Sr. Director of VBC Finance

Your OpportunityAt Vytalize Health, we're transforming the way primary care is delivered — and the financial infrastructure behind our mission-critical to our growth.Vytalize Health is seeking a Sr. Director of VBC Finance to own the financial analysis, monitoring, reporting, and strategic evaluation of all private payer value-based contracts. This role will work cross-functionally across accounting, FP&A, treasury, operations, data & analytics, legal, and payer contracting. This is a high-impact, highly visible role for a healthcare finance leader who thrives at the intersection of data, strategy, and execution.What you Will DoContract Evaluation & PerformanceReview and evaluate active payer contracts across Medicare Advantage, Commercial, and Medicaid lines of businessAssess contract language, risk level, shared savings / quality / PMPM terms, data specifications, financial implications, and accounting treatmentEvaluate new contracts: analyze historical performance, model go-forward financial implications, and make recommendationsIntegrate new contracts into existing reporting, performance monitoring, and accounting processes in collaboration with payer contracting and operations teamsMonitoring & ReportingPull and consolidate payer reporting to assess contract-level financial performance (revenue, expense, MLR)Produce performance summaries and guidance for senior leadership and investors; escalate issues and variances as neededTrack impact of advance cash mechanisms on revenue vs. cash treatmentPresent findings to senior executives, provider partners, and payers (e.g., provider JOC meetings, NOMS leadership)Payer Communication & EngagementActively participate in JOC and other monthly payer meetings; own performance tracking and follow-upsServe as point of contact for payer-reported financial data interpretationManage claims processing where applicable (e.g., Anthem MA Ohio)Month-End CloseSummarize performance across all contracts and provide information flow to accountingInterpret payer-reported data and recommend accounting entries (revenue, COGS); propose journal entries based on reported performanceAdvise on approach to book financials given claims lag and delayed payer reportingReport on actuals and full-year projections as claims runout data and payer reporting become available; provide financial inputs to accountingBudgeting & PlanningOwn private payer budgeting: short-term and long-term planningProduce and maintain budget vs. actuals reportingProvide strategic financial insights and contracting recommendationsFinancial Audit SupportWalk through program, payer, and provider contracts with auditorsDocument revenue projection processes for in-year and future-year performanceStop-Loss & ReinsuranceAssess stop-loss policies and pricing; report claims to insurance provider and manage communication for timely recoveriesInteract with third parties (reinsurers, underwriters, actuaries) to interpret results and assess impact on performance outlookProvide stop-loss results to accountingCross-Functional CollaborationPartner with medical economics team to analyze claims and financial data to identify savings opportunitiesSupport final practice-level shared savings payouts across functionsServe as SME for value-based contracting across accounting, finance, data & analytics, operations, legal & compliance, and network teamsParticipate in private payer underwriting workgroup and provide input on MA incentive payment structuresAd-hoc participation in investor meetings to present contract financial performance and outlookSupport claims validation and QA: data ingestion, normalization, and comparison to payer financial reportingWhat will make you successful here7+ years of experience in healthcare finance, with a focus on value-based care contracting and payer economicsDeep understanding of VBC contract structures across Medicare Advantage, Commercial, and Medicaid (shared savings, PMPM, quality, risk arrangements)Experience with month-end close processes, accounting entries, and financial reporting in a healthcare settingStrong analytical skills with the ability to synthesize complex payer data into actionable insightsExcellent communication skills; comfortable presenting to senior executives, investors, and external partnersExperience working cross-functionally with accounting, FP&A, operations, legal, and data teamsFamiliarity with stop-loss / reinsurance programs a plusBachelor's degree in Finance, Accounting, or related field; CPA or MBA preferredPerks/Benefits Competitive base compensation Annual bonus potential Health benefits effective on start date401K plan effective on the first of the month after your start date; 100% of up to 4% of your annual salary Unlimited (or generous) paid "Vytal Time", and 5 paid sick days after your first 90 days Company paid STD/LTD Technology setup Ability to help build a market leader in value-based healthcare at a rapidly growing organization Disclaimer:*Please Note: At no time during our screening, interview, or selection process do we ask for additional personal information (beyond your résumé) or account/financial information. We will also never ask you to purchase anything, nor will we ever interview you via text message. Any communication received from a Vytalize Health recruiter during your screening, interviewing, or selection process will come from an email ending in @vytalizehealth.com.*We fully embrace the power of AI and encourage innovative, responsible use of emerging technologies in our work. However, during the interview and assessment process, it’s essential that we evaluate your individual skills, problem-solving ability, and technical mastery without external assistance.Candidates must complete all interviews and assessments independently.Use of AI tools, platforms, or automated assistance during interviews or assessments is not permitted. Unauthorized use will result in immediate disqualification from the hiring process and withdrawal of employment consideration.Our goal is to ensure a fair and accurate assessment of your true capabilities—the same creativity and critical thinking we value once you join our team.

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