The CFO / Vice President of Finance serves as the senior financial executive for Health New England (HNE), a provider-sponsored health plan integrated within Baystate Health. This high-impact role oversees the financial health and strategic direction of the plan while aligning insurance operations with the broader health system’s goals. The executive must navigate the regulatory complexities of a licensed carrier while driving performance in an integrated delivery and financing model.
Key Responsibilities
Strategic Financial Leadership
- Partner with HNE and Baystate leadership to execute strategies aligned with integrated delivery system goals.
- Provide financial counsel to the HNE Board, Finance Committee, and senior leadership.
- Lead multi-year financial planning, capital allocation, and investment frameworks.
- Evaluate strategic partnerships, value-based contracting, and new market opportunities.
Health Plan Finance & Actuarial Oversight
- Manage premium revenue, medical cost trends, claims reserving, and loss ratio performance.
- Partner with actuarial teams on rate-setting, risk adjustment, and reserve adequacy across Commercial, Medicare Advantage, and Medicaid lines.
- Drive medical cost management through analysis of utilization trends and care management effectiveness.
- Evaluate provider contracts and risk-sharing programs to align plan and system incentives.
Regulatory, Compliance & Governance
- Ensure compliance with MA Division of Insurance (DOI) and CMS requirements.
- Direct the submission of NAIC statutory filings and federal financial reporting.
- Serve as the primary liaison to regulatory agencies and manage audits/examinations.
Financial Operations & Integration
- Oversee HNE’s accounting, budgeting, forecasting, and treasury functions.
- Coordinate with Baystate Health’s fiscal services to ensure unified financial controls and enterprise reporting.
- Drive continuous improvement in financial systems and data infrastructure.
Organizational Leadership
- Build and mentor a high-performing finance team focused on accountability and continuous learning.
- Foster cross-functional collaboration across clinical, actuarial, and operational divisions.
- Model a mission-driven culture that views financial discipline as an enabler of community health.
Qualifications
Required
- Education: Bachelor’s in Finance, Accounting, or related field; MBA/MHA strongly preferred.
- Certification: CPA or actuarial credentialing (FSA, MAAA) strongly preferred.
- Experience: 12+ years of progressive financial leadership, with 7+ years in senior management at a health insurance or managed care organization.
- Technical Skills: Expertise in NAIC statutory accounting, risk adjustment, and medical cost management.
- Leadership: Proven ability to lead in matrixed environments and advise executive boards.
Preferred
- Experience in provider-sponsored or integrated delivery systems (IDFS).
- Knowledge of the Massachusetts insurance market and value-based care models.
Core Competencies
Strategic Integration
- Connects health plan financial strategy with Baystate Health system objectives; operates effectively across the plan/provider boundary.
Financial & Actuarial Acumen
- Fluent in both insurance financial mechanics (statutory accounting, reserving, rate adequacy) and health system finance (cost accounting, capital planning).
Regulatory Expertise
- Navigates complex state and federal insurance regulatory environments confidently; builds trusted relationships with regulators.
Executive Leadership
- Commands credibility with boards, system leadership, and external stakeholders; influences without direct authority across a matrixed structure.
Mission Alignment
- Translates financial discipline into community benefit outcomes; approaches financial leadership as a means to advance health equity and access.
Analytical Rigor
- Drives decisions through data; champions financial modeling, scenario planning, and performance analytics as core decision-making tools.
People Leadership
- Develops finance talent; creates psychological safety, high standards, and a culture of
Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
