Associate Vice President - Finance

Position Title: Associate Vice President of Finance

Department: Administration

Supervisor: Vice President of Finance and Operations

Responsibilities: Accounting, Revenue Cycle

FLSA Status: Exempt

Summary:

The Associate Vice President of Finance (AVP of Finance) works directly with the Vice President of Finance and Operations (VP of F&O) to implement and lead the management, policies and procedures of the organizations financial services and procurement departments. Directly oversees and manages the organizations fiscal and procurement systems including, but not limited to financial reporting, planning, budgeting, analyzing, forecasting, and performs directly related work as required. Under the VP of F&O, provides leadership and management of the financial departments of Alluvion Health Accounting and collaboratively assists to ensure the successful achievement of the organization’s mission and strategic plan regarding financial operations, revenue cycle management and general fiscal oversight. Assists, coordinates and develops accounting, financial monitoring, and reporting systems, including establishing internal controls in accordance with Federal, State and other regulatory agency standard operating procedures. The AVP of Finance ensures timely and proper filing, maintenance and custody of accounts, records and documents in defined areas of oversight for ease of management, reference and retrieval. In support of the VP of F&O, leads, supervises and manages the financial functions of Alluvion Health and works collaboratively with all leadership to ensure full fiscal compliance and collaboration across all divisions. The AVP of Finance helps identify opportunities and needs relating to fiscal functions and develops and implements the necessary and appropriate processes, programs, and budgets. In support of the VP F&O the AVP of Finance helps ensure the fiscal operations of the Alluvion Health to ensure maximum revenue collections and efficient operations of staff. The AVP of Finance participates as a productive member of the leadership team, supports the organizational mission and vision, and performs other related duties as required or assigned. Provides financial and administrative leadership in a challenging health care delivery system. The work is performed in accordance with established standards and practices of the medical profession, Alluvion Health requirements, state and federal law.

This is a hybrid, partial remote availability.

All employees will exhibit the following behavioral traits:

Integrity and Trust

Individual is widely trusted and can present information and discuss situations in an appropriate and helpful manner, keeps confidences, admits mistakes, doesn’t misrepresent him/herself for personal gain, and is respectful in action and communication with clients, patients and staff.

Mission Integration

Adheres to the organization’s mission during times of ease or challenge, is dedicated to the expectations and requirements of the mission and vision and acts in line with the values identified by Alluvion Health.

Team Relations

Understands and supports the team approach and integrated model of Alluvion Health. Is seen as a team player, cooperative and supportive of his/her coworkers, practices what he/she preaches. Can be candid with peers and fosters open dialogue. Creates a feeling of belonging on the team and holds self and team accountable to those behaviors.

Essential Job Responsibilities:

1. Works collaboratively with members of Alluvion Health’s Leadership Teams to assure achievement of annual business and strategic goals and objectives.
2. Builds financial and operational systems, policies and procedures and ensures accountability to standard operating procedures for overall organization compliance with all regulatory agencies.
3. Maintains accurate, updated and rigorous financial and accounting records for the organization and facilitates external and internal audits, or any other financial or operational audits, as required for legal and regulatory compliance.
4. Completes regular reconciliation and monthly/quarterly/annual closing of systems and transactions, reviews financial and operational transactions and works with teams to ensure transparency and accountability of organization’s operations and fiscal positions.
5. Provides leadership and supervision to Accounting, Billing and Coding staff.
6. Assists the VP of F&O with financial operations reports for the Alluvion Health Board of Directors, Foundation Board and other appropriate Boards or Agencies, regarding the fiscal activity of Alluvion Health.
7. Provides training and orientation to the new Accounting, Billing and Coding staff within the first week of hire with continual feedback, follow up, and training to new staff during their 6-month orientation period;
8. Oversees quality performance of Revenue Cycle, Accounting, Billing and Coding departments.
9. Supports the VP of F&O with fiscal operations of Adlera Lab, Alluvion Health Foundation and any other Alluvion Health affiliated entities.
10. Uses financial data, including that related to procurement, for accuracy and compliance with policies and procedures and plans for and facilitates compliance checks and external and internal audits appropriately.
11. Assist in ensuring organization-wide compliance with established financial policies, procedures, and practices through means such as counseling, coaching, guidance, training, and negotiation.
12. Assist in directing and coordinating programmatic and organizational budget development as well as supporting Departmental leadership’s understanding of and achievement of budgetary goals.
13. Monitors workload and recommends increased or decreasing staffing levels to accommodate financial organizational needs.
14. Assists in the budgeting process, annual review of the fee schedule, annual review of the sliding fee scale, annual review of costs to provide services, and other assessments and performance metrics and presentation of recommendations for changes in the same to the Alluvion Health for acceptance and approval.
15. Together with the other fiscal managers, serve as an organizational contact with auditors, facilitate timely and thorough completion of annual independent audits, and ensure that the auditor’s recommendations and requirements are properly implemented in a timely fashion.
16. Performs duties with accuracy and punctuality.
17. Works closely with fiscal staff and accounting department to ensure fiscal policy is implemented in all Alluvion Health programs.
18. Completes and tracks journal entries and/or correcting journal entries for expense and revenue postings to ensure accuracy of financial statements.
19. Draws down federal grant money as appropriate.
20. Helps maintain a detailed trial balance and summaries.
21. Prepares federal, state and local reports, petty cash fund report, Medicare Cost Reports, UDS, FFR, and all other reports in a timely manner.
22. Assists in preparing grants to expand funding opportunities.
23. Works collaboratively with Alluvion Health’s Leadership Team to ensure compliance with Health Resources and Services Administration Section 330 Grant Funding (HRSA) requirements and reporting; including Uniform Data System (UDS), budget period renewals, audits, Federal Financial Report (FFR) and any other submissions required for compliance.
24. In partnership with the Executive and Senior Leadership Teams, explores and implements opportunities to expand services to reach a wider demographic while meeting the HRSA requirements and maintaining financial solvency.
25. Regularly schedules interdepartmental and departmental meetings to maintain liaison among departments and/or staff.
26. Remains knowledgeable of support staff’s roles and responsibilities, as well as all areas of practice to provide continuity of services during position vacancies; maintains work schedules for all staff.
27. Provides leadership, conflict resolution, motivation and promotes teamwork of employees in achieving organizational goals.
28. Responsible for completing various special projects/events, which may require reviewing and analyzing information, identifying problems, recommending solutions to the VP of F&O, and writing reports.

