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Employment Type:

Full time

Shift:

Description:

ONSITE in Gaithersburg, Maryland - Full Time

Position Purpose

The Financial Operations Specialist supports the financial operations of one or more Trinity Health PACE (TH PACE) programs. This role manages revenue cycles for Medicare, Medicaid, and private pay, oversees expense cycles including vendors and medical providers, and ensures accurate accrual of expenses such as Incurred But Not Reported (IBNR). The position collaborates with PACE leadership teams, participates in interdisciplinary meetings, and provides monthly financial reporting and journal entry support to corporate finance. Proficiency in financial systems and Microsoft tools (Excel, PowerPoint) is essential.

Essential Functions

+ Demonstrate and uphold the Mission, Vision, Values, and Guiding Behaviors of Trinity Health and TH PACE.

+ Lead by example in creating a collaborative, warm, and professional environment.

+ Actively participate in interdisciplinary team meetings and monthly operations reviews.

+ Maintain department budgets, monitor financial vulnerabilities, and recommend cost-saving measures.

+ Oversee revenue cycle processes:

+ Maintain master billable census and reconcile Medicare/Medicaid payment reports.

+ Manage invoicing and collections for third-party payers.

+ Lead A/R review meetings and resolve payment discrepancies.

+ Serve as a super user for internal and external financial systems; analyze and correct CMS return files, RAPS, and encounter data.

+ Ensure compliance with Medicare Part D reporting requirements and prepare annual bid submissions.

+ Complete monthly IBNR analysis and prepare accrual entries for accurate expense reporting.

+ Prepare financial data for Monthly Operations Review meetings and identify trends requiring attention.

+ Maintain compliance with all applicable laws, regulations, and organizational policies.

+ Mentor and coach staff, fostering a culture of accountability and excellence.

Qualifications

+ Bachelor’s degree in Accounting, Finance, or Business required; minimum 3 years of experience in financial operations.

+ Experience with Medicare, Medicaid, and electronic filing strongly preferred.

+ Strong business acumen, problem-solving skills, and ability to work independently.

+ Excellent interpersonal, written, and verbal communication skills.

+ Advanced proficiency in Microsoft Office Suite; experience with PeopleSoft preferred.

+ Ability to manage multiple priorities in a fast-paced environment.

+ Occasional travel (less than 25%) within the region and to System Office in Livonia, MI.

Core Competencies

+ Action-oriented and adaptable to change.

+ Collaborative leadership and team-building skills.

+ High level of integrity and ethical decision-making.

+ Strong analytical and organizational abilities.

+ **Position Highlights and Benefits:**

+ Comprehensive benefits package, including First Day medical coverage, dental, vision, and paid time off.

+ Low-cost medical, dental, and vision insurance plans. Enjoy lower-cost medical services when you visit facilities within the Trinity Health network.

+ Access to wages earned daily through Daily Pay.

+ Incentives through our Employee Referral program.

+ Compassionate, patient-centered environment.

+ Comprehensive orientation and professional development opportunities.

+ Fast response interview times and job offers!

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.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran