Chief Financial Officer (CFO)

CareAbout

About The Position

The CFO will lead all financial strategy and operations and drive the financial statements for an organization that is transforming multiple existing portfolio companies and start up organizations into a significantly complex growth-oriented organization. The CFO will partner with the senior management team to scale the business while driving significant growth in profitability and cash flow. The executive will build and manage a highly effective finance and accounting organization with the people, systems, and processes to efficiently support the demands of a rapidly growing business. The candidate will also be responsible for managing and reporting the financial results of the Company, and for the development of a financial and operational strategy appropriate for the Company, development of metrics, budgets, cash forecasting and the ongoing development and monitoring of control systems designed to preserve Company assets, provide legal protection, and report accurate financial results. This person will also provide guidance to the Senior Management team and board of directors to assist in making educated economic decisions about the Company’s future including expansion and acquisition decisions.

Requirements

Undergraduate degree in Accounting, Business Administration, or Finance required.
Graduate degree in Finance or MBA preferred.
CPA required.
Minimum 10 years’ experience in accounting and financial management practices.
Experience within managed care/value-based care with a healthcare organization required.
Expertise in financial risk planning in the health insurance context, including projecting and calculating medical costs and IBNR.
Experience collaborating with senior executives and BOD/investors.
Proven GAAP and financial reporting technical expertise, accounting software and spreadsheets; public accounting foundation and/or CPA preferred.
Proven business negotiation skills; track record of successful negotiations with a variety of counterparties and vendors.
Experience with direct contract negotiations of financial terms with external clients.
Customer service focused with excellent analytical skills, interpersonal skills and executive presence required.
Experience presenting complex plans and results to boards of directors and senior decisions makers.
Ability to balance multiple projects and adapt to new issues/assignments as business needs change, comfortable with ambiguity.
Strategic and growth-oriented mindset
Demonstrated ability to influence, negotiate and have a sales/growth perspective are key requirements for success in this role.
Must be able to manage multiple priorities and meet tight deadlines.
Must be meticulous and have excellent analytical skills.
Must have effective communication skills, both written and verbal, and experience with communication at an executive level.
Must be able to interact with all levels of staff, including all senior management.
BA - Finance, CPA preferred - NYS DOE office of professions

Nice To Haves

Experience with either health plan payers, Medicare Advantage, managed Medicaid, and a national public auditing firm specializing in healthcare are preferred.

Responsibilities

Owns company P&L in partnership with senior executive team and portfolio company leadership.
Plan, develop, organize, implement, direct and evaluate the organization’s fiscal function and performance.
Participate in the development of the corporation’s plans and programs as a strategic partner.
Develop credibility for the finance group by providing timely and accurate analysis of budgets, financial reports and financial trends in order to assist the CEO, the Board, investors and other senior executives in performing their responsibilities.
Coordinate preparation for external audits and filing of tax returns and ensure proper maintenance of accounting records and documentation in compliance with statutory requirements and company policies.
Achieves medical cost, medical loss ratio and operational income targets set in forecasts.
In partnership with executive leadership, develops and maintains long-term company strategic plan, including five-year financial plan and specific strategic initiatives, related investment/capital deployment requirements and cost/benefit analyses.
Optimize the Finance operating model, including recruitment and development of talented financial professionals, implementation and maintenance of financial systems, and development of financial processes.
Manages the company’s annual operating budget and forecasts.
Presents company and operating unit financial forecasts and results to executive management, board of directors, regulators, health plans and other stakeholders.
Owns medical cost trend and cost of care for both planning and performance purposes; ensures that company fees and balance sheet capitalization/reserves are adequate to cover company financial obligations.
Oversees the financial terms of all Consensus contracts with health plan clients and coordinates related activities such as establishment of medical cost benchmarks, continuous financial performance monitoring and settlements of contingencies under each contract (i.e., performance penalties and/or incentives).
Ensures that Consensus network participation providers meet financial contractual targets and settles payments owed under such contracts.
Leads a medical economics and actuarial team that collects, maintains, and analyzes customer-specific data (claims data, medical costs, membership, cost/effectiveness of care management services provided) for use in driving customer strategies and risk management objectives.
Prioritizes and coordinates all cost of care analytics for the business, including data environment to ensure relevance of information applied in management of business and used to optimize effectiveness of care management activities.
Maintains consultative relationship and partnership with the CEO, other executives and portfolio company leadership to optimize complex case management and utilization management practices to achieve Industry leading medical cost performance and clinical staffing levels.
Maintains and analyzes claims experience and contract KPI data associated with the health plan provider network (and Consensus network) in applicable geographic territory.
Understand provider revenue cycle management, billing and coding and A/R estimation and collections.
Understand actuarial sciences.
Other duties and responsibilities as they may be assigned.
Supervises accounting department to ensure proper functioning of all systems, database, and financial software.
Ensures development and application of appropriate processes, procedures and internal controls and compliance with all financial and accounting procedures.
Performs special projects and other tasks as requested by management.
Uphold the mission and values of Consensus in all aspects of your role and activities.