Comptroller, MLTC

Comptroller is responsible for the day-to-day accounting operations and financial reporting of the Managed Long Term Care (MLTC) plan. Reporting to the CFO, the Comptroller maintains the integrity of the general ledger, oversees accounts payable and receivable, manages the monthly close, and ensures accurate, timely financial and regulatory reporting in accordance with GAAP, statutory accounting requirements, and New York State Department of Health (DOH) and Department of Financial Services (DFS) obligations. The role combines hands-on accounting with oversight of finance staff and close coordination with the CFO, external auditors, and the plan’s actuary.

Essential Responsibilities General

Accounting & Financial Reporting

• Own the integrity of the general ledger and the plan’s financial books and records
• Prepare and submit monthly Revenue & Expense reporting to the CFO for review
• Prepare and report monthly Budget vs. Actual results to the CFO, with variance explanations
• Manage depreciation, prepaid, and accrual schedules
• Support the annual budgeting and periodic forecasting process
• Perform end-of-year closing of the books

Accounts Payable & Receivable

• Manage AR/AP aging and resolve outstanding items
• Record and enter all AP invoices and process payment upon appropriate approval
• Maintain supporting documentation and approval trails for all disbursements

Reconciliations & Monthly Close

• Perform monthly bank and credit card reconciliations
• Review the monthly checklist of standard recurring expenses for completeness
• Reconcile the monthly revenue roster • Reconcile and track member enrollment lists against financial records

Claims, Enrollment & Member Billing
(MLTC)

• Review claims payments processed in QNXT and record them in FundEZ
• Enter all remittances in FundEZ
• Perform Medicaid and Medicare member billing, including remittance posting and rate-setting tracking
• Import paid/denied remittances from Medicaid into internal accounting software
• Coordinate with the plan’s actuary on IBNR / medical expense accruals and reconcile booked reserves to the general ledger

Supervision & Other
• Oversee Finance Specialist tasks and monitor outcomes for accuracy and timeliness
• Participate in mandatory meetings as necessary
• Perform other duties as assigned by the CFO and/or CEO

Required Education & Experience
• Bachelor’s degree in Accounting, Finance, or a related field preferred
• Minimum 3–5 years of progressive accounting experience, including comptroller-level or supervisory responsibility
• Working knowledge of GAAP and month-end/year-end close processes
• Proficiency with accounting systems and advanced Excel

Preferred Qualifications

• CPA or MBA • Experience in healthcare, managed care, or an MLTC/health plan environment
• Familiarity with QNXT, FundEZ, and Medicaid/Medicare managed care billing
• Knowledge of NY DOH and DFS reporting requirements (MMCOR/MAPOR) and statutory accounting

Knowledge, Skills & Abilities

• Strong attention to detail and accuracy in financial recordkeeping
• Ability to manage multiple deadlines across monthly, quarterly, and annual reporting cycles
• Sound understanding of internal controls and confidentiality of financial and member data
• Effective communication with executive leadership, auditors, and regulators