated, academic medical center, is currently seeking to hire a Manager of Finance. The Manager of finance will prepare financial statements and budgets, review revenue and expense analytics, and supervise analysts.

Responsibilities:

• Manage monthly financial statement close and preparation process, including the review of journal entries and variance analysis from financial analysts.
• Manage accumulation of supporting schedules and key performance indicators that are included in the financial statement package for the Hospital.
• Present annual budget information for the Hospital and related entities.
• Collaborate with department managers on their expense budget submissions. Oversee input of budget information by the financial analysts into the Hospitals budget system. Supervise Hospital finance department management to ensure the department budgetsare accurately reflected in the consolidated Medical Center fiscal year budget.
• Ensure financial reporting requirements are received including but not limited to weekly volume statistics and daily cash receipts and A/R balance reporting.
• Manage Financial Analyst staff including performance management, recruitment and onboarding, assignment and delegation of work, and staff discipline.

Education Requirements:

• Bachelor’s Degree in Finance/Accounting required.
• CPA and/or MBA preferred.
• Experience Requirements:
• Minimum of 5 years healthcare finance experience.
• Strong knowledge of generally accepted accounting principles.


Chief Financial Officer – 5442

Our client, a national non-profit addiction rehabilitation organization, is seeking to hire a Chief Financial Officer. The Chief Financial Officer will oversee all fiscal and fiduciary responsibilities for the organization, in conjunction with the board of directors and the finance, audit, and risk committees of the board.

Responsibilities:

• Manage all accounts, ledgers, and reporting systems.Ensure compliance with appropriate Generally Accepted Accounting Principles, regulatory requirements, and audit requirements.
• Collaborate with IT department to procure specialized finance IT systems that meet the needs of the organization.
• Oversee cash flow and forecasting. Develop a reliable cash flow projection process and reporting mechanism that includes minimum cash threshold to meet operating needs.
• Optimize the development of banking relationships and initiate appropriate strategies to enhance cash positions.
• Administer budgeting and budget implementation to monitor progress and present financial metrics both internally and externally.
• Establish, monitor, and enforce internal controls to protect assets.
• Prepare financial projections and management report for the organization’s directors.
• Ascertain compliance with federal, state, and local legal requirements.
• Supervise the preparation of the 990 and Consolidated Fiscal Reports.
• Recruit, onboard, and train financial staff.
• Sets targets for and supervises all accounting and finance staff (accountants, billers and clerks). Generate reports on financial performance on quarterly and annual basis.

Requirements:

• 12+ years of finance experience.
• Bachelor’s degree in finance or business field; MBA preferred; CPA a plus.
• Revenue Cycle experience in healthcare preferred
• Working knowledge of OASAS and OMH cost reimbursement contracts.


Controller – 5451

Our client, a network of Family Health Centers with locations throughout New York City, is currently seeking to hire a Controller. The Controller will oversee allAccounting functions of the organization, including but not limited to Accounts Payable, Accounts Receivable, Cash Management, Payroll, Cost Accounting, General Ledger/Financial Statements, etc.

Responsibilities:

• Recruit, mentor/train, and supervise Accounting staff.
• Review and approve all financial transactions.
• Prepare monthly internal financial statements and analysis of same in a timely manner.
• Review and approve all required tax returns and filings for sign-off by the CFO and the President.
• Supervisepayroll and purchasing functions.
• Ensure that accounts payable are paid in a timely manner, including coordination of electronic banking transactions.
• Generateweekly cash position reports to the CFO and the President.
• Manage all banking relationships, bank accounts, cash balances, and ensure timely completion of bank reconciliations for all accounts.
• Assist the CFO in the conduct of the year-end audit of the Center’s financial statements.
• Maintain a system of controls over accounting transactions, including the chart of accounts, written policies and procedures, and departmental calendar.

Requirements:

• 10+ years of related work experience, including 5+ years of leadership experience.
• Bachelor’s Degree in Accounting or related field required.
• MBA/CPA preferred.
• Experience with an FQHC or Ambulatory Healthcare Environment.


