This position directs the fiscal functions of the CHRISTUS Population Health and Health Plans in accordance with generally accepted accounting principles issued by the Financial Accounting Standards Board, the Securities and Exchange Commission, State Department of Insurance other regulatory and advisory organizations.
This position is responsible for making critical business judgments and recommendations for existing and new business development in the Medicare, Health Insurance Individual and Commercial Group Exchange, Nueces County Hospital District Indigent Care Program, Medicare Shared Savings ACO, CIN Managed Care value-based care agreements, and Third Party Administration products. The incumbent will lead and manage the finances of the organization in collaboration with other health plan and population health executives and report directly to the Senior Vice President, Population Health and Health Plans. This position will provide a financial report to the Health Plan Boards, ACO and CIN Boards, and be responsible for reporting the financial position of the company to external regulatory agencies. The position is responsible for leading the actuarial and analysis function of the organization, including, but not limited to, overseeing the annual bid process for applicable products, directing the financial analysis function, and managing the annual budgeting process.
The incumbent must have a proven financial background with a deep understanding of the managed care insurance business. The incumbent must demonstrate an ability to think strategically while managing both short-term and long-term goals. Strong communication skills are required to communicate strategy to top-level executives while also managing all levels of staff.
Bachelor's degree in business required.
Master's degree in Business Administration, Mathematics or related field. CPA preferred.
Works independently, accountable for decisions that impact the entire business.
Demonstrates strong interpersonal and project management skills, with an aptitude for building high-performance, cross-functional teams.
Experience in fostering a culture of embracing new ideas.
Has managed dynamic and differing needs, interests and viewpoints of multiple stakeholders.
Demonstrates a strong commitment to Health Plan's mission and the people the company.
Makes best use of resources and creating opportunities; comfortable assessing and taking risks.
Seven or more years of experience in health plan financial management and/or actuarial function, with experience as a health plan CFO Pricing or Actuary preferred. Managed care and/or Medicare Advantage plan experience preferred.
Certification or Conditions of Employment:
A strategic thinker and tactical executor who is able to move an agenda from concept to reality and drives results and organizational improvement through performance outcomes.
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.