 Oversee a team of four staff (two Senior Accountants, one Staff Accountant and one Finance Coordinator) to ensure all accounting functions are efficient, effective and timely for nine managed entities. Train and onboard new hires to ensure roles and responsibilities are understood. Provide performance evaluations and recommendations for merit increases.  Ensure monthly financial statements of Management Services Organization (MSO) operations are accurate and in accordance with Generally Accepted Accounting Principles (GAAP). Present and review monthly financial reports with Chief Financial Officer and Vice President of Finance. Complete quarterly and annual reporting requirement for the Department of Managed Health Care (DMHC) and various health plans to ensure accurate and timely submission for Risk Bearing Organizations (RBO). Prepare quarterly and semi-annual health plan filing packages.  Lead audits and ensure auditors are provided with sufficient support on a timely manner and address any issues or concerns that may arise during the audit period including financial audits and health plan audits.  Complete and review monthly projections with clients to ensure financial solvency ratios and tangible net equity requirements are met and are compliant with the DMHC. Calculate Incurred But Not Reported (IBNR) liability to ensure enough reserves are on the balance sheet. Onboard new MSO entities and new health plans for managed entities  Ensure and maintain exceptional working relationship with managed entities by providing timely resolution and responses to inquiries and ad hoc requests.

 Generate and record month-end close accounting entries related to all month-end activities for five managed entities.  Produce bank and balance sheet reconciliations, ad hoc reports for five managed entities.  Prepare and ensure monthly financial statements are accurate and in accordance with GAAP. Present and review monthly financial reports with Accounting Supervisor. Perform variance analysis for significant or material items on the income statement and balance sheet. Review and analyze monthly capitation revenue data to ensure appropriate payments are received. Respond to client requests for information regarding capitation received and paid. Reconcile claims released and claims paid check register and research on material variances if applicable.  Respond to clients’ inquiries and concerns to claims expenses and capitation expenses if applicable.  Research inquired checks on check tracers and take necessary action to ensure resolution forms are completed, including stop payments, voids and reissues.  Assist with quarterly and annual financial and health plan audits by running reports (JE listings, TB’s, GL Detail), preparing variance analysis as requested, and completing new and existing audit schedules.

 Collect and consolidate hospital data for accurate daily census reporting and month-end department statistics. Analyze general ledger accounts and prepare necessary journal entries for month-end close including: accruals, adjustments and reclassifications.  Maintain fixed asset module to ensure accurate coding and monthly depreciation.  Reconcile bank accounts on monthly basis and resolve any variances with A/R representatives.  Update and analyze monthly schedules based on general ledger and audit variances if applicable. Maintain internal reports including: Overtime Report; Variance Analysis Report, Monthly Operating Report.  Review and reconcile purchase order discrepancies and variances.  Assist in managing A/P processing of invoices to ensure accurate and timely coding by A/P team.  Analyze and provide budget projections during mid-month reporting and yearly budget reporting.

 Analyze general ledger accounts and prepare necessary journal entries for adjustments and reclassifications. Maintain fixed asset module to ensure accurate coding and monthly depreciation.  Update schedules based on general ledger and audit variances if applicable. Prepare balance sheet, income statement and cash flow statements for presentation to Board of Directors. Monitor, reconcile and analyze site productivity based on expenses, revenues and visits.  Create and maintain ad hoc reports including: Doctor Productivity Report, Overtime Analysis Report.  Maintain financial reporting of awarded grants to ensure compliance with Federal and State guidelines.  Full-charge bookkeeper for 4 subsidiaries including but not limited to: A/R, A/P, month-end close processing, balance sheet account reconciliations, financial analysis and ad hoc reporting.

 Reconcile and analyze program budgets and compare current year-to-date results with prior year-to-date results.  Meet with program managers to review year-to-date budget to actual financial results.  Prepare monthly invoices with supporting documentation to send to the Los Angeles County, Department of Mental Health. Accurately complete cost reports after fiscal and contract year-end. Record and adjust revenues on a monthly basis.

 Review, code, process and distribute checks to employees and vendors to ensure payments are made timely. Maintain subcontractor and contractor files and spreadsheets. Process petty cash reimbursements and mileage reimbursements. Prepare necessary journal entries to adjust expense coding.

 Assist in preparing timely submission of Request for Proposals, contract renewals, negotiation packets and grant applications.  Manage locum tenens activity (pre-screening, collect credentialing documents, set up interviews with program, ensure contract is fully executed, provide first day reporting instructions). Manage Psychiatrists and Nurse Practitioners’ contracts and licenses (CA Medical and DEA license). Prepare program sites for Medi-Cal recertification.