United Health Services

Leadership Profile

Senior Vice President and Chief Financial Officer

CONFIDENTIAL
Prepared by
Paul Bohne
Melaney Arruda
January 2019

This Leadership Profile is intended to provide information about United Health Services and the position of Chief Financial Officer. It is designed to assist qualified individuals in assessing their interest.

Opportunity and Summary of Position

Opportunity

The Chief Financial Officer (CFO) will be an integral, contributing member of the United Health Services (UHS) senior management team and will effectively lead the Finance division for the system. Driving financial excellence and performance measures at the system level, collaboratively and respectfully engaging others in advancing initiatives, and partnering with the CEO and senior colleagues on strategic financing and other matters help to define the call for leadership for this unique opportunity. The CFO will foster an atmosphere supporting high performance and personal accountability and will serve as a contributing, strategic and operational leader, further advancing the organization’s strategic goal of elevating its performance-based culture while also consistently living the values of UHS.

This is an outstanding leadership opportunity with a well-respected organization committed to serving the more than 600,000 residents in the Southern Tier of New York and portions of Northeast Pennsylvania who rely on UHS for their care. With approximately $875 million in net revenue, UHS is one of the largest employers in the region and employs 6,300 people across its sites.

This role requires an innovative, technically superb leader who is by nature highly performance-oriented in advancing high quality finance and financial strategy services. The ideal candidate will be a collaborative, communicative, innovative and results-oriented leader. He/she will have a minimum of ten years finance management experience, a significant portion of which should be in health system organizations.

The CFO is responsible for working with Senior Management in implementing system-wide strategy and for planning, organizing, interpreting, and administering System financial policies and all financial operations. The CFO is responsible for monitoring and assuring the organization achieves its agreed upon performance targets, including but not limited to quality, patient satisfaction and financial goals. The CFO will work closely with the President and CEO and the Senior Management team in formulation of System goals and in the implementation of financial policies, strategies and objectives. In addition, the CFO will play an active role in support of the Board and Board committees; represent the System with regard to outside organizations and various external matters; and oversee other functions and programs as assigned.
The CFO will report directly to John Carrigg, President and CEO of the UHS System. The following areas report to the Chief Finance Officer:

• Accounting
• Budgeting
• Reimbursement/Contracting
• Revenue Cycle
• Treasury
• HIM/Medical Records*
• IT*
• Risk Management*

Goals and Objectives – Measures of Success

The following goals and objectives have been identified for attention and focus during the early tenure of the new Chief Finance Officer:

