Deputy Chief of Health Finance
Apply NowCompany: Teacher Retirement System of Texas
Location: Austin, TX 78745
Description:
Location:
1900 Aldrich Street
Austin, Texas, 78723
United States
Deputy Chief of Health Finance
Requisition ID:
req1187
Employment Type:
Unclassified Regular Full-Time (URF)
Division:
Health Finance
Compensation:
Will be based on education and experience
Location:
Alpha Building
Job Closing:
2/24/2025
WHO WE ARE:
With the Health & Insurance Benefits Division, you'll be joining a passionate team of self-motivated change agents united by our mission: driving to design the delivery of high-quality healthcare for nearly three-quarters of a million active and retired Texas public educators.
The healthcare industry is complex and we're a team of problem-solvers who are up for the challenge. With a focus on innovation and collaboration to catalyze the market, we spend nearly $4 billion annually on healthcare to make a difference in our members' lives. With a career at TRS, you'll be empowered through a culture of continuous learning, front-line decision-making, coaching and mentorship to shape the future of our work, while transforming healthcare delivery for 1 in 41 Texans.
The Deputy Director of Health Finance strategizes with the Chief Health Care Officer to enhance the value and customer satisfaction of TRS health insurance products in a dynamic and challenging healthcare market. The incumbent will work with other TRS Health teams to maintain the competitiveness of TRS health insurance products, develop new products or components to improve member satisfaction and oversee all TRS Health purchasing, procurements and contracting, the financial operations of all TRS health care programs and the division of TRS Health, and clinical and utilization management strategies. The incumbent will also oversee department operations, provide program financial analysis and evaluation on various health care and TRS programs, and monitor the accounting and collection/disbursement of funds. This position will proactively work with the Health Finance department
WHAT YOU WILL DO:
Financial Analysis
Oversees all TRS Health vendors for delivery compliance and cost containment for program competitiveness, efficiency and premium affordability.
Oversees insurance industry regulatory reporting, including fee calculations, filings, and payments.
Directs financial analysis and evaluation for TRS Health benefit programs for retired and active teachers, including researching benefit utilization, best practices for optimal services, TRS policies, procedures and processes, laws, and relevant regulations, industry practices.
Directs, analyzes and prepares fiscal notes for state legislation impacting the agency.
Analyzes trends and tracks key financial and utilization data to identify opportunities for financial efficiency and to take corrective actions as needed.
Program Management
Oversees the preparation and presentation of ad hoc and periodic financial and department operations reports for the TRS Board of Trustees and executive management, Retirees Advisory Committee, Department of Insurance, Legislative Budget Board, school districts and other interested parties.
Works with the Chief Health Care Officer to represent TRS with state health program peers, key industry stakeholders, Texas school district leaders and to strategize on benefit initiatives for best program performance.
Plans, directs, and monitors financial operations of the TRS-ActiveCare and TRS-Care programs including financial oversight and accounting.
Directs TRS Health vendor procurements, including contract development, negotiation, and renewal.
Directs contractor performance monitoring to achieve TRS satisfaction and assess penalty or remedy as needed.
Directs claim audits and support TRS internal audits.
Develops, prepares, and delivers oral and written reports and presentations regarding research and project plans, activities, status, results, achievements, and related issues.
Leads benefit utilization management and recommends clinical and coverage adjustments.
Leads or participates on cross-functional committees and project teams and facilitates communication and cooperation between departments.
Influences other TRS Health teams on health program waste reduction and member financial impact by inefficient program designs.
Coordinates with other Health teams to align financial goals with the Health division objectives.
Coordinates with consultants and actuaries to monitor funding for health care programs.
Management Support
Plans, organizes, coordinates, directs and monitors all activities and operations of the Health Finance Contracting Team and Health Finance Accounting Team to ensure accomplishment of agency and department goals and objectives.
Directs and evaluates department operations and staff members to ensure the business operates in a smooth, efficient manner.
Supervises TRS Health departmental budgeting to sufficiently fund all activities within the agency budget.
