Finance Director, Health Plans

The Finance Director, Health Plans will serve as a key partner supporting the financial performance, affordability initiatives, and operational transformation of VNS Health Plans. While the primary focus will be on the Medicare Advantage business, the role will also support initiatives across health plan products.

This individual will work closely with leaders in Actuarial, Medical Economics, and Health Plan Operations to develop insights that inform decision-making, optimize provider relationships, and improve cost and quality performance. The Director will also play a key role in enterprise-wide transformation efforts aimed at improving operational effectiveness and financial sustainability.

What We Provide

• Referral bonus opportunities
• Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability
• Employer-matched retirement saving funds
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities

What You Will Do

Affordability & Managed Care Initiatives

• Lead financial analysis of affordability and medical cost initiatives within the Medicare Advantage product, identifying key cost drivers and improvement opportunities.
• Develop financial frameworks to assess ROI and track realized savings from managed care and clinical interventions.
• Collaborate with Actuarial and Medical Economics to translate trends and performance drivers into actionable strategies.

Provider Contracting & Network Analytics

• Evaluate the financial impact of provider contracts, including value-based, risk-sharing, and fee-for-service arrangements.
• Partner with Network Management and Clinical teams to assess provider performance and identify opportunities to improve cost, quality, and outcomes.
• Support contract modeling, negotiation analysis, and post-implementation performance tracking.

Value-Based Care Performance

• Partner with Medical Economics, Operations, and Clinical teams to evaluate the financial outcomes of value-based care programs.
• Support the measurement of quality incentive programs, shared savings, and risk-adjusted performance metrics.
• Provide decision support on new payment model designs and performance improvement initiatives.

Cross-Functional Leadership & Operational Transformation

• Serve as a key finance representative on cross-functional initiatives aimed at improving operational performance.
• Lead and influence collaborative projects that drive transformation in forecasting, analytics, and operational reporting.
• Promote accountability and transparency across business units by linking financial results to operational and clinical performance.

Financial Planning & Forecasting

• Lead the forecasting, budgeting, and financial performance reviews for the Health Plans business, with particular emphasis on Medicare Advantage.
• Deliver clear and actionable financial insights to business leaders and senior executives.
• Continuously enhance financial planning tools and methodologies to support decision-making and improve efficiency.

• Bachelor's degree in Finance, Accounting, Economics, or related field; MBA or CPA preferred.
• 8 years of progressive finance experience, ideally within managed care or a risk-bearing provider entity.
• Strong understanding of healthcare economics, provider reimbursement models, and value-based care frameworks.
• Demonstrated success leading cross-functional initiatives and operational improvement projects.
• Excellent communication, influencing, and stakeholder management skills.
• Advanced proficiency in financial modeling, analysis, and presentation development.
• Proven ability to thrive in a complex, matrixed environment balancing strategic priorities and day-to-day execution.

Ideal Candidate:

The ideal candidate is a strategic finance leader with deep managed care expertise and a strong orientation toward operational improvement. They bring a collaborative, problem-solving mindset, are comfortable working across Finance, Actuarial, and Operations, and can translate complex data into clear, actionable insights. Above all, they are motivated by mission - ensuring financial sustainability while improving affordability and outcomes for the members VNS Health serves.