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Accounting Manager - PACE Program

Accounting Manager - PACE Program

Neighborhood HealthcareEscondido, CA, US
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Job Description

Job Description

About Us

Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters. At Neighborhood, we are Better Together.

Neighborhood Healthcare PACE is a managed medical plan built around surrounding participants with a team of physicians, nurses, social workers, therapists and care coordinators to help them maintain good health and a good quality of life. Our goal is to keep our seniors happy and healthy at home surrounded by their family and community.

As a private, non-profit 501(C) (3) community health organization, we serve over 500k medical, dental, and behavioral health visits from more than 90k people annually. With two PACE centers located in Riverside County, our PACE program is positioned to serve over 650 senior participants.

ROLE OVERVIEW and PURPOSE

Under the supervision of the PACE Finance Director, the PACE Accounting Manager is responsible for ensuring accurate and timely financial reporting and analysis of the PACE Accounting Program to drive growth and provide insight into the PACE program. This position is responsible for leading the PACE Accounting and Enrollment Team.

RESPONSIBILITIES

  • Prepares and analyzes the monthly PACE financial statements per generally accepted accounting standards
  • Responsible for developing performance measurement tools to assess the financial success of PACE including financial and claims analysis
  • Oversee the completion of the annual rate setting reports for both Medicare Part D Bid and Medi-Cal RDT Reports
  • Leads all financial reports to outside entities including DHCS, CMS and NPA
  • Assist in the preparation of the PACE budget including Enrollment, FTE’s, Revenue, and Expenses
  • Coordinates and ensures that documentation is in place for audits (1 / 3 and PACE)
  • Approves biweekly payment batches ensuring GLs are coded appropriately and payment amounts are correct
  • Approves PACE-related invoices and provides participant count corrections as needed
  • Oversee the Enrollment process with DHCS and CMS ensuring all participants are enrolled, disenrolled and accounted for accurately
  • Participate in the ongoing development of accounting policies and procedures and operational strategies including the review and implementation of process and system changes
  • Works closely with our PACE Billing Team to promote collaboration
  • Manage and maintain accounting for the 340B contract pharmacy program
  • Provides guidance and coaching to develop the team to their highest potential
  • Conducts department meetings to promote communication, assess / resolve needs, and foster teamwork
  • Maintains strong communication within a mainly remote team assigning projects to ensure compliance and department accuracy
  • Required to exercise discretion, independent judgment and maintain confidentiality, under appropriate circumstances

EDUCATION / EXPERIENCE

  • Bachelor’s degree in accounting, finance or related field required
  • Five years of accounting or finance in the healthcare industry required
  • PACE experience highly preferred
  • Two years of supervisory experience required

    • ADDITIONAL QUALIFICATIONS (Knowledge, Skills and Abilities)

  • Excellent verbal and written communication skills, including superior composition, typing and proofreading skills
  • Ability to interpret a variety of instructions in written, oral, diagram, or schedule form
  • Excellent knowledge of Excel, Outlook, Word, Power Point and Accounting related software required
  • Strong critical thinking skills required
  • Ability to successfully manage multiple tasks simultaneously
  • Excellent planning and organizational ability
  • Ability to work as part of a team as well as independently
  • Ability to work with highly confidential information in a professional and ethical manner

    • Physical Requirements

  • Ability to lift / carry 20 lbs / weight
  • Ability to stand for long periods of time

    • Neighborhood Healthcare offers a generous benefit plan that includes : Partially company paid Medical, Dental, and Vision Plans. Two plus weeks of vacation, Nine Holidays including two Floating Holidays of your choosing, Sick / Personal time, Volunteer Time Off (VTO), 403b Retirement plan (similar to a 401k), optional Health and Wellness events, and much more!

    Pay range : $113,700- $172,800 annually, depending on experience, education and additional qualifications. Position is an exempt role.

    Compensation Disclosure :

    The posted salary range reflects the designated pay grade for this position. While this range represents the broader classification of the role, actual compensation will be based on several factors, including but not limited to : the candidate’s overall knowledge, skills, and experience, market data and industry benchmarks, internal equity within the organization, Budgetary considerations and organizational needs.

    As a result, placement within the range is not guaranteed, and the full pay grade range may not be utilized.

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