• The successful candidate will be expected to develop personal credibility with all levels of leadership and employees, consistently exhibiting UHS’ organizational values. It is critical that the new executive be viewed as an engaged, present, creative, connected and values-driven individual. Visibility and engagement across all entities within UHS is a core expectation.
• While the finance function includes a talented, dedicated team with an abundance of operating strengths, the next CFO, like with any new leader, will conduct a comprehensive assessment of the strengths and opportunities for improvement of the Finance Division in terms of its services, functions, technology and organizational structure and strategic priorities.
• Provide leadership in payer negotiations and strategies, particularly relative to value-based care models, pay for performance, and other value-based payment strategies.
• Assist UHS in its growth trajectory by ensuring that Finance services are consistent, scalable, and proactive with an appropriate sense of urgency. The next CFO will be charged with staying current in healthcare finance practices and trends and being able to anticipate changes in the market place that may impact the system.
• Assist in the transition to the Epic and Revenue Cycle System that UHS plans to have go live in the 2nd quarter of 2020. All revenue cycle functions will be converting from Sorian to the Epic platform. With UHS having a strong revenue cycle function (A/R days are currently 34), ensuring the success of this new system will be critical.
• Provide leadership with the current Facility Master Planning initiative that is underway. Provide guidance for capital projects for UHS.
• Support and guide a collaborative capital and budgeting process with all levels within UHS; the focus will be on system-wide capital planning and in assisting leaders to prioritize capital needs.
• Lead and support the risk management function for the organization. A high-level understanding and ability to navigate alternate risk financing to support UHS’s self-insured captive program.
• Participate in the development of the annual operating plan.
• Continue to build the UHS’s balance sheet so the System is well positioned in the debt market and continues to meet the needs of a growing health care delivery system.
• Assist UHS’s leadership in the sale of the Ideal Senior Living community.
• Develop an effective partnership with the Finance Committee of the Board.
• Guide long range planning and visioning for the management of all resources – fiscal, capital and people. Anticipate threats and opportunities for the System.
• Partner with the CEO and others leaders with identifying initiatives and programs that support one of UHS stated strategic goals; improving its performance-based culture. It is critical the CFO establish him/herself as a partner and advisor to operational and clinical colleagues and a catalyst for the advancement of initiatives.
• Develop strong relationships with UHS’ clinical leaders and provide counsel and support to UHS’ growing physician enterprise. The CFO should establish her/himself as committed to patient care and supportive of initiatives and programs that support caregivers. With this role being a system-wide leadership role, the CFO will be closely involved in supporting initiatives that impact all facets of the health system organization.
• Ensure the Finance Division is proactive and customer service oriented, while stressing accountability and flexibility in meeting the System’s needs.
• Mentor UHS finance staff and assess their future development needs.
• Create an identity within the community by participating in local activities and organizations that fosters both personal and organizational visibility.

Candidate Qualifications

The successful candidate will bring the following to the role of Chief Financial Officer:

Experience

The ideal candidate will bring:

• A successful track record with progressive, contemporary experience in leading an effective Finance Division and implementing current best practices in the healthcare field.
• A commitment to and track record of improving key financial measures, including accounts receivable, financial planning, and cash flows.
• Successful development of staff and teams. Effective team building through increasing the collective focus, orientation and overall performance of teams.
• An inspirational leader with a positive history of working collaboratively and respectfully with colleagues and senior leadership to define current and future needs of an organization. Someone with an ability to listen well.
• Demonstrated success within a complex organization, preferably with experience in healthcare system integration.
• Must be a seasoned, contemporary finance executive with experience in the areas of finance, business operations, treasury, revenue cycle operations, risk management, strategic planning and managed care contracting.
• Depth of knowledge of the economic drivers of clinical operations, including a relevant scale initiative to reduce cost of care and overhead across the System.
• Expertise in cash management and prudent oversight of risk payment/pay for performance contracting models under managed care and government insurance programs.
• A proactive, service-oriented person who has experience in using and developing realistic financial projections and analysis to support decision making.
• A thorough understanding of hospital accounting processes and GAAP.
• A high-level working knowledge of cost/productivity management systems and experience creating business intelligence tools in support of clinical and operational areas.
• An in-depth understanding of risk management, particularly in self-insured captive programs.
• A demonstrated track record of working effectively with non-financial managers on their budgets and variances.
• A leader comfortable with negotiating with various internal and external constituents.
• A proven track record of leading projects and teams as well as excellent project management skills and experience managing multiple priorities.
• Ability to create a culture of pride and personal accountability, as well as a trusting environment where open communication and transparency is the norm. A history of positive employee relations experience is essential.
• Experience improving systems and processes, building credibility with customers, focusing on continuous improvement, measurement and best practice assessment.
• A solutions-oriented leader who is able to maintain a proactive approach with an open mind to innovation and progressive initiatives. Proactive in identifying strategic and organizational issues.
• Ability to rapidly earn credibility by creating the followership of an effective leader and performing above expectations.

Personal Characteristics

• A personal style that emphasizes openness, visibility and connectivity. Ability to convey the organization’s enthusiasm, confidence, goals, and mission and inspire those things in others. Must be able to connect with people in a meaningful way at all levels within the organization in keeping with the culture of the senior leadership team.
• A self-motivated, hard worker who holds people accountable, but also encourages creativity and the free exchange of new ideas. Empowers subordinates, maintains a sense of humility and enjoys giving credit to others.
• Action-oriented and resourceful.
• A seasoned, confident leader who will advocate for employees.
• A patient-centric leader who maintains a strong focus on what is doing right for those served by UHS.
• Must have a strong commitment to the team approach and be able to mentor his/her direct reports, empower others and have strong motivational skills.
• Strong leadership skills, including delegation, follow-through, accountability and leading by example.
• A consensus builder who understands, listens, and encourages expression of other points of view. Employs a participative, collaborative management style, respecting the dignity of all individuals.
• Someone comfortable leading through a period of change and some ambiguity.
• Excellent oral and written communication skills.
• Able to effectively function in an evolving internal and external environment while keeping others engaged.

Education

• A bachelor’s degree in Business Administration, Accounting/Finance or related area is required. A master’s degree in Business Administration and/or CPA is strongly preferred.

Mission and Overview of United Health Services

Mission

UHS is a comprehensive regional health system whose mission is to improve the health of those we serve through our commitment to excellence in all that we do.

Vision

UHS, the region’s leading integrated healthcare system, will demonstrate exceptional value in the delivery of coordinated, patient-centered care.

Values

We are committed to the values of UHS, which we believe reflect those of the people and communities we serve. These values guide our actions and decisions. We are committed to living by these values each and every day.

Caring

Caring means that we show compassion in how we treat others. We show sensitivity to their concerns, problems or pain. We reassure them that they are not alone.

Service

Service means helping others get what they need, and, where possible, giving even more than they expect. We pledge to provide service to all in need, regardless of their financial means, race, creed or other life circumstances.

Partnership

Partnership means we use teamwork to accomplish more than any of us could working alone. We believe we can best serve and care for others by blending the talents and dedication of many caring people and organizations.

Learning

Learning means improving our knowledge and skills to benefit others. We seek the knowledge, wisdom and insight that will enable us to best serve and care for others.

Integrity

Integrity means we are honest in what we say, and we are true to our word. Honesty and competence are fundamental to our relationships with others.

Respect

Respect means seeing the best in others, regardless of who they are. We offer each person we serve or work with our respect and understanding, recognizing their special needs and individuality in our words and actions.

Stewardship

Stewardship means that we use our community’s health resources wisely. The community has entrusted us with responsibility to manage our health system for the benefit of both current and future generations.

The Organization

United Health Services (UHS) is a regional healthcare delivery system consisting of healthcare providers and supporting organizations primarily serving New York’s Southern Tier and surrounding areas. UHS providers are geographically dispersed through Broome, Tioga, Chenango, Delaware, Otsego, and Tompkins counties. UHS is the largest healthcare system and private employer in the Greater Binghamton region, employing approximately 6,300 employees and serving over 600,000 residents. UHS is the parent corporation responsible for planning, coordinating, monitoring and supporting system development and integration.

The system includes the following members and affiliated organizations:

UHS Hospitals

UHS Hospitals is comprised of UHS Binghamton General Hospital and UHS Wilson Medical Center, acute care facilities located in the Binghamton metropolitan area. With 500 inpatient beds and extensive outpatient services, UHS Hospitals offers tertiary, acute, and rehabilitative services, including: cardiology, structural heart, cardiovascular surgery, neurosurgery, pain management, medical oncology, surgical oncology and radiation oncology, orthopedics, neonatal intensive care, trauma, reconstructive surgery, physical rehabilitation, behavioral health, addiction treatment services, and transitional care. UHS Hospitals is the only regional provider of many of these services.

UHS Hospitals also provides primary care and specialty physician services in sites dispersed throughout its primary service area. UHS Hospitals is currently approved by the Accreditation Council for Graduate Medical Education (ACGME) and the Council on Podiatric Medical Education (CPME) for Residency programs in internal medicine, family practice, preliminary medicine, transitional year and podiatry. In addition, UHS Hospitals is approved for Fellowship Programs in Sports Medicine, Geriatrics, and Cardiovascular Disease and Gastrointerology. In addition, UHS Hospitals has non-accredited Graduate Medical Education Programs in Neuro Critical Care and Endovascular Surgical Neuroradiology.