Hires, trains, and evaluates employees, taking corrective action when necessary.
In support of the CHCO and managing staff, provide strategic direction, leadership, and coaching to various professional and technical staff by supervising day-to-day operations.
Ensures compliance with applicable federal, state, agency, and department policies, procedures, rules, and regulations
Performs related work as assigned.
WHAT YOU WILL BRING:
Required Education
Bachelor's degree from an accredited college or university in accounting, finance, mathematics, statistics, business, health care administration, or a closely related field.
High school diploma or equivalent and additional full-time experience in accounting, auditing, financial analysis or similarly related experience may be substituted on an equivalent year-for-year basis.
A master's degree or doctoral degree in a directly related field may be substituted on an equivalent year-for-year basis.
Required Experience
Nine (9) years of full-time directly related, progressively responsible experience in accounting, auditing, financial analysis or similarly related experience.
Five (5) years of experience leading, or supervising the work of others, required.
Experience may be concurrent.
A master's degree or doctoral degree in a directly related field may be substituted on an equivalent year-for-year basis.
Preferred Qualifications
Certification as a Certified Public Accountant (CPA) in good standing.
Certified Texas Contract Manager (CTCM)/Certified Texas Contract Developer (CTCD)
Knowledge of:
Health Care and behavioral economics
Pharmacy Benefit Manager (PBM) and Health Plan Administrator (HPA) operations and contracting
Basic clinical concepts and healthcare utilization theories.
Health benefit operations, Medicare, coordination of benefits, standard medical procedures, and billing
TRS health care related laws, regulations, policies, procedures, processes, and systems
State of Texas contracting, purchasing and procurement rules, regulations, policies, procedures, and processes.
Generally Accepted Accounting Principles (GAAP), Governmental Accounting Standards Board (BASB), and Financial Accounting Standards Board (FASB) statements.
State of Texas accounting procedures, practices, and terminology.
Principles, practices, and techniques associated with actuarial services, health insurance administration, and general accounting and auditing.
Project management and communication principles and practices.
Health policies, rules, and regulations.
Data analysis techniques including statistical software, tools, and databases.
Statistical concepts for developing models used for business analysis
Skills in:
Managing, organizing, and motivating staff to meet productivity and quality goals and objectives.
Influencing, motivating and educate other TRS Health teams on program operational efficiency and the importance of program competitiveness.
Planning, organizing, and prioritizing work assignments to manage a high-volume workload in a fast-paced and changing environment, meeting frequent and/or multiple deadlines, and managing conflicting priorities and demands.
Researching, compiling and analyzing complex data, including querying a claim data warehouse.
Interpreting and applying complex laws, regulations, policies, and procedures.
Reading and interpreting health plan information
Managing projects, including planning, organizing, and prioritizing work assignments to manage a high-volume workload in a fast-paced and changing environment.
Thinking critically, analyzing problems, evaluating alternatives, and recommending innovative solutions.
Completing detailed work with a high degree of accuracy.
Effective written and verbal communication of complex information to people of varying backgrounds, including organizing and writing various types of communications and business materials; and drafting and delivering complex correspondence, reports, presentations, and proposals.
Utilizing a personal computer and various business software programs including Microsoft Word, Excel, and Outlook, including using spreadsheets for data analysis and presentation.
Ability to:
Establish and maintain harmonious working relationships with co-workers, agency staff, and external contacts.
Assist the Chief Healthcare Officer to grow the next generations of Health leadership team members
Work effectively in a professional team environment.
Meet frequent and multiple deadlines, manage conflicting priorities and demands, and adapt to changes in schedules and assignments.
Military Occupational Specialty (MOS) Codes:
Veterans, Reservists or Guardsmen with experience in the Military Occupational Specialty ( https://www.trs.texas.gov/files/trs-military-crosswalk.xlsx ) along with the minimum qualifications listed above may meet the minimum requirements and are highly encouraged to apply. Please contact Talent Acquisition at careers@trs.texas.gov with questions or for additional information.
To view all job vacancies, visit www.trs.texas.gov/careers or www.trs.csod.com/careersite.
