Deputy Chief Financial Officer

Metroplus Health Plan • New York, NY

95d • $260,000 - $280,000

About The Position

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. The Deputy Chief Financial Officer reports directly to the Chief Financial Officer and is responsible for all the financial reporting, rates, analytics, actuarial services and new business development operations within the Finance Division. This position is responsible for the preparation and management of goals, objectives, budgets and results for the organizational unit. This position manages the team to ensure efficient operations within performance standards, corporate policies, regulatory guidelines and budget parameters.

Requirements

• A Bachelor's Degree with a specialization in Finance, Health Care Administration, or a related field.
• 8 years of high-level responsible experience in a leadership role.
• An equivalent combination of training, education and experience in health insurance financial operations, managed healthcare or related fields and educational disciplines.
• Thorough knowledge of the fundamentals of health insurance administration and standards, regulations and laws applicable to health insurance operations.
• Knowledge of business and human resources administration principles, management functions, management processes and functions of health insurance departments.
• Experience directing and supervising personnel.

Responsibilities

• Direct involvement and oversight of Finance Operations functions and staff.
• Actuarial services for all activities related to Commercial Health, Medicare, Medicaid and other Government Products.
• Rate setting and valuation for Commercial Exchange products as well as other product development.
• Medicare MA/PD Bid submissions, desk reviews and audits, IBNR reserving for all lines of business as well as cost of care trending analysis.
• Manage the actuarial contract.
• Analysis and Regulatory Reporting; direct involvement in the design and production of analytical reporting of revenue, expense, utilization and acuity for all products.
• Regulatory reporting to NYS oversight agencies including SDOH Medicaid Managed Care Operation Report (MMCOR), Department of Financial Services (DFS-BLANK), and CMS.
• Oversight of departmental and Plan wide data, to maintain data integrity and reporting accuracy.
• Perform reviews of State and Federal Laws, Regulations and contracts, to ensure compliant operation.
• Provide governance and oversight of Unpaid Claims Liability (UCL) processes, ensuring appropriate internal controls, policies, and review mechanisms are in place to safeguard accuracy, compliance, and reporting integrity.
• Oversee the risk reconciliation function for Value-Based Payment (VBP) arrangements, holding teams accountable for process rigor, transparency, and alignment with contractual and financial obligations.
• Direct reimbursement operations oversight, including internal teams and external vendors, to ensure accurate claims validation, payment integrity, and adherence to organizational and regulatory requirements.
• Interpret economic and financial trends from the P&L to identify risks and opportunities, and proactively drive actions that support the organization's strategic and financial goals.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Industry: Professional, Scientific, and Technical Services
• Education Level: Bachelor's degree