Financial Manager, NYREACH

Overview: Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high\-quality, compassionate care to some of the state’s most vulnerable and underserved residents. Founded in 1999, we’ve grown from a single primary care office into a network of 50\+ locations offering urgent care, primary care and specialty services, from women’s health to endocrinology and psychiatry. We also provide nursing home support, care management, and in\-home care through our Essen House Calls program. Guided by a Population Health model, our team of 500\+ providers deliver care in\-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it. We’re looking for talented, motivated individuals to join our growing team. Whether you’re a medical provider, administrator, or operations professional, there’s a career here for you. Join us in making a real difference in the health of our community. Job Summary: About NYREACH NYREACH is a community\-based organization dedicated to preventing disease and improving quality of life in underserved New York City communities. As a contracted Health\-Related Social Needs (HRSN) service provider under New York State's 1115 Waiver (NYHER) Social Care Network (SCN) program, NYREACH delivers HRSN screenings, social care navigation, and food and nutrition services — including medically tailored meals and healthy grocery boxes provided in partnership with subcontracted vendors such as Epicured and Rx Diet to eligible Medicaid members. Position Summary The Financial Manager is responsible for the full financial lifecycle of NYREACH's 1115 waiver\-funded SCN programs. This includes managing claims and reimbursement for HRSN screenings, navigation, and nutrition/food services; reconciling and overseeing incoming payments from SCN Lead Entities; and processing accurate, timely payments to downstream subcontractors including Rx Diet and Epicured. The Financial Manager ensures all financial operations comply with the NYS Department of Health (DOH) SCN Operations Manual, regional SCN fee schedules, Medicaid billing requirements, and NYREACH's contracts with Lead Entities. Responsibilities: Key Responsibilities: Revenue Cycle \& Claims Management Oversee end\-to\-end billing and claims submission for all reimbursable SCN services: HRSN screenings (AHC tool), eligibility assessments, social care navigation, and enhanced nutrition services (medically tailored meals, food prescription/grocery boxes, pantry stocking, nutrition counseling). Ensure services are documented and billed in accordance with the SCN Lead Entity IT platform requirements, regional HRSN fee schedules, and closed\-loop referral documentation standards. Track claim status, resolve denials and rejections, manage resubmissions, and minimize revenue leakage. Monitor units of service delivered against authorized referrals and contract caps. Lead Entity Payment Reconciliation Reconcile remittances from each SCN Lead Entity against services delivered, submitted claims, and contracted rates; identify and resolve underpayments, overpayments, and discrepancies. Maintain aging reports for outstanding Lead Entity receivables and escalate delayed payments per contract terms. Serve as NYREACH's primary financial point of contact with Lead Entity finance/billing teams. Prepare monthly revenue reconciliation reports by Lead Entity, service line, and program. Subcontractor Payment Administration Manage the full accounts payable cycle for food service subcontractors (Rx Diet, Epicured, and others): validate invoices against delivery confirmations, member eligibility, referral authorizations, and contracted per\-unit rates. Ensure timely, accurate payment to subcontractors consistent with subcontract terms and pass\-through requirements. Reconcile subcontractor invoices against Lead Entity reimbursements to protect program margin and flag variances. Maintain vendor files, W\-9s, subcontract agreements, rate schedules, and payment records for audit readiness. Budgeting, Reporting \& Compliance Develop and manage program budgets for all 1115 waiver\-funded activities; produce monthly budget\-to\-actual variance analysis for leadership. Prepare financial reports required by Lead Entities, NYS DOH, and funders; support cost reporting and any required attestations. Maintain internal controls, segregation of duties, and documentation standards suitable for Medicaid program integrity reviews and OMIG audits. Ensure compliance with Medicaid good\-standing requirements, HIPAA (in coordination with compliance staff), and applicable federal/state grant and waiver rules. Support annual audits, single audits (if applicable), and funder monitoring visits. Financial Operations \& Leadership Manage cash flow forecasting across a reimbursement\-based revenue model with multiple payers and vendors. Improve and document finance workflows connecting the SCN IT/referral platform, billing, accounting system, and AP. Supervise finance/billing support staff as assigned; train program staff on documentation practices that affect reimbursement. Advise leadership on financial sustainability, service\-line profitability, and new SCN contract opportunities. Qualifications: Required Bachelor's degree in Accounting, Finance, Business Administration, or related field. Finance/accounting experience, including 2\+ years in healthcare, Medicaid, managed care, or nonprofit human services finance. Experience with medical billing/claims, payer reconciliation, or fee\-for\-service reimbursement models. Strong accounts payable/receivable and reconciliation skills; advanced Excel proficiency. Experience with accounting software (e.g., QuickBooks, Sage Intacct, NetSuite) and comfort learning referral/billing platforms (e.g., Unite Us or similar SCN IT platforms). Demonstrated knowledge of internal controls and audit\-ready documentation. Preferred Technology background, including experience implementing, integrating, or administering financial, billing, or data systems. Expert\-level Excel skills (e.g., advanced formulas, pivot tables, Power Query, data modeling, and automation). MBA Preferred Experience managing subcontractor/vendor payment arrangements or pass\-through funding. Competencies Exceptional attention to detail and accuracy in high\-volume reconciliation. Ability to interpret contracts, fee schedules, and program manuals and translate them into billing/payment practice. Strong cross\-functional communication with program, IT, compliance, Lead Entity, and vendor stakeholders. Commitment to NYREACH's mission of health equity in underserved communities. Equal Opportunity Employer: Essen Health Care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.*