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Director FP&A – Medicaid

Position Overview

Reporting into senior finance leadership, this role leads strategic financial planning, forecasting, budgeting, and performance management activities for a complex healthcare business. The position partners closely with operational, actuarial, accounting, analytics, and executive stakeholders to support financial decision-making, drive operational performance, and ensure long-term business sustainability.

The individual will oversee financial analysis across multiple business functions, providing insights into performance, growth opportunities, investment decisions, and strategic initiatives. This role also serves as a key advisor to business leadership, helping translate operational activity into financial outcomes and supporting enterprise-wide planning efforts.

Key Responsibilities

  • Lead enterprise financial planning activities, including annual budgeting, long-range planning, forecasting, and monthly financial reviews.
  • Partner with business, operational, actuarial, and accounting teams to evaluate performance and identify financial and operational improvement opportunities.
  • Establish planning assumptions, financial targets, and key performance measures used to support strategic and operating objectives.
  • Monitor financial and operational performance against plan, providing variance analysis and recommendations to senior leadership.
  • Develop forecast models for revenue, membership, utilization, expenses, and other key business drivers.
  • Perform financial analysis of business operations, strategic initiatives, growth opportunities, and investment decisions.
  • Design and maintain executive reporting packages, dashboards, KPIs, and business metrics that support informed decision-making.
  • Lead the preparation and management of annual operating and capital budgets.
  • Support strategic planning activities through business case development, scenario modelling, and sensitivity analysis.
  • Provide profitability analysis across products, service lines, customer segments, and contractual arrangements.
  • Collaborate with finance and operational leaders to develop forward-looking plans and evaluate emerging business risks and opportunities.
  • Evaluate reimbursement methodologies, funding arrangements, and evolving payment models to assess financial impacts.
  • Develop forecasting methodologies using multiple internal and external data sources while ensuring analytical integrity and accuracy.
  • Identify, quantify, and monitor efficiency initiatives and operational improvement opportunities.
  • Prepare financial materials and presentations for executive leadership, governance committees, and other key stakeholders.
  • Partner across finance, analytics, operations, contracting, and product teams to support business growth and strategic initiatives.
  • Lead, mentor, and develop finance team members while promoting best practices in financial analysis and planning.
  • Support special projects and other strategic priorities as required.

Qualifications

Education

  • Bachelor’s degree in Finance, Accounting, Economics, Business Administration, or related field required.
  • Advanced degree and/or professional certification (MBA, CPA, CFA or equivalent) preferred.

Experience

  • 7+ years of progressive experience within financial planning, corporate finance, healthcare finance, or related functions.
  • Prior leadership or people management experience preferred.
  • Experience supporting healthcare, managed care, payer, provider, or value-based care environments strongly preferred.
  • Strong understanding of budgeting, forecasting, financial modelling, business performance management, and strategic planning.
  • Experience evaluating financial impacts of reimbursement arrangements, risk-based contracts, or healthcare funding models is highly desirable.
  • Demonstrated ability to influence cross-functional stakeholders and communicate financial insights to executive audiences.
  • Advanced Excel and financial modelling capabilities required.
  • Experience with enterprise planning and reporting systems such as Adaptive Planning, Workday, Essbase, Hyperion, Anaplan or similar platforms preferred.
  • Strong analytical, problem-solving, communication, and presentation skills.

What You’ll Receive

  • Competitive compensation package including performance incentives.
  • Comprehensive healthcare, retirement, and wellbeing benefits.
  • Generous paid time off and company holidays.
  • Professional development, continuing education, and tuition assistance programs.
  • Opportunities for career progression and internal mobility.
  • Collaborative, mission-driven culture with exposure to senior leadership and strategic initiatives.