Chief Financial Officer

Bienvivir All-Inclusive Senior Health • El Paso, TX

6d

About The Position

Bienvivir All-Inclusive Senior Health is a community-based, patient-centered health care delivery system serving frail seniors in El Paso, Texas through the Program of All-Inclusive Care for the Elderly (PACE). The Chief Financial Officer (CFO), under the direction of the President and Chief Executive Officer, is an Executive Team member responsible for the Organization’s financial integrity, fiscal sustainability, and Medicare and Medicaid revenue. The CFO directs financial operations and aligns financial strategy, administrative support services, and financial risk management with the Organization’s mission, strategic goals, and regulatory obligations.

The CFO directly oversees accounting and finance, Medicare and Medicaid revenue, information technology—including the Electronic Medical Record and Medical Records—purchasing, and contracts. The role works closely with the Finance Committee, Executive Team, auditors, actuaries, financial institutions, and regulators, including CMS and the Texas Health and Human Services Commission.

Responsibilities span financial leadership and reporting, Medicare and Medicaid revenue integrity, technology and administrative support departments, and executive partnership. This includes financial planning and reporting, budgets and forecasts, audits and regulatory filings, revenue and risk adjustment oversight, IT and contract administration, procurement, strategic decision support, and emergency incident command responsibilities. The CFO also performs other duties and special projects as assigned by the President and Chief Executive Officer.

Requirements

• Bachelor’s degree in Accounting, Finance, Business Administration, or a related field.
• Ten or more years of progressively responsible finance leadership experience, including at least five years at the director level or above.
• Demonstrated experience with capitated or risk-based revenue, including Medicare Advantage or PACE risk adjustment, Medicare Part D, or Medicaid managed care rate-setting.

Nice To Haves

• Master’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or a related field.
• CPA designation or comparable executive financial leadership credentials.
• Finance leadership experience in healthcare, managed care, PACE, or other capitated or risk-based environments.
• Experience overseeing information technology functions.
• Executive-level collaboration with Boards, auditors, actuaries, lenders, and external financial partners.

Responsibilities

• Direct and oversee accounting and financial operations for BASH and CASA, including general ledger integrity, monthly and annual close, reporting, budgeting, forecasting, cash management, payroll, claims, accounts payable, Medicare and Medicaid billing, risk adjustment reconciliation, Part D reporting, and internal financial controls.
• Develop and oversee monthly, quarterly, and annual financial reports for the Executive Team, Board of Directors, and Finance Committee, including explanations of variances, risks, and recommended actions.
• Participate in and present at Bienvivir and CASA Bienvivir Board meetings and lead the Finance Committee’s work and presentations.
• Lead annual operating and capital budgets and oversee long-range financial planning, scenario modeling, and forecasting.
• Oversee cash flow forecasting, liquidity planning, and the investment portfolio in coordination with investment professionals and in accordance with Board-approved policies.
• Manage executive relationships with financial institutions, trustees, lenders, bondholders, investment and insurance professionals, auditors, actuaries, and other external financial advisors.
• Oversee compliance with financing documents, bond covenants, reporting requirements, and related obligations; coordinate with legal counsel and financial consultants on compliance and potential renewals, amendments, or restructuring.
• Direct external audits and examinations, including financial statement and pension plan audits, benefit plan filings, and applicable payer audits; coordinate preparation, responses, and corrective-action follow-up.
• Oversee preparation, review, and filing of tax returns and related reports for BASH and CASA, including Forms 990 and 5500.
• Oversee CASA and HUD financial and reporting requirements, including REAC, Single Audit data collection forms, reserve and residual account analysis, and related compliance submissions.
• Oversee fiscal administration of the Texas PACE Association, including financial statements, cash flow projections, dues billing, tax filings, and disbursement review and approval in coordination with authorized representatives and applicable National PACE Association resources.
• Lead financial evaluation and placement of employee benefits and commercial insurance programs with Human Resources; recommend plan and risk strategies to the CEO and manage financial aspects of insurance claims and insured losses, including litigation support.
• Maintain ownership of the Pension Plan document and coordinate amendments, consultant review, and Finance Committee presentations as appropriate.
• Account for Medicare and Medicaid revenue integrity, including monthly reconciliation of CMS membership and payment reports (MMR and MARx) and resolution of payment discrepancies.
• Share responsibility for the risk adjustment program with the Vice President of Clinical Operations and Medical Director; monitor risk adjustment and reimbursement results and projections, risk score trends, submission completeness, deadlines, and projected Medicare revenue.
• Direct Medicare Part D financial operations, including bid development, prescription drug event data integrity, DIR reporting, annual reconciliation, pharmacy benefit manager financial terms, reserves, and financial impacts of Medicare drug pricing programs.
• Support the CEO’s engagement with the Texas Health and Human Services Commission and its actuaries through Medicaid rate-setting data, cost reporting, and rate adequacy analysis; oversee Medicaid eligibility and enrollment reconciliation.
• Oversee PACE fiscal soundness requirements, including reporting, insolvency protections, reserve policy, and liquidity targets.
• Oversee and coordinate required CMS submissions and attestations within the CFO’s responsibilities, including P2P, COB, quarterly membership and payment attestations, and CFO data certifications.
• Direct the IT function, including the IT Manager and Virtual Chief Information Officer, overseeing technology infrastructure, security, enterprise systems, cybersecurity, business continuity, user support, strategic technology planning, and governance of digital transformation and AI initiatives with Process Improvement.
• Through IT leadership, oversee Medical Records and the EHR Manager to ensure data integrity, system reliability, regulatory support, and coordination across clinical and administrative functions.
• Direct enterprise contract administration, including review, negotiation, execution support, tracking, amendments, renewals, and Business Associate Agreements; ensure proper documentation and administration and seek legal review as appropriate.
• Direct Purchasing and Warehouse operations, including procurement, vendor management, inventory control, supply chain continuity, and cost-effective acquisition of goods and materials.
• Provide strategic financial guidance and decision support to the CEO and Executive Team, including analysis related to clinical and pharmacy initiatives, workforce and compensation, real estate and facilities, growth, advocacy, and industry and regulatory forums.
• Serve as Chief for the Logistics and Finance Sections within the Organization’s Incident Command Structure and oversee assigned responsibilities during internal emergencies or external community-wide events under the Emergency Preparedness Plan.
• Perform other duties and special projects as assigned by the President and Chief Executive Officer.

Benefits

• 100% of monthly medical premiums for employee-only coverage for eligible full- and part-time employees working 30 or more hours per week.
• 100% of monthly dental premiums for employee-only coverage for eligible full- and part-time employees working 30 or more hours per week.
• Affordable monthly vision premium for employee-plus-family coverage.
• 100% employer-paid basic life insurance with a $10,000 benefit amount.
• Safe harbor matching contributions to a 403(b) retirement savings account.
• Up to 15 days of paid time off based on paid hours per pay period.
• 11 company-observed paid holidays.
• Education and tuition reimbursement.
• Mileage reimbursement.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive