WVU Medicine

Senior Accountant – Statutory

WVU Medicine

full-time

Posted on:

Location Type: Hybrid

Location: Morgantown • United States

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Job Level

Senior

About the role

  • Performs a wide range of professional accounting functions in accordance with Generally Accepted Accounting Principles (GAAP) and Statutory Accounting Principles (SAP) to support the month-end financial statement process of Peak Health entities.
  • Completes documentation and schedules during month-end, budget preparation, and external audit.
  • Prepare quarterly and annual statutory reporting, filings, and compliance tasks.
  • Provides financial guidance to department managers to help control costs and provide organization-wide efficiencies.
  • Aid in the planning and build out of statutory quarterly and annual financial statements.
  • This may include the coordination and preparation of all footnote disclosures, management discussion and analysis, and internal controls.
  • Tracking, managing, and submitting all U.S. (State based and NAIC) Finance related regulatory fees and filings.
  • Making, recording, and reconciling government business capitated payments.
  • Prepare and file State-Specific Finance Forms and supplements including various schedules.
  • Monitor due dates and ensure timely compliance with state filing deadlines pertaining to Finance filings.
  • Track and submit renewals, fees, and changes in company information to each state regulator.
  • Coordinate with regulatory reporting function to ensure Finance accountabilities align with overall regulatory filing calendar.
  • Corresponding with regulators proactively as needed.
  • Partner with applicable parties to ensure proper support of general ledger data/applications supporting external statutory accounting and financial reporting.
  • Reconcile and explain GAAP vs STAT differences, particularly in areas like loss reserves and premium recognition.
  • Manage risk-based capital (RBC) calculations, asset admissibility, and premium deficiency testing.
  • Oversee reinsurance accounting, including ceded/assumed premiums and recoverables.
  • Support loss reserve development, including IBNR estimation and actuarial collaboration.
  • Respond to state regulatory inquiries to support routine financial inquiries.
  • Analyze underwriting results and trends impacting statutory profitability.
  • Reconcile cash accounts associated with claim disbursements associated with government products.
  • Accountable for ensuring governmental products premium billing process is accurate.
  • Reconciling Medicare Advantage Prescription Drug payable and receivables, including cost sharing programs and rebates.
  • Assist in accounting and treasury management of the investment portfolio.
  • Coordinate with the tax department in accounting for and transacting various regulatory taxes.
  • Supporting the accounting classification of expenses between Medical and Administrative.
  • Supporting the development of regulatory rate setting, by assisting in the provision of administrative expense actual and projections.
  • Support the filing of various regulatory financial schedules and attestations, including but not limited to MLR filings, Medicare DIR filings, etc.
  • Coordinate with the Actuarial and Operational Analytic functions to maintain risk adjustment accruals.
  • Develop strong relationships with Department managers to help coordinate and monitor financial controls over the organization’s cost centers according to approved budget guidelines.
  • Coordinate accounting and financial processes to maximize efficiency in the daily accounting operations. Ensure that internal control measures are being followed.
  • Maintain general ledgers to complete and submit accurate financial data during month-end process according to predetermined deadlines.
  • Lead and coordinate month end variance analysis.
  • Oversee and review month end general ledger reconciliations.
  • Directly supervise the work and development of assigned Accounting Department staff.
  • Coordinate other staff duties to accomplish department goals and objectives. Delegate projects/duties, as necessary.
  • Develop and submit analytical financial data as needed by department director/manager.
  • Assist in completing and compiling financial support documentation for budget and external audit purposes.
  • Assist in coordination of the budget and external audit review.
  • Train new personnel and monitor their progress.
  • Participate in educational opportunities as provided by Peak Health to enhance skill related abilities.
  • Complete other duties as assigned by manager.
  • Support performance improvement and quality assurance initiatives.

Requirements

  • Bachelor’s degree in accounting or related field.
  • Five years’ of insurance accounting experience.
  • Five years’ Health Insurance Accounting experience required, preferably with experience directly in Medicare Advantage or Medicaid.
  • Statutory regulatory accounting experience highly preferred.
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
accountingfinancial reportingGAAPSAPstatutory reportingbudget preparationreconciliationrisk-based capital calculationsloss reserve developmentfinancial analysis
Soft Skills
financial guidancecoordinationrelationship buildingsupervisiontrainingcommunicationorganizational skillsproblem-solvingleadershipefficiency maximization
Certifications
Bachelor’s degree in accountinginsurance accounting certificationCPA (Certified Public Accountant)CMA (Certified Management Accountant)CIA (Certified Internal Auditor)