There are a total of 86 Residents and Fellows practicing in these UHS Hospitals Graduate Medical Education Programs.

UHS Medical Group

UHS Medical Group is a multi-specialty group that predominantly practices in UHS Hospitals licensed sites. The group consists of approximately 430+ physicians and allied health professionals representing twenty medical and surgical specialties with offices in Broome, Chenango, Delaware, Otsego, and Tioga counties.

UHS Chenango Memorial Hospital

UHS Chenango Memorial Hospital is located in Norwich, New York and operates 41 acute and 80 skilled nursing beds, complemented by a network of primary care and specialty physician offices within Chenango Country.

UHS Delaware Valley Hospital

UHS Delaware Valley Hospital is a Critical Access Hospital located in Walton, New York, offering diagnostic imaging, special procedures, a 24 hour emergency department, and short stay inpatient care, an Addiction Treatment Program, and three primary care centers within Delaware County and Sullivan County.

UHS Senior Living at Ideal

UHS Senior Living at Ideal is a geriatric campus, located in Endicott, New York. It serves over 250 elderly persons and individuals with chronic illness through its skilled nursing facility, adult home care program, assisted living program, as well as residential services in independent living apartments.

UHS Home Care

UHS Home Care operates a licensed home health agency (Professional Home Care,) which provides high-tech nursing care, respiratory services, home medical equipment/supplies, and personal care services. UHS Home Care also operates a Medicare certified agency (Twin Tier Home Health,) which provides nursing, physical therapy, occupational therapy, social work, nutritional services, and home health aide care. UHS Home Care serves Broome, Chenango, Cortland, Delaware, Tioga, and Tompkins Counties.

UHS Foundation, Inc.

The UHS Foundation is an independent not-for-profit corporation, whose purpose is to raise money to fund improvements at UHS. Through gifts, endowments, and fundraising efforts, the UHS Foundation works to support the mission of UHS.

Southern New York Indemnity Company, LLC

Southern New York Indemnity Company is a limited liability captive insurance company domiciled in the state of Vermont whose purpose is to provide a long-term, cost-effective source of medical professional and general liability insurance, event reporting, claims management, and adjustment, as well as risk management and education services to all members of the UHS system in support of its strategic direction.

The Community

The UHS System has facilities that serve patients across the Southern Tier of New York, and the facilities and staff are an integral part of the communities they serve.

Broome County

Situated between the Catskills and the Finger Lakes in the Southern Tier of upstate New York, Broome County combines small-town charm with the cultural attractions of a major city. The birthplace of IBM, it is home to Binghamton University, the premier public university in the Northeast. Greater Binghamton consistently receives high quality-of-life ratings from national surveys, and is especially noteworthy for its proud and diverse ethnic heritage.

Walton/Delaware County

Nestled in the Western foothills of the Catskill Mountains, Walton offers the best of small town living. The beauty of nature surrounds the community which offers a safe, secure environment for all ages. Life is focused on family, and community. An excellent school system offers academic, arts, music and sports opportunities for children.

Norwich/Chenango County

With an area of 900 square miles and a population of approximately 50,000, Chenango County is known for its warm, friendly people, unrivaled lifestyle and beautiful natural surroundings. The county has been the home of many well-known businesses including Procter and Gamble Pharmaceuticals, Borden’s evaporated milk, Elmer’s products and Champion. Currently businesses including Chobani Yogurt, Raymond Corporation and Golden Artist Colors call Chenango home.

Procedure for Candidacy

Please direct all nominations and resumes to Paul Bohne and Melaney Arruda preferably via e-mail to UHSCFO@wittkieffer.com. Any materials which cannot be submitted electronically please remit via mail to Melaney Arruda at the address listed below.

