Address
Form of workEmployment TypeFull-time
Exempt or Non-ExemptExempt
Job Summary
Minimum Qualifications
Duties and Responsibilities
Exempt or Non-ExemptExempt
Job Summary
**Hybrid Work Environment - Must reside in Hawaii **
Pay Range: $64,915 - $103,415
Note: Individuals typically begin between the minimum to middle of the pay range
Provide financial management and accounting for HMSA programs with a concentration on Blue Cross Blue Shield Association inter-plan programs and related reporting and analysis functions. Prepares, coordinates, and analyzes complex financial accounting transactions. Perform analysis of financial and system information for the Association and prepares, analyzes, and reports data for Association reporting requirements. Manage and coordinate work effort for Association upgrades and updates in guidelines.
Minimum Qualifications
- Bachelor's degree and four years of related work experience; or an equivalent combination of education and related work experience in accounting/finance functions.
- Excellent written and oral communication skills.
- Knowledge of financial reporting/analysis.
- Basic working knowledge of Microsoft Office applications including Word, Outlook/Email and PowerPoint.
- Intermediate working knowledge of Microsoft Office applications including Excel.
Duties and Responsibilities
- Financial management and accounting
- Manages and coordinates work effort for inter-plan billing and disbursements functions. Resolves issues related to provider and Host plan payments, refunds, negative balance, deductions, etc.
- Performs complex financial analysis with minimal supervision and report findings to management.
- Analyzes financial data for significant fluctuations and communicate with appropriate units or departments to ascertain validity of transactions.
- Analyzes, researches, and communicates financial information to leadership.
- Prepares and provides account reconciliations, audit workpapers, and other documentation for internal and external audit reviews.
- Systems Development Life Cycle Management and Process Improvement
- Have direct responsibility and ownership in executing large scale process improvement opportunities within new business launches and existing processes and controls, including defining scope, goals, and deliverables in collaboration with leadership and stakeholders.
- Define and develop business processes, procedures, and workflows for new requirements or business needs.
- Takes on leadership role in managing work effort with other department leads to develop, test, and implement solutions.
- Manage the implementation of system upgrades.
- Actively participates in projects and provides test support for Association financial systems upgrades.
- Document and provide overview and training to staff as needed.
- Supports testing aspects including requirements review, test case development/execution, and document preparation for test acceptance criteria.
- Trouble-shoots system problems and collect information to solve problems or determine the best solution with minimal risk and impact to customers.
- Improve and streamline workflow processes to achieve greater efficiency.
- Compliance reporting support
- Manages and coordinates work effort for compliance reporting requirements, particularly related to BCBS Association updates, as well as any other new or updated regulatory mandates.
- Interprets mandates, requirements, and regulations.
- Communicates with vendors and business associates on updated or new reporting requirements.
- Review and approval of GL Account Reconciliation / Payment Balancing
- Review and approve general ledger account reconciliations, financial system payment balancing worksheets, and other internal forms or balancing worksheets as needed.
- Assist management with review of payment transactions, general ledger reporting and account reconciliation.
- Cross-Functional Integration and Communication
- Effectively communicates and coordinates with other departments on information related to transactions, reconciliations, and reporting.
- Coordinate work efforts for audit review.
- Train staff on various business functions.
- Identify, articulate, and communicate project and accounting operation risks to leadership, along with clear recommendations for resolution or mitigation.
- Performs all other miscellaneous responsibilities and duties as assigned or directed
#LI-Hybrid
