Executive Director, Value-Based Care Finance & Operations

CVS Health; Hartford (CT); On-site; USD 132,000 - 303,000; Full time

Job summary

CVS Health is seeking an Executive Director, Value-Based Care Financial Operations to lead financial performance, accrual governance, and payment administration across Medicare, Commercial and Specialty VB arrangements.

You will partner with Finance, Actuarial, Network, VBS and Operations to translate complex value-based contracts into scalable financial processes, reporting, and controls, ensuring accurate provider settlements and performance analysis.

Qualifications

• 15+ years of progressive leadership experience in healthcare finance, provider economics, value-based care, or related fields.
• 5+ years leading managers and high-performing professional teams; 8+ years preferred.
• Experience leading financial reporting, accruals, forecasting, reconciliation, and performance measurement.
• Deep understanding of Medicare Advantage financial drivers, provider reimbursement and incentive methodologies, risk adjustment programs, and value-based payment models.
• Experience supporting multiple lines of business, including Medicare, Commercial and Specialty VB arrangements.

Responsibilities

• Lead enterprise VBC financial reporting, accruals, forecasting, reconciliation, and performance measurement.
• Establish methodologies supporting provider settlements, shared savings arrangements, quality incentives, capitation models, and specialty value-based contracts.
• Partner with Finance and Actuarial leadership to ensure financial reporting reflects obligations, trends, and risks.
• Own governance and execution of monthly and annual VBC accrual processes; lead reviews with Finance and leadership.
• Maintain controls and governance standards; serve as escalation point for financial reporting issues.
• Lead attribution governance for provider performance measurement and reporting; ensure auditable processes.

Skills

Leadership experience

Financial analysis

Stakeholder influence

Healthcare finance knowledge

Education

Bachelor's degree

Master's degree preferred

CPA/CFA preferred

Job description

CVS Health is seeking an Executive Director, Value-Based Care Financial Operations to lead financial performance, accrual governance, and payment administration across Medicare, Commercial and Specialty VB arrangements.

You will partner with Finance, Actuarial, Network, VBS and Operations to translate complex value-based contracts into scalable financial processes, reporting, and controls, ensuring accurate provider settlements and performance analysis.