Chief Financial Officer

Healthy Alliance

CFO responsible for financial management and strategy at Healthy Alliance, ensuring long-term sustainability and success for healthcare financing.

Posted 7/14/2026full-timeSchenectady • New York • 🇺🇸 United StatesLead💰 $195,314 - $226,735 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in financial management, including value-based payment arrangements, financial modeling, and compliance with GAAP. Proven ability to lead financial strategy and operational readiness while fostering strategic relationships with health systems and funding partners.

Highest-signal resume keywords

Financial ManagementValue-Based Payment ArrangementsGAAP ComplianceMedicaid Managed Care FinancingERP Implementation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Financial ModelingBudgetingCash Flow TrackingFinancial PlanningForecastingContract ReconciliationReimbursement DisputesTreasury OperationsHealth Care Revenue CycleGovernment Grant Management

Soft Skills

Team LeadershipCoachingMentoringCollaborative CommunicationIntegrity

Tools & Technologies

ERP PlatformsFinancial SystemsBudgeting SoftwareReporting Solutions

Certifications & Qualifications

Bachelor’s Degree in Accounting or FinanceMaster’s Degree (Preferred)CPA Designation (Active)

Industry Keywords

Managed Care OrganizationsPopulation Health Funding ModelsSocial Care ReimbursementHealth Care Regulatory EnvironmentsAlternative Payment Methodologies

Tech Stack

Tools & technologies

ERP

About the role

Key responsibilities & impact

Lead Healthy Alliance's financial strategy and operational readiness for the transition from fee-for-service and grant-dependent funding streams toward value-based, outcomes-driven, and risk-based payment arrangements.
Develop financial models, forecasting methodologies, and performance measurement frameworks that support emerging Medicaid, social care, managed care, and population health reimbursement strategies.
Partner with executive leadership to evaluate new lines of business, alternative payment arrangements, shared savings opportunities, capitation methodologies, and other innovative financing approaches that support long-term organizational sustainability.
Represent the organization in all financial negotiations, reconciliation activities, rate discussions, attribution reviews, and settlement processes with Managed Care Organizations, health plans, state agencies, and other funding partners.
Serve as the lead executive responsible for protecting Healthy Alliance's financial interests during settlement discussions, including situations where attribution methodologies, performance outcomes, eligibility determinations, or financial calculations are disputed or lack immediate consensus among stakeholders.
Develop data-supported positions, negotiate equitable outcomes, and escalate issues appropriately while maintaining productive long-term relationships with external partners.
Monitor and evaluate financial performance under payer contracts, value-based arrangements, government programs, and strategic partnerships.
Identify emerging opportunities and risks related to reimbursement, Member attribution, utilization trends, quality outcomes, and contract performance.
Advise the CEO, Executive Leadership team, Finance Committee, Audit Committee, and Board of Directors on financial implications of strategic decisions, market changes, regulatory developments, and emerging health care payment models.
Lead PMPM reconciliation, value-based payment initiatives, financial modeling, and capacity-building reporting.
Navigate the organization through the addition of new service lines and transition to a value-based payment (VBP) model for specific services.
Oversee the Finance and Audit Committees of the organization, working closely with the Finance and Audit Committee Chairs, and supporting other governance committees and the board.
Provide executive oversight of financial systems, ERP platforms, budgeting, payroll, banking, and reporting solutions.
Ensure the maintenance of financial records and accounting systems to ensure compliance with all regulations, generally accepted accounting practices and contractual requirements.
Provide leadership for agency-wide strategic plan implementation in partnership with the CEO and Executive team.
Maintain strategic relationships with health systems, MCOs, community-based organizations, government agencies, auditors, consultants, and vendors.
Oversee audit, tax, treasury, risk management, insurance, grants, and internal controls.
Oversee development, implementation, and enforcement of financial policies and procedures.
Perform other responsibilities and duties as assigned.

Requirements

What you’ll need

Bachelor’s degree in accounting or finance is required
Master’s degree is preferred
CPA designation (active) is strongly preferred
10+ years of progressively responsible experience in financial management, including 5 years of senior management experience
Ability to scale an organization through continuous growth
Demonstrated experience navigating complex payer relationships, financial settlements, contract reconciliations, reimbursement disputes, or rate negotiations involving government programs, managed care organizations, health systems, or other health care funding entities
Experience leading organizations through financial transformation, including value-based payment arrangements, risk-bearing contracts, capitation models, shared savings programs, alternative payment methodologies, or other outcomes-based reimbursement structures
Strong understanding of Medicaid Managed Care financing, health care economics, population health funding models, social care reimbursement, and health care regulatory environments
Deep knowledge and understanding of GAAP compliance and reporting
Strong knowledge of health care revenue cycle and billing processes
A proven track record of proficiency with FP&A functions including, but not limited to, budgeting, cash flow tracking and analysis, financial planning, and forecasting
Experience managing treasury operations, including oversight of banking activities, investment maximization, and managing short-term and long-term debt
Government grant management, compliance, and reporting experience
Strong knowledge of Medicaid and experience with Medicaid billing
ERP implementation experience is a must
5+ years of senior management experience
Ability to manage a team of two direct reports currently, and up to 10 or more as the organization grows, including various levels of team members
Proven ability to attract, supervise, train, and motivate employees
A collaborative, team-oriented, respectful style of communication and leadership
Strong coaching, training, and mentoring ability
Flexible team player with integrity and high ethical standards.
Perform all work in accordance with Healthy Alliance core competencies and values.

Benefits

Comp & perks

Competitive compensation package
Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company-contributed accounts, and more
401K with a company match
Unlimited paid time off after 90 days of employment
Company-sponsored training and certification opportunities
Hybrid work environment and people-first workplace
A workplace that values safety, respect, employee engagement, recognition, and diversity