Knowledge, Skills, and Abilities:

Knowledge and understanding of:

• Healthcare leadership and management principles;
• State of Montana’s budgeting, accounting policies and regulations;
• Principles and procedures of accounting and budgeting;
• Federal grant regulations pertaining to Community Health Centers;
• Medicaid and Medicare billing practice;
• Medical and dental insurance billing;
• Best practice in patient collections;
• Supervisory principles and practices;
• Safety procedures and practices;
• Healthcare and governmental financial management;
• Grant writing with thorough researching, developing, and monitoring skills.

Skills in:

• Personnel administration;
• Grants and contract management;
• Increasing efficiency of collections while maintaining excellent customer service;
• Implementing quality improvement measures that result in measurable impacts on accounts receivable;
• Working independently and being self-motivated while performing job requirements;
• Time management and organization;
• Computer use to manage data to meet essential job requirements;
• Customer service;
• Effective written and verbal communication.

Ability to:

• Provide leadership;
• Perform computations accurately and quickly;
• Prepare well-organized and accurate spreadsheets;
• Maintain confidentiality;
• Work independently and plan projects;
• Learn and adequately operate Alluvion Health Electronic Health Record, billing, and reporting software.

Education/Training/Qualifications:

Education/Training:

• Bachelor’s Degree in finance, business, accounting or closely related field with five (5) years of experience in a health care financial environment and three (3) years of supervisory experience required;
• Or any equivalent combination of experience and education relevant to the position totaling six (6) years that include three (3) years of supervisory experience;
• CPA preferred;
• FQHC experience preferred;
• Three years federal and private grant management experience preferred.

Certifications:

• Valid Driver’s License issued by the State of Montana.

Computer:

• Intermediate to advanced software knowledge in Excel, Access, Word, Outlook, and the ability to learn and adequately operate Alluvion Health software applications.

Language Skills:

• Fluent in the English language. Ability to read, analyze, and interpret the most complex documents. Ability to respond effectively to the most sensitive inquiries or complaints.

Physical Requirements:

• Physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• The employee is regularly required to sit and use hands and fingers to provide care to patients and operate computer;
• Frequently is required to reach with hands and arms;
• Must occasionally lift and/or move up to 40 pounds while transporting equipment and supplies;
• Specific vision abilities required by this job include close vision and looking into monitors for extended periods of time and ability to adjust focus which permits the employee to perform computer procedures, and to produce and review a wide variety of documents, correspondence, reports and related materials in both electronic and printed form;
• Clarity of speech and hearing that permits the employee to communicate well with others;
• Mobility that permits the employee to move about in a variety of building settings; Personal mobility that permits the employee to enter, operate and exit motor vehicles and travel to other clinic sites.

Working Conditions:

• Work indoors in climate-controlled environment 95% of the time.
• OSHA Exposure Category #2 (The normal work routine involves no exposure to blood, body fluids, or tissues, but exposure or potential exposure may be required as a condition of employment.)

Work Hours:

• Full-time, Exempt. Typically, a 40-45 hour workweek.

Wage:

• $95k DOE/DOQ

Comments:

This description is intended to describe the essential job functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time.