Sanford Health

• The overall function of the Senior Financial Analyst role is the collaboration with managers, directors, and senior leadership on monthly productivity and remediation of variances. • Responsible for month end closing cycle, including reviewing financial information, journal entries, and reviewing for accuracy. • Maintain and report management systems, reviewing all financial data for accuracy. • Maintains various departmental statistical and financial data. • Projects may include evaluation of the financial impact of new programs, formulating financial forecasts and modeling, preparing projections for new building projects, rate analysis, and other projects.

• Interact with customers by phone or in person, providing prompt and courteous service. • Professionally handle requests and inquiries for patient health information. • Identify and assess customer needs, verify understanding of requests, and follow through as promised. • Process requests in a timely and efficient manner. • Ensure any issues that arise are resolved promptly, thoroughly, and courteously. • Provide excellent customer service by being attentive, respectful and professional at all times. • Safeguard and protect the patient's right to privacy. • Maintain strict confidentiality of patient information in compliance with HIPAA and state and federal regulations. • Work comfortably with frequent interruptions. • Able to multitask and handle multiple priorities. • Work with a high level of accuracy.

• Manage requests for medical record information from patients, third party payers and others through prompt and courteous service in a fast-paced, high volume, customer focused environment. • Process requests in a timely and efficient manner within established timeline standards, maintaining quality and accuracy. • Work with hybrid medical records and understand the complexity of record types and locations of various documents. • Maintain in-depth knowledge of all applicable state and federal laws, HIPAA privacy and security regulations, as well as enterprise policies and procedures pertaining to the release of protected health information. • Ensure all disclosures are documented and in compliance. • Interpret and adhere to legal requirements and established procedures that govern release of information. • Use professional medico-legal training in managing requests for information. • Critically analyze, interpret and apply laws and regulations to determine whether requests and authorizations are in compliance. • Maintain thorough understanding of the definition and components of the legal medical record. • Safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information. • Maintain strict confidentiality of patient information in compliance with HIPAA and state and federal regulations. • Possess practical knowledge of medical terminology including anatomy, physiology, and disease processes and general understanding of the health record. • Utilize a wide variety of software and applications in order to fulfill requests. • Able to prioritize and coordinate work in order to complete duties according to established timelines. • Work is extremely detailed and requires a high rate of accuracy in order to meet legal requirements. • Must be able to interpret policies, procedures and choose appropriate action. • Must have a thorough understanding of all functions that support the release of information process. • Demonstrated ability to communicate and work effectively with internal and external customers showing poise, tact and professionalism at all times. • May perform other duties as assigned to support business needs.

Role Description The Senior Director of Tax is responsible for providing strategic leadership related to all tax matters for Sanford’s acute care, long-term care, health plans, and other related businesses. - Oversees all federal and state filings of all tax-exempt and taxable subsidiaries (990s, state charitable organization reporting, etc.) - Manages all other tax-related activities including sales tax, excise tax, real estate tax, provider tax, and others. - Provides strategic direction on minimizing tax liability and maintaining tax-exempt status while ensuring compliance with applicable rules and regulations. - Builds and directs a team focused on standardization, efficiency, accuracy, and compliance. - Collaborates with finance teams, operations, and support service areas to provide enterprise-wide tax support. - Oversees all tax-related financial audits and reporting including quarterly Statutory filings for Sanford Health Plans. - Leads in standardization of tax processes throughout the enterprise and facilitates adoption of new standardized processes. - Champions integration of inefficient processes into the tax department to improve efficiency, save money, and increase compliance. - Assigns and coordinates work to complete large-scale projects or closely related activities. - Manages department operations including human resources, budget and finance, planning, legal and regulatory compliance. - Partners with management and third-party service providers to mitigate risk and identify savings opportunities. - Communicates results of analysis effectively to allow senior leadership to make informed decisions. - Serves as corporate point of contact for tax matters and general tax information. - Develops approaches to detect, resolve, and report issues on tax returns. - Monitors consolidated trends and industry developments, staying current on tax law changes. - Builds a productive and focused team to achieve departmental objectives. - Responsible for hiring, promotions, job changes, employee development, performance reviews, and disciplinary actions. - Interprets complex financial and accounting data with attention to detail. - Promotes a positive working environment within the department and across cross-functional teams. Qualifications - Bachelor's degree in accounting, finance, or other business-related degree with an accounting minor required; accounting degree preferred. - Master’s degree in Tax is preferred. - At least seven years of tax experience, preferably in a healthcare organization and/or in public accounting. - Certified Public Accountant with an active CPA license is required. Requirements - Strong communication skills with senior leadership and across broad audiences. - Ability to manage change and understand a systems approach to problem-solving and process improvement. - Excellent understanding of accounting principles and standards. - Time management and interpersonal skills are essential. Benefits - Sanford is an EEO/AA Employer M/F/Disability/Vet. - If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.

