About Our Company
At Altais, we’re looking for bold and curious leaders, clinicians and innovators who share our passion for enabling better health care outcomes and experiences, revolutionizing the healthcare system for physicians, advanced care providers, patients, members, and the clinical community. At Altais, we’re building industry leading clinically integrated networks capable of taking full financial risk for members, powered by Altais Medical Group. These breakthrough clinical support tools, technology, and services let doctors do what they do best: care for people. We invite you to join our growing passionate team as we change the game for the future of healthcare and enable the experience that people need and deserve. Altais family of companies include Brown & Toland Physicians, Family Care Specialists, Altais Care Network, and Altais Medical Groups.
About Your Team
Are you looking to work with a high performing, fast growing and dynamic population health enablement team that also delivers care to patients? We are 16,000+ physicians, working in over 40 cities throughout California, caring for more than 500,000 patients. If you are passionate about reshaping healthcare and want to work for a mission driven organization where new ideas and innovation are valued, then we would like to meet you.
This role is based out of the San Francisco Bay area. We invite you to apply if you're in the area or seeking to relocate.
About Your Work
The Altais Chief Financial Officer (CFO) is a forward-thinking and dynamic Chief Financial Officer (CFO). The CFO is a key leadership team member of the organization with a primary role to provide strategic leadership and direct fiscal operations for Altais. This hands-on role is responsible for the overall executive oversight of finance, reporting, general accounting, revenue cycle management, payor relations, contracting and data analytic functions of the business. In addition to building Altais’ financial function, the CFO will be responsible for developing and nurturing a strong partnership with the larger Blue Shield of California organization. The CFO has a highly visible role and will be counted on to successfully implement and deliver solutions that leverage data, reporting and analytics to inform business decisions and achieve revenue targets.
You Will Focus On
- Advises Executive Leadership Team (ELT) on business strategy, priorities, financial performance and directly engages with and influences ELT to drive key decisions and resource allocation.
- In partnership with executive leadership, develops and maintains long-term company strategic plan, including five-year financial plan and specific strategic initiatives, related investment/capital deployment requirements and cost/benefit analyses.
- Drives profitable growth ensuring the company maximizes the full potential from its markets and new ventures.
- Leads the strategy, finance, and analytical teams responsible for producing monthly forecasting and accruals.
- Achieves medical cost, medical loss ratio and operational income targets set in forecasts.
- Develops, negotiates, and oversees the financial terms of contracts with clients and coordinates related activities such as establishment of medical cost benchmarks, continuous financial performance monitoring and settlements of contingencies under each contract (i.e., performance penalties and/or incentives).
- Ensures that Altais network participation providers meet quality and financial contractual targets and settles payments owed under such contracts.
- Prioritizes and coordinates all cost of care analytics for business, including data environment to ensure relevance of information applied in management of business and used to optimize effectiveness of care management activities.
- Maintains and analyzes claims experience and contract Key Performance Indicator data associated with the network in applicable geographic territory.
- Communicates and drives adherence to Generally Accepted Accounting Principles (GAAP).
- Oversees the overall policies, objectives, and initiatives of an Altais’ revenue cycle activities.
- Tracks and monitors key revenue cycle performance indicators; reports key findings and influences the leadership team, other stakeholders within the organization to improve the outcomes.
- Ensures internal controls, policies and procedures are consistent with state and federal laws, compliance plans and HIPAA (as well as external audits).
- Ensures goals of all team members align with company strategy and drives accountability.
- Partners with other members of the executive team on overall strategic planning.
- Helps with recruitment and onboarding of new finance staff.
- Represents the company and its services to external audiences.
The Skills, Experience & Education You Bring
- Experience within managed care, health care or insurance company required.
- Expertise in financial risk planning in the health insurance context, including projecting and calculating medical costs and IBNR.
- Minimum 10 years of experience in accounting and financial management practices.
- Experience in a senior management position.
- Expertise with accounting software and spreadsheets.
- Proven GAAP and financial reporting technical expertise.
- Experience with Utilization Management, URAC, IRO, Payment Integrity
- Proven business negotiation skills; track record of successful negotiations with a variety of counterparties and vendors.
Requirements
- Customer service focused with excellent analytical skills, interpersonal skills and executive presence required. Experience presenting complex plans and results to boards of directors and
- senior decisions makers.
- Ability to balance multiple projects and adapt to new issues/assignments as business needs
- change; comfortable with ambiguity.
- Strategic and growth-oriented mindset.
- Experience with direct contract negotiations of financial terms with external clients.
- Demonstrated ability to influence, negotiate and have a sales/growth perspective are key
- requirements for success in this role.
- Experience with either health plan payers, Medicare Advantage, managed Medicaid, and a
- national public auditing firm specializing in healthcare is preferred.
- Must be able to handle multiple priorities and meet tight deadlines.
- Must be detail oriented and have excellent analytical skills.
- Must have good communication skills, both written and verbal and experience with
- communication at an executive level.
- Must be able to interact with all levels of staff, including all senior management.
- Supervises accounting department to ensure proper functioning of all systems, database, and
- financial software.
- Ensures development and application of appropriate processes, procedures and internal
- controls and compliance with all financial and accounting procedures.
- Performs special projects and other tasks as requested by management.
- Uphold the mission and values of Altais in all aspects of your role and activities.
You Share our Mission & Values
- You are passionate about improving the healthcare experience and want to be part of the Altais mission.
- You are bold and curious – willing to take risks, try new things and be creative.
- You take pride in your work and are accountable for the quality of everything you do, holding yourself and others to a high standard.
- You are compassionate and are known as someone who demonstrates emotional intelligence, considers others when making decisions and always tries to do the right thing.
- You co-create, knowing that we can be better as a team than individuals. You work well with others, collaborating and valuing diversity of thought and perspective.
- You build trust with your colleagues and customers by demonstrating that you are someone who values honesty and transparency.
Altais values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.
The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate’s qualifications, skills, experience, and geographic location. This base pay range is specific to the Bay Area of California.
Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our ‘CPRA Privacy Notice for California Employees and Applicants’ to learn how we collect and process your personal information when you apply for a role with us.
Physical Requirements: Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork – Activity level: Sedentary, frequency most of workday. Required to be present in care delivery sites and among Altais leaders and external clients.
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws
