Deputy Chief Financial Officer
HybridCommercial Employer HealthMedicare AdvantageMedicaidReserving & ValuationPricing & RatingRegulatory Reporting
Role Summary
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Senior Health finance leader (Deputy CFO) in New York overseeing financial reporting, rate setting, actuarial services, IBNR reserving and Medicare/Medicaid product analytics. Responsible for regulatory reporting, Medicare MA/PD bid submissions, and managing finance operations and actuarial contracts. Reports to the Chief Financial Officer and leads teams across finance, actuarial, and reimbursement functions.
JOB DESCRIPTION SUMMARY
- Deputy CFO for a New York health plan overseeing finance, actuarial, rates and analytics
- Manage actuarial services for Commercial, Medicare Advantage and Medicaid products
- Oversee IBNR reserving, Medicare MA/PD bid submissions, and regulatory reporting
- Lead finance operations, reimbursement oversight, and vendor/contract management
- Hybrid role in New York (#LI-Hybrid)
DOMAIN EXPERTISE
- Health insurance financial operations
- Managed care/Medicaid and Medicare experience
- Medicare MA/PD bid submissions and desk reviews
- IBNR reserving and unpaid claims liability governance
- Regulatory reporting to NYS and CMS
KEY REQUIREMENTS
- Bachelor's degree in Finance, Health Care Administration, or related field required
- 8+ years of senior leadership experience in health insurance financial operations
- Experience with Medicare MA/PD bids, Medicaid, commercial rate setting and reserving
- Thorough knowledge of health insurance regulations and regulatory reporting
TECH STACK
- No tech stack specified