Melaney Arruda
Witt/Kieffer
35 Corporate Drive, Suite 290
Burlington, MA 01803
Phone: 781-564-2629
Fax: 781-272-6677

United Health Services values diversity and is committed to equal opportunity for all persons regardless of age, color, disability, ethnicity, marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status protected by law.

The material presented in this leadership profile should be relied on for informational purposes only. This material has been copied, compiled, or quoted in part from United Health Services documents and personal interviews and is believed to be reliable. While every effort has been made to ensure the accuracy of this information, the original source documents and factual situations govern.

All images and logos used in this leadership profile were attained from United Health Services and/or are owned by Witt/Kieffer via Getty Images.

Witt/Kieffer is the preeminent executive search firm that identifies outstanding leadership solutions for organizations committed to improving the quality of life.
The firm’s values are infused with a passion for excellence, personalized service
and integrity.

Network Relations Consultant – #54526BR – New York City

Please apply on-line : https://www.aetnacareers.com/job/new-york/network-relations-consulant-local-markets-ny-city/41/9677582

Acts as the primary resource for assigned, high profile providers or groups (i.e. local, individual providers, small groups/systems) to establish, oversee, and maintain positive relationships by assisting with or responding to complex issues regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs.

Fundamental Components:
Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships. 

Monitors service capabilities and collaborates cross-functionally to ensure that the needs of constituents are met and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. 

Supports or assists with operational activities that may include, but are not limited to, database management, and contract coordination. 

Performs credentialing support activities as needed. 

Educates providers as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, policies, and procedures. 

Meets with key providers periodically to ensure service levels are meeting expectations. 

Manages the development of agenda, validates materials, and facilitates external provider meetings. 

May collaborate cross-functionally on the implementation of large provider systems, to manage cost drivers and execute specific cost initiatives to support business objectives and to identify trends and enlist assistance in problem resolution. 

Conduct standard provider recruitment, contracting, or re-contracting activities and assist with more complex contracting and discussions as needed by business segment. 

May provide guidance and training to less experienced team members.

BACKGROUND/EXPERIENCE desired:3+ years’ experience in business segment environment servicing providers with exposure to benefits and/or contract interpretation. 

Working knowledge of business segment specific codes, products, and terminology. 

3-5 years’ experience with business segment specific policy, benefits, plan design and language. 

Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills.

EDUCATIONThe highest level of education desired for candidates in this position is a bachelor’s degree or equivalent experience.

FUNCTIONAL EXPERIENCES
Functional – Network Management/Contract negotiation/3-6 Years
Functional – Network Management/Provider relations/3-6 Years
Functional – Network Management/Provider data services/3-6 Years Posted 01/03/2019

Network Manager – #54528BR – New York City

Please apply on-line : https://www.aetnacareers.com/job/new-york/network-manager/41/9677586

Negotiates, executes, conducts high level review and analysis, dispute resolution and/or settlement negotiations of contracts with larger and more complex, market/regional/national based group/system providers in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals and cost initiatives.

Fundamental Components:
Negotiates and executes, conducts high level review and analysis, dispute resolution and/or settlement negotiations of contracts with larger and more complex, market-based, group/system providers. 

Manages contract performance and supports the development and implementation of value-based contract relationships in support of business strategies. 

Recruits providers as needed to ensure attainment of network expansion and adequacy targets. 

Accountable for cost arrangements within defined groups. 

Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities. 

Responsible for identifying and managing cost issues and initiating appropriate cost saving initiatives and/or settlement activities. 

Serves as SME for less experienced team members and internal partners. 

Provides network development, maintenance, and refinement activities and strategies in support of cross-market network management unit. 

Assists with the design, development, management, and or implementation of strategic network configurations and integration activities. 

May optimize interaction with assigned providers and internal business partners to manage relationships to ensure provider needs are met. 

Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. 

BACKGROUND/EXPERIENCE desired:Strong communication, critical thinking, problem resolution and interpersonal skills.
5-7 years related experience and comprehensive level of negotiating skills with successful track record negotiating contracts with individual or complex provider systems or groups.
Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirements.

