The person filling this role is an influential leader with internal and external constituents and supports the Executive Leadership Team’s decision-making and advocacy regarding Medicare. She/he provides leadership technical expertise, and direction for the key accountabilities of NMF. The incumbent ensures that the functions, systems and processes for NMF are integrated, coordinated, and continually enhanced including Medicare Advantage and Part D revenues, regulatory requirements and audits, strategic and financial analytics. The Senior Vice President of NMF contributes to a strong control environment and champions continuous process improvement. This requires influence and strong change management skills to gain buy-in from different constituencies including senior executives in support of future direction. This position consistently supports compliance and the Principles of Responsibility (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to the applicable federal, state and local laws and regulations, accreditation and licensure requirements (if applicable), and Kaiser Permanentes policies and procedures.

• Provides overall leadership to the management team for all functions in NMF.
• Oversees all aspects of financial management for the Medicare line of business within the organization including the development of information and analysis on key financial and operational data
• Partners with the National Medicare and National & Market Health Plan leaders to develop strategies to drive growth, ensure compliance, and enhance member satisfaction for the Medicare line of business
• Oversees the Fee-For-Service hospital cost reporting for Medicare and Medicaid
• Represents Kaiser Foundation Health Plan as the Medicare CFO in regard to Centers for Medicare and Medicaid Services (CMS) attestations and other interactions with the regulator
• Is a critical financial and strategic thought partner for members of the National Executive Team, the National Health Plan Team, Market, and the Finance Executive Leadership Team to collaborate and optimize processes supporting Medicare
• Presents analysis and modeling data in a way that supports critical decision making to inform and influence key organizational initiatives and planningefforts.
• Ensures compliance with regulatory, administrative, and legal requirements by providing leadership, strong technical expertise and extensive use of analytics to ensure appropriate on-going oversight and due diligence
• Establishes appropriate internal controls to support SOX and Model Audit Rule requirements for the Medicare Finance & Risk Adjustment MEGA.
• Stays abreast of industry trends, the evolving regulatory environment, and internal operational changes to assess risks and opportunities
• Represents NMF with internal and external stakeholders, other Kaiser Permanente functions, vendors, and regulatory agencies.
• Recruits, develops, and maintains a high performing, talented, and engaged team.
• Champions innovation and change within the NMF team and more broadly

This position has a target base salary of $432,000 to $540,000 and is eligible for incentive compensation, an executive allowance, comprehensive health, wellness, time off, savings, and retirement benefits, as well as relocation support, as applicable