• Ensures compliance with federal and state laws, regulations, and rules governing healthcare entities • Identifies risk areas, prepares audit tools, conducts audits, and provides analysis and recommendations to executive leadership • Conducts audits and provides support for other internal or external auditors • Investigates and resolves compliance issues related to the healthcare environment • Evaluates regulatory agency reports and formulates responses and corrective actions • Maintains logs, indexes, files, computer databases, and other records pertaining to compliance and risk • Creates logs and systems for entering and tracking compliance guidelines • Confers with administrative staff regarding compliance risk areas and final reports • Develops strategies and leads compliance related committees/work groups • Implements compliance procedures • Responsible for ensuring compliance with governmental requirements

• Responsible for the day-to-day performance of the product development team. • Manages and coordinates product development activities within the department. • Develops best practices to ensure commercial products are positioned to meet Sanford Health Plan strategies and membership goals. • Drives the analysis, development and monitoring of new and existing products and services. • Participates in conducting market research and analysis, measuring customer preferences, industry standards and trends. • Collaborates with other teams to evaluate, analyze and modify benefit designs, networks and pricing to ensure marketability of products.

• Provides temporary administration and leadership support. • Manages and applies resources to general administrative operations, guided by experience, organizational goals and operational strategies. • Responsible for the management of cyclical projects. • Works on complex administrative matters where analysis of issues, data and process require advanced specialist knowledge and in-depth industry and technical knowledge. • Provides nursing administrative leadership and expertise. • Develops and monitor appropriate indicators for quality and continuous improvement. • Manages the operations, including nursing, human resources, budget and finance, short- and long-range planning, legal and regulatory compliance. • Interviews, hires, counsels, disciplines and, when needed, terminates employees. • Implements the mission and vision, plan and standards of the enterprise. • Responsible for the clinical nursing practice environment. • Contributes to the strategic planning process, day-to-day operations and realization of enterprise goals. • Oversees employees who must utilize appropriate age-related resident/patient care protocols relating to the physical and psychological needs of the residents.

• Responsible for processing health insurance claims submitted via paper or electronically by providers and members. • Ability to release health insurance claims for payment according to the defined workflows. • Validates health insurance claims with an understanding of health insurance cost sharing, limitations, and exclusions. • Reviews claims for completeness and accuracy, apply medical necessity and/or eligibility guidelines to determine coverage. • Work assigned pend and error reports, determine the benefit level to be paid according to the summary plan language. • Responds promptly to requests for information from other Sanford Health Plan departments. • Refers complex claims to Senior and/or Lead Claims Representatives.

• Works directly with chain of command to develop and implement contracting strategy with various types of providers/facilities across the Health Plan service area. • Evaluates and negotiates physician, ancillary and hospital contracts, including contract language and reimbursement methodologies for fee for service arrangements. • Prepares standard accurate agreements to formalize such arrangements. • Ability to identify data needed to evaluate and develop network reimbursement proposals to develop arrangements advantageous to our members and Health Plan. • Calls upon team analysts for support. • Works directly with team analysts and other department managers to understand how the negotiated agreement is translated into the company's systems. • Prepares timely and accurate communications to other departments for loading finalized agreements into production. • Assists with internal audit of provider records to ensure accurate reimbursement. • Serve as liaison to other departments on contract and reimbursement interpretation issues and ensures timely turnaround. • Must have strong knowledge of the Health Plan's end-to-end provider engagement processes, including interdepartmental handoffs as well as plan policies and procedures to ensure the best possible provider experience. • Manage or participate in project work as assigned. • May be called upon to assist in network education, onboarding and overall network relationship building.

• Assist, support, and help coordinate the design, development, and operationalization of RPA/BPA automation solutions • Build and maintain automations leveraging approved platforms (UiPath, Python Selenium) • Work directly with business leaders to document, design, and configure workflows • Test, monitor, and resolve incidents to ensure stable operation • Present status updates and findings to immediate team and business stakeholders • Develop foundational UiPath skills and stay informed of platform updates and new features • Create clear user guides and basic technical documentation for automation processes