Recovery Audit Analyst Jobs in Rochester, MI (NOW HIRING)

Employment Type:
Full timeShift:
Day Shift
Description:
The Manager of Accounting and Finance-IRMS provides day-to-day operational oversight and leadership to the accounting and finance team members in the Insurance and Risk Management Services (IRMS) department. Ensures that Trinity Health has effective and efficient financial management policies, procedures, practices, internal controls, accounting, and analysis for all insurance products administered by IRMS, including captive and self-insurance. Manages the financial internal and external audits. Manages relationship with external actuaries and captive manager. Leads department and captive insurance budgeting for annual plan and strategic & operational forecasting processes. Provides insurance and risk management financial and actuarial analytics to external stakeholders, as well as to senior leadership at System Office and the Health Ministries. Coordinates and leads cross-functional IRMS teams to efficiently utilize Trinity Health's financial resources. Manages a multi-million-dollar balance sheet and income statement for insurance operations and has oversight for captive insurance financial reporting and audits.
ESSENTIAL FUNCTIONS
Knows, understands, incorporates, and demonstrates the mission, vision, and values of Trinity Health in leadership behaviors, practices, and decisions.
Establishes and implements appropriate structure and processes for Insurance Operations accounting and financial reporting and analytics. Develops standards, methodologies, formats, and ad hoc reports using financial reporting, analysis, and modeling tools to provide improved assessment and reporting of financial, actuarial, and operational performance. Identify and direct implementation of process improvements that increase productivity of limited resources while improving accuracy and timeliness of financial reporting.
Implements appropriate financial reporting methods that provide accurate and timely consolidation of Trinity Health Insurance & Risk program data in accordance with Home Office policies.
Provides support to SVP Insurance and Risk Management Services by coordinating special assignments as directed by senior management.
Provides education, training, and support to IRMS Leadership Team in the interpretation of financial results.
Leads, mentors, and provides operational oversight to finance and accounting team members in IRMS by providing operational guidance and subject matter expertise. Provides insight into understanding IRMS operational process and insurance accounting.
Manages the annual insurance financial statement audit conducted by external auditors, in coordination with Home Office finance and the captive manager. Prepares required audit reporting packages and work papers, including financial statement footnotes. Coordinates internal audit work as required.
Prepares executive-level presentations for governance boards and senior management, including materials for captive insurers board meetings.
Manages workers compensation premium audit, which includes accurate and timely exposure reporting and financial impact on both fiscal and calendar year end.
Lead workers compensation NCCI reporting process, coordinating between the various internal and external stakeholders.
Manage insurance recovery process for all lines of coverage, ensuring accurate reporting and timely recovery of funds from external insurance carriers.
Manages and directs the activities related to the development and presentation of IRMS department and captive insurance annual plan and quarterly forecasts. Presents results to SVP IRMS and SVP Financial Reporting & Shared Services prior to submission to Corporate Finance.
Monitors actual financial results and performs actual to budget/forecast variance analysis and presents results to IRMS management.
Participates in department integration planning and execution for mergers, acquisitions, and divestitures. Coordinates with Finance to ensure proper accounting of historical liabilities. Determines appropriate purchase accounting adjustments and analyses for insurance reserves, and coordinates deliverables with actuaries.
Develops and manages a system of internal controls covering all aspects of Insurance Operations Finance.
Coordinate and lead cross-functional IRMS stakeholders to maximize the utilization of Trinity Health's financial resources, contributing toward Trinity Health's strong insurance financial position.
Manages relationship with external actuarial firm though weekly meetings to ensure coordination of efforts to meet deadlines and timely/accurate communication between Trinity Health and actuarial firm. Works directly with external actuaries to assist in development and finalization of various Trinity Health actuarial reports. Performs interpretation and analysis of results and trends, and comparisons to accounting records. Presents results of analysis to SVP IRMS and SVP Financial Reporting & Shared Services.
Participates in requests for proposals and conversions to new vendor partners for captive manager, captive auditors, workers compensation third party administrators and legal ebilling. Key team member for analysis and selection of final candidate.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health Corporate Integrity Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.