Manager - Accounts
3 weeks ago
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The M&R MLR Reporting Manager ensures the integrity of accounting information by reviewing, recording, verifying, consolidating and entering transactions. They will play a critical role in ensuring accurate and timely preparation of MLR filing of the company's financial reports with CMS. If you are a results-oriented professional with a solid background in reporting, we invite you to apply and become a valuable part of our OGA Finance team.
Primary Responsibilities:
Ensures timely filings or submissions of MLR filings, including, premium and claims, Summary of data, MLR & Rebate calculation, Rebate disbursement, Additional responses, expense allocation.Preparation of Monthly Out of bound balance journals, eGRC requests completionRead and understand the legislation and regulatory requirements that impact your businessCleanup yearly GAAP data and all tagging issues to be fixedDirects and oversees the preparation and distribution of all periodic filings and supporting documents for both internal and external use throughout the yearEnsures that reports, filings and documentation comply with company's regulations, professional standards and MLR and GAAP reporting guidelinesConfirms that entries, transactions, and accounts are accurately and properly consolidated and are included in internal and external financial statementsAdvises management of trends and changes in reporting requirements and recommends best approach for any changes in reportingAssess financial reporting software to determine organizational needs, and lead implementation efforts, if warrantedPrepare data and other supporting information requests as needed for internal and external auditsEnsure internal controls over financial reporting are designed and operating effectivelyAssist with preparation and updates of accounting policies and procedures as necessaryPreparing and/or reviewing schedules, journal entries, and reconciliations as well as assisting with the close and monthly finance review processesProvide support as required to the tax, regulatory team as it relates to the review of contractsEnsure follow regulations, standards, and procedures. Participates in the review/discussion with department and deliverables to ensure accuracy and consistency with MLR filings and internal reports and documents, as well as compliance with CMS guidelinesDrive continuous improvement and own the delivery and execution of the required MLR filings and other reporting requirementsAssist with month end and quarterly end close processes for M&R contractsRegular Project/Status calls with regulatory and business leadershipsBuild reports in SAS and Excel for MLR ReportingComply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do soRequired Qualifications:
Master or Bachelor Degree in Accounting, Finance or equivalent 9+ years relevant professional experienceExperience with financial reporting systemsDemonstrated ability to accurately prepare monthly, quarterly and annual reportsSolid understanding of U.S. GAAP and Department of Insurance reporting rules and regulationsSmartview or SAS Enterprise Guide or Peoplsoft knowledgeSolid understanding of SOX, internal controls, auditing practices and principles and best practices in corporate governanceProven solid analytical, problem solving, organizational and project management skillsDemonstrated drive and motivation to deliver high quality results based on thorough analysisProven self-motivated to follow up on issues and pays attention to detailsProven excellent written and verbal communication skillsProven solid leadership and influencing skills, including the ability to work collaboratively and effectively with leadership and other teams at all levels in the organization.Proven solid Excel(including VBA) skills and the ability to use Outlook and WordDemonstrated ability to possess sound business knowledge and strong decision-making skillsDemonstrated ability to adapt to change and is driven to improve processesAt UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
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