Fiscal Agent Financial Operations Director

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. 

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the company's mission, actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers unparalleled opportunities. You have all you need to take charge of your career and accelerate better outcomes, making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. 

Acentra is seeking a Fiscal Agent Financial Operations Director  to join our growing team.

Job Summary:

The Fiscal Agent Financial Operations Director will oversee all financial operations for the Medicaid fiscal agent function, ensuring compliance with federal, state, and local regulations. This role is responsible for managing payments, budgeting, forecasting, financial reporting, and financial auditing processes, and ensures that fiscal operations align with the program's objectives and funding requirements.

Job Responsibilities:

•  Oversee, process, and validate all financial transactions directly managed by the Medicaid fiscal operations.
• Management of the controlled disbursement accounts and ensure all program accounts are configured and managed in line with contractual obligations and agency policies.
• Oversee payment cycles including reimbursements to providers and perform monthly bank reconciliation and other money management tasks.
• Follow the defined policies associated with financial processing including the balancing of each remittance cycle and the reconciliation of payment instruments.
• Support all Medicaid fiscal operations business processes including budget management and financial reporting activities.
• Manage and support the financial processing functions of the Medicaid Enterprise System (MES).
• Participate as active team member in Project implementations and provide subject matter knowledge to support delivery activities as assigned.
• Oversee reconciliation of program refunds, ensuring they are applied correctly and reconciled.
• Oversee void/stop payment process to ensure proper processing and reconciliation.
• Review policy and procedures to ensure appropriate separation of duties.
• Oversee, process, and validate all financial transactions directly managed by the Medicaid fiscal operations.
• Management of the controlled disbursement accounts and ensure all program accounts are configured and managed in line with contractual obligations and agency policies.
• Oversee payment cycles including reimbursements to providers and perform monthly bank reconciliation and other money management tasks.
• Follow the defined policies associated with financial processing including the balancing of each remittance cycle and the reconciliation of payment instruments.
• Support all Medicaid fiscal operations business processes including budget management and financial reporting activities.
• Manage and support the financial processing functions of the Medicaid Enterprise System (MES).
• Participate as active team member in Project implementations and provide subject matter knowledge to support delivery activities as assigned
• Oversee reconciliation of program refunds, ensuring they are applied correctly and reconciled.
• Oversee void/stop payment process to ensure proper processing and reconciliation.
• Review policy and procedures to ensure appropriate separation of duties.
• Liaise with external vendors, contractors, and government agencies as necessary to support Medicaid fiscal operations.
• Communicate with the agency, financial institutions, and other departments to ensure accurate exchange of information and reports.
• Prepare accurate and timely financial statements and reports, including monthly, quarterly, and annual reports for internal and external stakeholders.
• Collaborate with account leadership to create financial strategies that support program goals and sustainability.
• Ensure adherence to all Medicaid financial requirements, including federal and state regulations, and respond promptly to audits and inquiries.
• Monitor financial risks and implement controls to mitigate liabilities.
• Partner with the operations team to streamline processes and improve the end-to-end support processes.
• Support and participate in financial system requirements development, design, and testing as needed.
• Support fiscal agent solution development with a focus on the financial services capabilities and models.
• Manage the Medicaid fiscal operations finance team.
• Evaluate staff for optimal performance and oversee continuing cross-training of all staff members.
• Participate as active team member in Project implementations and provide subject matter knowledge to support delivery activities

Requirements

Required Qualifications/Experience:

• Minimum of 7 years of progressive accounting experience, operations, or program management preferably in healthcare or government programs.
• Master’s degree in accounting or finance required
• Strong ability to work independently and collaboratively across all levels of the organization.
• In-depth knowledge of Medicaid regulations, cost principles, and reimbursement methodologies.
• Proficiency in financial management software and tools.
• Advanced proficiency in Excel and the MS Office suite.
• Proven analytical problem-solving skills, with a detail-oriented and organized approach.
• Ability to meet deadlines with ease in a fast-paced environment.
• Travel up to 25% will be required for this role

Preferred Qualifications/Experience:

• Direct experience with Medicaid financial operations or as a fiscal agent is highly desirable.
• CPA strongly preferred.

Why us? 

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as a vital partner to ensure better healthcare and improve health outcomes. 

We do this through our people. 

You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement you need to achieve the finest work of your career. 

Thank You!

We know your time is valuable, and we thank you for applying for this position. Due to the high volume of applicants, only those chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply for future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra.com/careers

EOE AA M/F/Vet/Disability

Acentra Health is 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, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.  

Compensation 

The pay range for this position is $114,000- $158,700 annually

“Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”