Chief Financial Officer

About this role

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).

• Integrity
• Accountability
• Collaboration
• Trust
• Respect

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

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.

Job Function & Responsibilities

• 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)

• 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)

• 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)

• 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

• 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

• 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

• 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

Master’s Degree,…