EDUCATIONThe highest level of education desired for candidates in this position is a Bachelor’s degree or equivalent experience.FUNCTIONAL EXPERIENCES 
Functional – Network Management/Contract negotiation/4-6 Years
Functional – Network Management/Provider relations/4-6 Years

REQUIRED SKILLS
Benefits Management/Interacting with Medical Professionals/MASTERY
General Business/Turning Data into Information/ADVANCED
Leadership/Developing and Executing Strategy/ADVANCED

DESIRED SKILLS
Benefits Management/Promoting Health Information Technology/ADVANCED
General Business/Demonstrating Business and Industry Acumen/ADVANCED
Leadership/Creating a World Class Workforce/FOUNDATION Posted 01/03/2019

Provider Data Services Consultant – #54866BR- New York City

Please apply on-line:  https://www.aetnacareers.com/job/new-york/provider-data-services-support-consultant/41/9966209

This role be based on-site in our NY City office and is an excellent opportunity to gain experience in the health insurance field.

In this support role, the incumbent will concentrate on provider data transactions associated with projects, expansions, and new product implementations.   Resolves high volume/high impact systemic problems through proactive and reactive mechanisms (e.g. automation, route audit programs, data reporting, root cause analysis).

Fundamental Components:

Identifies, researches and conducts root cause analyses (e.g. problem providers identified by PST, rework and audit trends) and recommends process improvements. 

Establishes, maintains and aligns complex contracted provider demographic data and negotiated reimbursement arrangements across provider systems. 

Creates and manages action plans for assigned projects relative to data quality and/or workflow improvements. Ensures that all impacted constituents are considered and appropriately addressed in action plans. 

Provides technical and/or functional leadership within unit (i.e., team lead). 

Performs validation of system enhancements. 

Extract information from provider systems to meet business reporting needs (i.e., DAF reports, fee schedule reports, Service Center Log).

BACKGROUND/EXPERIENCE desired:
1+ Years of experience and knowledge of Provider Data Services systems and other end user applications.
1+ years of project management experience.
1+ Year of EXCEL experience required.

EDUCATION
The highest level of education desired for candidates in this position is a Bachelor’s degree or equivalent experience.

REQUIRED SKILLS
General Business/Applying Reasoned Judgment/MASTERY
Sales/Managing Competitive Networks/ADVANCED
Technology/Selecting and Applying Technology Solutions/ADVANCED

DESIRED SKILLS
General Business/Ensuring Project Discipline/FOUNDATION
Leadership/Anticipating and Innovating/FOUNDATION
Service/Working Across Boundaries/FOUNDATIONAetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.  Posted 01/03/2019

The VP will inherit a high performing team of financial professionals. He/she will support the Chief Financial Officer and other members of the leadership team with timely and accurate information to help drive business decisions.  The VP will work collaboratively across the health system, continuing to build upon a culture rooted in accountability as well as the highest levels of quality and follow-through. Key areas of responsibility for the position include financial systems management, financial accounting and reporting, continuous forecasting and planning, decision support, payroll, accounts payable, capital asset management and treasury. This new executive must be a proven finance leader, with a strong grasp of details, management expertise and a highly collaborative personal style. While this leader will ensure that the day-to-day finance activities operate in a highly effective manner, he/she must also continually look for process improvements and innovation opportunities that will strengthen CHC’s market leadership position.

The ideal candidate will have experience as a proven health system finance leader. He/she will have had prior experience within a multi-site operation and managed/mentored a high-performing team of accomplished finance professionals. In addition to an undergraduate degree in finance, accounting, or business, an MBA and/or a CPA certification is strongly preferred.  Candidates must have 7 years of progressive leadership experience in the financial management of a complex hospital or healthcare organization.

Nominations and requests for additional information may be sent to the attention of Chris Neumann and Mark Andrew at cneumann@wittkieffer.com.