For more information, visit www.trs.texas.gov.
1900 Aldrich Street
Austin, Texas, 78723
United States
Deputy Chief of Health Finance
Requisition ID:
req1187
Employment Type:
Unclassified Regular Full-Time (URF)
Division:
Health Finance
Compensation:
Will be based on education and experience
Location:
Alpha Building
Job Closing:
2/24/2025
WHO WE ARE:
With the Health & Insurance Benefits Division, you'll be joining a passionate team of self-motivated change agents united by our mission: driving to design the delivery of high-quality healthcare for nearly three-quarters of a million active and retired Texas public educators.
The healthcare industry is complex and we're a team of problem-solvers who are up for the challenge. With a focus on innovation and collaboration to catalyze the market, we spend nearly $4 billion annually on healthcare to make a difference in our members' lives. With a career at TRS, you'll be empowered through a culture of continuous learning, front-line decision-making, coaching and mentorship to shape the future of our work, while transforming healthcare delivery for 1 in 41 Texans.
The Deputy Director of Health Finance strategizes with the Chief Health Care Officer to enhance the value and customer satisfaction of TRS health insurance products in a dynamic and challenging healthcare market. The incumbent will work with other TRS Health teams to maintain the competitiveness of TRS health insurance products, develop new products or components to improve member satisfaction and oversee all TRS Health purchasing, procurements and contracting, the financial operations of all TRS health care programs and the division of TRS Health, and clinical and utilization management strategies. The incumbent will also oversee department operations, provide program financial analysis and evaluation on various health care and TRS programs, and monitor the accounting and collection/disbursement of funds. This position will proactively work with the Health Finance department
WHAT YOU WILL DO:
Financial Analysis
Oversees all TRS Health vendors for delivery compliance and cost containment for program competitiveness, efficiency and premium affordability.
Oversees insurance industry regulatory reporting, including fee calculations, filings, and payments.
Directs financial analysis and evaluation for TRS Health benefit programs for retired and active teachers, including researching benefit utilization, best practices for optimal services, TRS policies, procedures and processes, laws, and relevant regulations, industry practices.
Directs, analyzes and prepares fiscal notes for state legislation impacting the agency.
Analyzes trends and tracks key financial and utilization data to identify opportunities for financial efficiency and to take corrective actions as needed.
Program Management
Oversees the preparation and presentation of ad hoc and periodic financial and department operations reports for the TRS Board of Trustees and executive management, Retirees Advisory Committee, Department of Insurance, Legislative Budget Board, school districts and other interested parties.
Works with the Chief Health Care Officer to represent TRS with state health program peers, key industry stakeholders, Texas school district leaders and to strategize on benefit initiatives for best program performance.
Plans, directs, and monitors financial operations of the TRS-ActiveCare and TRS-Care programs including financial oversight and accounting.
Directs TRS Health vendor procurements, including contract development, negotiation, and renewal.
Directs contractor performance monitoring to achieve TRS satisfaction and assess penalty or remedy as needed.
Directs claim audits and support TRS internal audits.
Develops, prepares, and delivers oral and written reports and presentations regarding research and project plans, activities, status, results, achievements, and related issues.
Leads benefit utilization management and recommends clinical and coverage adjustments.
Leads or participates on cross-functional committees and project teams and facilitates communication and cooperation between departments.
Influences other TRS Health teams on health program waste reduction and member financial impact by inefficient program designs.
Coordinates with other Health teams to align financial goals with the Health division objectives.
Coordinates with consultants and actuaries to monitor funding for health care programs.
Management Support
Plans, organizes, coordinates, directs and monitors all activities and operations of the Health Finance Contracting Team and Health Finance Accounting Team to ensure accomplishment of agency and department goals and objectives.
Directs and evaluates department operations and staff members to ensure the business operates in a smooth, efficient manner.
Supervises TRS Health departmental budgeting to sufficiently fund all activities within the agency budget.
Hires, trains, and evaluates employees, taking corrective action when necessary.
In support of the CHCO and managing staff, provide strategic direction, leadership, and coaching to various professional and technical staff by supervising day-to-day operations.
Ensures compliance with applicable federal, state, agency, and department policies, procedures, rules, and regulations
Performs related work as assigned.
WHAT YOU WILL BRING:
Required Education
Bachelor's degree from an accredited college or university in accounting, finance, mathematics, statistics, business, health care administration, or a closely related field.
High school diploma or equivalent and additional full-time experience in accounting, auditing, financial analysis or similarly related experience may be substituted on an equivalent year-for-year basis.
A master's degree or doctoral degree in a directly related field may be substituted on an equivalent year-for-year basis.
Required Experience
Nine (9) years of full-time directly related, progressively responsible experience in accounting, auditing, financial analysis or similarly related experience.
Five (5) years of experience leading, or supervising the work of others, required.
Experience may be concurrent.
A master's degree or doctoral degree in a directly related field may be substituted on an equivalent year-for-year basis.
Preferred Qualifications
Certification as a Certified Public Accountant (CPA) in good standing.
Certified Texas Contract Manager (CTCM)/Certified Texas Contract Developer (CTCD)
Knowledge of:
Health Care and behavioral economics
Pharmacy Benefit Manager (PBM) and Health Plan Administrator (HPA) operations and contracting
Basic clinical concepts and healthcare utilization theories.
Health benefit operations, Medicare, coordination of benefits, standard medical procedures, and billing
TRS health care related laws, regulations, policies, procedures, processes, and systems
State of Texas contracting, purchasing and procurement rules, regulations, policies, procedures, and processes.
Generally Accepted Accounting Principles (GAAP), Governmental Accounting Standards Board (BASB), and Financial Accounting Standards Board (FASB) statements.
State of Texas accounting procedures, practices, and terminology.
Principles, practices, and techniques associated with actuarial services, health insurance administration, and general accounting and auditing.
Project management and communication principles and practices.
Health policies, rules, and regulations.
Data analysis techniques including statistical software, tools, and databases.
Statistical concepts for developing models used for business analysis
Skills in:
Managing, organizing, and motivating staff to meet productivity and quality goals and objectives.
Influencing, motivating and educate other TRS Health teams on program operational efficiency and the importance of program competitiveness.
Planning, organizing, and prioritizing work assignments to manage a high-volume workload in a fast-paced and changing environment, meeting frequent and/or multiple deadlines, and managing conflicting priorities and demands.
Researching, compiling and analyzing complex data, including querying a claim data warehouse.
Interpreting and applying complex laws, regulations, policies, and procedures.
Reading and interpreting health plan information
Managing projects, including planning, organizing, and prioritizing work assignments to manage a high-volume workload in a fast-paced and changing environment.
Thinking critically, analyzing problems, evaluating alternatives, and recommending innovative solutions.
Completing detailed work with a high degree of accuracy.
Effective written and verbal communication of complex information to people of varying backgrounds, including organizing and writing various types of communications and business materials; and drafting and delivering complex correspondence, reports, presentations, and proposals.
Utilizing a personal computer and various business software programs including Microsoft Word, Excel, and Outlook, including using spreadsheets for data analysis and presentation.
Ability to:
Establish and maintain harmonious working relationships with co-workers, agency staff, and external contacts.
Assist the Chief Healthcare Officer to grow the next generations of Health leadership team members
Work effectively in a professional team environment.
Meet frequent and multiple deadlines, manage conflicting priorities and demands, and adapt to changes in schedules and assignments.
Military Occupational Specialty (MOS) Codes:
Veterans, Reservists or Guardsmen with experience in the Military Occupational Specialty ( https://www.trs.texas.gov/files/trs-military-crosswalk.xlsx ) along with the minimum qualifications listed above may meet the minimum requirements and are highly encouraged to apply. Please contact Talent Acquisition at careers@trs.texas.gov with questions or for additional information.
To view all job vacancies, visit www.trs.texas.gov/careers or www.trs.csod.com/careersite.
For more information, visit www.trs.texas.gov.