Deputy Chief Financial Officer

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

Position Overview

Position Overview

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.

Scope Of Role & Responsibilities

• Direct involvement and over site of Finance Operations functions and staff.
• Actuarial services: for all activities related to our 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.
• Manages 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 over site agencies including SDOH Medicaid Managed Care Operation Report (MMCOR), Department of Financial Services (DFS-BLANK), and CMS.
• Oversite of departmental and Plan wide data, to maintain data integrity and reporting accuracy. Performs 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.

Required Education, Training & Professional Experience

• A Bachelor’s Degree with a specialization in Finance, Health Care Administration, or a related field; and
• 8 years of high-level responsible experience in a leadership role; or
• An equivalent combination of training, education and experience in health insurance financial operations, managed healthcare or related fields and educational disciplines; and,
• 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, and experience directing and supervising personnel.

Licensure And/or Certification Required

• NONE

Professional Competencies

• Integrity and Trust
• Customer Focus
• Functional/Technical skills
• Written/Oral Communication

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