Gold Coast Health Plan

Chief Financial Officer

Camarillo, CA - Hybrid

The Chief Financial Officer (CFO) provides the strategic vision and operational oversight necessary to ensure the financial integrity and long-term viability of the Health Plan. Serving as a key architect of the organization’s fiscal strategy, the CFO directs regulatory compliance, reporting, risk management, and financial strategy while ensuring alignment within the unique complexities of the California healthcare regulations and reimbursement models. The CFO has primary day-to-day responsibility for planning, implementing, managing and controlling all financial-related activities of the company. This role is a critical partner to the CEO, executive leadership and Commission, driving sustainable growth with a steadfast commitment to operational efficiency, and high-quality member outcomes.

Job Function & Responsibilities

Financial Strategy & Leadership

Develop and execute the organization’s financial strategy aligned with corporate goals
Advise the CEO, Executive Team, and Commission on financial performance, risks, and opportunities
Lead long-term financial planning, capital allocation, forecasting, timely reporting. and growth initiatives (e.g., expansion of Medi-Cal or Medicare Advantage lines)

Financial Operations

Oversee budgeting, forecasting, and financial reporting processes
Ensure accuracy and timeliness of monthly, quarterly, and annual financial statements
Manage cash flow, investments, and capital structure
Optimize administrative and medical cost structures (MLR management)

Regulatory Compliance (California Focus)

Ensure compliance with California regulatory standards in alignment with Chief of Compliance
Oversee statutory reporting, rate filings, and financial audits in collaboration with Department of Enterprise Analytics and Insights.
Maintain compliance with federal programs (Medicaid Medicare)

Risk Management & Controls

Establish and maintain strong internal controls and financial governance frameworks
Oversee departmental alignment with organizational risk management, including underwriting and actuarial coordination
Ensure solvency, reserves, and Risk-Based Capital (RBC) requirements are met

Provider & Payment Strategy

Partner with provider network operations and actuarial teams on provider reimbursement models (capitation, value-based care)
Monitor and report on utilization trends and medical cost drivers
Support contract negotiations with providers and vendors

Team Leadership

Lead finance, accounting, FP&A, and potentially actuarial functions
Build and mentor a high-performing finance organization
Foster cross-functional collaboration across operations, clinical, and network teams

MINIMUM QUALIFICATIONS

Education & Experience:

Bachelor's Degree (four-year college or technical school),Field of Study: Finance or CPA Highly Desirable.
15+ years of progressive financial leadership, with at least 9+ years in a senior executive role (CFO, VP Finance) within a California health plan or managed care organization.
Deep operational knowledge of healthcare reimbursement models and insurance principles
Demonstrated leadership excellence complemented by highly developed executive-level communication skills
Mastery of California-specific regulations (HCAI, DHCS, DMHC) and Federal healthcare regulatory environment (CMS/HHS)
Familiarity with capitation, fee for service, risk adjustment, actuarial processes, and value-based care models
Executive-level experience in a managed care, public health, or safety-net setting i.e. Medi-Cal managed care and/or Medicare Advantage
Experience managing the financial complexities of Pharmacy Benefit Management, including rebate structures and specialty drug spend.
High level of integrity and dependability with a strong sense of urgency and results-orientation.
Proven success leading to enterprise-wide transformation or complex delivery systems
Executive presence and advocacy skills
Expertise in organizational culture, change management, and leadership development

KNOWLEDGE, SKILLS & ABILITIES

Preferred Qualifications:

Master's Degree, Field of Study: MBA, Health/Hospital Administration, Public Health, or Business Administration, or related field.

Technology & Software Skills:

Advanced computer skills in MS Office products to include proficiency with Workday and Adaptive

Certifications & Licenses:

A valid and current Driver's License, Auto Insurance, and professional licensure(s)

Amount of Travel Required: 20%

The estimated pay range for the position is: $258,750.00 - $431,250.00

Reasonable Accommodations Statement

To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodation may be made to help enable qualified individuals with disabilities to perform the essential functions.

Competency Statements

Leadership - Ability to influence others to perform their jobs effectively and to be responsible for making decisions.
Systems Analysis - Ability to determine how a system should work and how changes in conditions, operations, and the environment will affect outcomes.
Strategic Planning - Ability to develop a vision for the future and create a culture in which the long-range goals can be achieved.
Ethical Stewardship: Proven accountability with unwavering fiscal and moral integrity with a commitment to public-sector transparency.
Technical Excellence: Expertise with regulatory and compliance, financial modeling, analytics, and data-driven decision-making
Strategic Communication: Ability to translate complex financial data into actionable insights for non-financial stakeholders and public commissions.
Decisive Leadership: A track record of building, mentoring, and retaining high-performance finance and actuarial teams.
Presentation Skills - Ability to effectively present information publicly.
Diversity Oriented - Ability to work effectively with people regardless of their age, gender, race, ethnicity, religion, or job type.
Financial Aptitude - Ability to understand and explain economic and accounting information, prepare and manage budgets, and make sound long-term investment decisions.

Work Environment & Requirements

Based in Southern California this is a hybrid role requiring on-site presence based on organizational needs and direction from leadership.
Will require highly collaborative interaction with state and federal regulators and mandatory in-person attendance at monthly Commission meetings.

Work Schedule: Travel; work protracted and irregular hours and evening meetings or work unusual hours for meeting attendance or participation in specific projects or programs.

Work Culture:

GCHP strives to create an inclusive, highly collaborative work culture where our people are empowered to grow and thrive. This philosophy enables us to create the health plan of the future and do our best work – Together.

GCHP promotes a flexible work environment. Employees may work from a home location or in the GCHP office for all or part of their regular workweek (see disclaimer).

GCHP’s focuses on 5 Core Values in the workplace:

Integrity
Accountability
Collaboration
Trust
Respect

Disclaimers:

Flexible work schedule is based on job duties, department, organization, or business need.
Gold Coast Health Plan will not sponsor applicants for work visas.

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Chief Financial Officer