Deputy CFO - Health Insurance & Analytics Leader

MetroPlusHealth; New York (NY); On-site; USD 300,000 - 420,000; Full time

Job summary

MetroPlusHealth in New York City is seeking a Deputy Chief Financial Officer to lead financial reporting, rates, analytics, actuarial services and new business development within the Finance Division. You will oversee goals, budgets and results, manage a team, and ensure compliance with regulatory guidelines and policies.

The role requires a Bachelor's in Finance or Health Care Administration, 8 years of senior leadership experience, and thorough knowledge of health insurance operations and

Qualifications

• Bachelor’s Degree in Finance, Health Care Administration or related field.
• 8 years in a high-level leadership role.
• Thorough knowledge of health insurance administration, regulations and laws.
• Experience directing and supervising personnel.

Responsibilities

• Direct involvement and oversight of Finance Operations functions and staff.
• Actuarial services for Commercial Health, Medicare, Medicaid and other Government Products.
• Rate setting and valuation for Commercial Exchange products and new development.
• Medicare MA/PD Bid submissions, desk reviews and audits, IBNR reserving and cost of care trending analysis.
• Manage the actuarial contract and governance of UCL processes.
• Regulatory reporting to NYS oversight agencies including MMCOR, DFS-BLANK, and CMS.
• Oversee data integrity and reporting accuracy across State and Federal laws and contracts.
• Oversee risk reconciliation for Value-Based Payment arrangements.
• Oversee reimbursement operations, including internal teams and external vendors.
• Interpret P&L trends to identify risks and opportunities and drive actions.

Skills

Leadership

Financial analysis

Regulatory reporting

Communication

Education

Bachelor's degree in Finance or Health Care Administration or related field

Job description

MetroPlusHealth in New York City is seeking a Deputy Chief Financial Officer to lead financial reporting, rates, analytics, actuarial services and new business development within the Finance Division. You will oversee goals, budgets and results, manage a team, and ensure compliance with regulatory guidelines and policies.

The role requires a Bachelor's in Finance or Health Care Administration, 8 years of senior leadership experience, and thorough knowledge of health insurance operations and