Position Summary

The Chief Financial Officer (CFO) provides strategic and operational leadership for the financial health of the Plan, including financial planning and analysis, budgeting, forecasting, accounting, treasury, claims payment oversight, billing and reimbursement, and enterprise financial reporting. The CFO safeguards Plan assets, supports executive decision-making with actionable financial insights, and oversees actuarial, underwriting, and rate-setting functions in partnership with internal stakeholders. This role also leads regulatory and rate-related filings, ensures effective financial controls and compliance, and serves as a key advisor to executive leadership, the Finance Committee, and the Board of Trustees in support of the Plan’s mission, growth, and long-term sustainability.

Essential Duties and Responsibilities

Lead financial strategy and planning by organizing and coordinating financial policies and integrating short- and long-term fiscal plans with the Plan’s goals and objectives.

Oversee budgeting, forecasting, capital planning, cash flow projections, financial statements, and internal management reporting through a formal budget and performance measurement program.

Ensure the integrity of accounting operations and compliance with generally accepted accounting principles, including systems supporting accounts receivable, accounts payable, related accounting functions, internal controls, and audit readiness.

Manage billing, collection, and reimbursement operations to support timely collections and effective oversight of third-party reimbursement and regulatory cost controls.

Provide financial analysis, interpretation, and recommendations to support executive decision-making and organizational performance.

Communicate financial results, reports, and key insights to management, the Finance Committee, and the Board of Trustees, and attend meetings as required.

Oversee treasury management, including cash, short-term investments, banking activities, and relationships with financial institutions and lines of credit.

Direct the development and implementation of financial systems, policies, procedures, and management information processes needed to support the Plan’s operations and growth.

Oversee Claims Department operations and ensure the accuracy of payments to in-network and out-of-network providers.

Oversee actuarial, underwriting, and rate-setting functions, and partner with internal departments to update contract payment terms and conditions and evaluate the Plan’s overall rate structure and managed care contracts.

Review tax filings; oversee annual senior and commercial plan rate and benefit package submissions to CMS and DMHC; and lead timely, accurate responses, certifications, attestations, and supporting documentation for regulatory and governmental agencies.

Support cost control, evaluate new projects, and participate in planning for major purchases, lease arrangements, and facility-related initiatives.

Develop and lead the finance team by managing work allocation, training, mentoring, problem resolution, and succession planning to build an effective organization.

Serve as the Chief Executive Officer’s designee upon request, absence, or incapacity.

Perform other duties as assigned.

CORE COMPETENCIES

Must possess and consistently demonstrate the following competencies:

Management – Makes the best use of available time and resources. Acknowledges and corrects mistakes. Shows up to work on time, and follows instructions, policies, and procedures. Meets productivity standards, deadlines, and work schedules. Prioritizes tasks by importance and deadline. Displays an ongoing commitment to learning and self-improvement. Desiring and making an effort to acquire new knowledge or skills for work.

Leadership Effectiveness – Leads by example and sets standards for professional behavior. Helps those in need of assistance, regardless of rank. Offers help when needed. Identifies what needs to be done and takes action before being asked or required. Recognizes situations that warrant initiative and moves forward without hesitation. Displays a positive attitude about the work to be done, co-workers, customers, management, and policies. Conveys positive attitude in the process of change.

Decision Making and Judgment – Coordinates ideas and resources to achieve goals. Identifies, collects, and organizes data for analysis and decision-making. Shows insight into the root-causes of problems. Generates a range of solutions and courses of action with benefits, costs, and risks associated with each. Examines data to grasp issues, draw conclusions, and solve problems.

Teamwork – Conveying confidence in co-workers’ ability to be successful, especially with new and challenging tasks. Earns others’ trust and respect through consistent honesty and professionalism in all interactions. Builds constructive working relationships characterized by a high level of acceptance, cooperation, and mutual respect. Maintains an open, approachable manner, and treats others fairly and respectfully. Preserves others’ self-confidence and dignity, and shows regard for their opinions. Promotes cooperation and commitment within a team to achieve goals and deliverables.

Continuous Improvement – Adapting to and working with a variety of situations, individuals, and groups. Demonstrates openness to new organizational structures, procedures, and technology. Openness to different and new ways of doing things. Willingness to modify one’s way of doing things. Diligently attends to details and pursues quality in accomplishing tasks. Develops fresh ideas that provide solutions to all types of workplace challenges.

Communication – Keeps manager informed about progress and problems. Ensures that others involved in a project or effort are kept informed and developments and plans. Allows others to speak without unnecessarily interrupting them. Gives the speaker undivided attention and appears interested in the message (e.g., maintains eye contact, nods). Gets along and interacts positively with co-workers and others. Asks and answers questions that enhance the clarity, quality, and reliability of information.

Work Product Quality – Adheres to all workplace and trade safety laws, regulations, standards, and practices. Displays openness to different or new ways of doing things and sees multiple perspectives. Responds positively to change, embracing and using new practices or values to accomplish goals and solve problems. Respects and maintains confidentiality. Tells the truth and is honest in all dealings. Encourages and supports others at work. Focuses on results and desired outcomes and how best to achieve them in order to get the job done. Willingly puts in extra time and effort in crisis situations; goes the “extra mile” to ensure the goal is met. Defining tasks and milestones to achieve objectives, while ensuring the optimal use of resources to achieve those objectives.

Customer Service – Builds and maintains customer satisfaction with the products and services offered by CCHP. Meeting and exceeding customer needs while cultivating relationships that secure commitment and trust. Seeks customer feedback and ensures needs have been fully met. Be positive when interacting with customers. Delivers products and services when and where the customer needs them. Engages customer in identifying issues, options, and desired outcomes. Develops a clear picture of the needs and best options from the client/customers’ perspective. Remains committed to helping the client long after initial solutions have been applied. Follows up to make sure desired outcomes are realized. Acts proactively, recognizing important trends that will affect customers. Communicates those trends so clients can better prepare to meet new challenges. Develops new services and service models in line with those needs. Anticipates and recognizes the concerns of others, even if those concerns are not openly expressed. Provides excellent services to internal and external customers

Qualifications

Bachelor’s degree in Accounting, Finance, Business Administration, or a related field required; Master’s degree preferred.
Certified Public Accountant (CPA) strongly preferred; equivalent advanced financial or accounting credential considered.
Minimum of 10 years of progressive finance and accounting leadership experience, including at least 5 years in a senior leadership role.
Healthcare finance experience required, with managed care, health plan, capitation/delegated model, TPA services, Medicare Advantage, Medi-Cal, or other government program experience strongly preferred.
Extensive audit experience required, including financial statement audits, internal controls, audit preparation, audit response, coordination with external auditors, and remediation of audit findings in a regulated environment.
Experience preparing and submitting responses to regulatory inquiries, audits, examinations, requests for information, corrective action plans, certifications, attestations, and other governmental agency reporting requirements.
Strong knowledge of GAAP, healthcare reimbursement, revenue cycle operations, actuarial collaboration, underwriting, payer contracting, rate development, and applicable federal and California regulatory requirements, including CMS and DMHC oversight, regulatory agency responses, and governmental certifications and attestations.
Proven ability to interpret financial and operational data, identify risks and opportunities, and provide strategic recommendations to executive leadership and governing bodies.
Experience leading and developing high-performing teams, with the ability to build cross-functional partnerships and drive accountability, continuous improvement, and organizational change.
Proficiency in Microsoft Office applications, especially Excel, and experience with enterprise financial systems, reporting tools, and healthcare-related financial platforms.
Excellent verbal, written, presentation, and interpersonal communication skills, with the ability to communicate effectively with staff, senior leadership, committees, regulators, and the Board.
Bilingual English and Chinese language skills are a plus.

Physical Requirements

Able to lift up to 30 pounds
Use proper body mechanics when handling equipment
Standing, walking and moving 50% of the day.
On location 3 days per week

Compliance Requirements

Complies with CCHP Compliance Handbook including Code of Ethics and all statutes, regulations, guidelines applicable to federal and state programs. Responsibilities include, following the guidelines and reporting suspected violations of any statute, regulations, agreements or guidelines applicable to all healthcare programs.

Base Pay Scale

Starting at $251,118 – $376,376 annually.

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

CCHP Health Plan

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