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Chief Financial Officer - Prominence Health Plan

Prominence Health

Universal Health Services, Inc. (NYSE: UHS) is a Fortune 300 healthcare provider operating hospitals, behavioral health facilities, and health plans across the United States. The Chief Financial Officer (CFO) is the executive level manager responsible for the financial activities of the Prominence Health Plan companies. Responsibilities include accounting, financial reporting, regulatory and statutory accounting, planning and analysis, budgeting, actuarial services oversight, underwriting, premium billing and collection, and coordination with corporate accounting. The CFO also manages the annual reinsurance program and works closely with the CEO and other executives on strategic initiatives. Essential Job Duties Lead and manage functional areas: accounting, financial reporting, regulatory reporting, actuarial services, premium billing, and accounts payable. Supervise the Health Plan financial reporting processes and prepare financial position reports and operating P&L statements. Ensure timely preparation and filing of federal and state financial reports. Cooperate with UHS’s corporate financial services on all financial matters. Align Prominence Health Plan infrastructure development with UHS corporate strategy. Maintain relationships with outsourced vendors, partners, and key providers. Drive quality initiatives to improve member, provider, and employee satisfaction and optimize revenue. Oversee budgets for each functional area and review monthly performance. Implement data‑driven decision making through robust analytics. Represent the organization in external partner markets and act as backup to the CEO when required. Execute strategic goals by integrating across leadership teams. Develop initiatives to support profitable growth. Perform other duties as assigned. Qualifications Master’s degree required; minimum 8–10 years of experience in a senior financial role. Ability and willingness to travel 10%+ of the time. Broad Knowledge Health Plan financial reporting, accounting, and analytics: GAAP, statutory, and management reporting; AP/AR oversight; IBNR; actuarial services; cash flow management. Annual budgeting and strategic financial planning. M&A activity, investor relations, joint venture investments. Lines of Business: Medicare Advantage, Commercial, Self‑Funded/ASO. Extensive understanding of Medicare Advantage and federal program financials. Significant experience with bid submission. Medicare Advantage Risk Adjustment & STARS. Commercial underwriting. Risk‑Based Capital (RBC). Traditional payer contracting and value‑based contracting (risk and capitation). Reinsurance/Stop‑loss strategies. Experience with other federal Medicare programs: ACO, MSSP, direct contracting, PBCI. Culture and Character Fit Team leader and individual contributor. Comfortable in a start‑up culture within a Fortune 300 entity. Strategic perspective with hands‑on execution. Passionate about driving healthcare initiatives under a population‑health strategy. Strong ability to analyze deep financial details and translate them into strategic conclusions. Skills Effective verbal and written communication in English. Proficiency in Microsoft Office. Strategic thinker who can lead concepts from inception to implementation. Excellent communicator with external and internal stakeholders. Experienced team builder and mentor to direct reports. Experience with commercial, self‑funded, and Medicare Advantage products. Skilled in negotiating complex provider reimbursement agreements and third‑party contracts. Knowledge of NCQA and CMS delegated entity rules for managing vendor relationships. Capable of managing interfaces with functional areas and third‑party partners. Drive cultural change focused on accountability and performance. Sound understanding of health plan financial drivers. Service‑excellence orientation toward stakeholders. EEO Statement All UHS subsidiaries are equal‑opportunity employers and are committed to providing a workplace of mutual respect where equal employment opportunities are available to all applicants. Recruitment, selection, promotion, and compensation are based on merit and are not influenced by race, color, religion, sex, national origin, disability status, veteran status, or any other protected characteristic. #J-18808-Ljbffr Prominence Health

Vacancy posted 4 days ago
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