Director of Health Systems Finances

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Final date to receive applications Date: 08/30/2026

Department:
Green Mountain Care Board

Location:

Montpelier, VT, US

Position Type:
Permanent

Schedule Type:
Full Time

Minimum Salary: $49.19

Maximum Salary: $77.65

The Green Mountain Care Board is in search of a Director of Health Systems Finances to work as part of the Board's innovative and dynamic leadership team.

This position designs, prepares, and presents financial analyses of Vermont's health system to Board Members, state legislators, and other stakeholders to inform regulatory policy and decision-making. This position will oversee the Board's health systems regulatory work and manages a team of skilled finance and data professionals.

This position,
Director of Health Systems Finances (Job Requisition #55595), is open to all State employees and external applicants.
If you would like more information about this position, please contact Jean.

Stetter .

Managerial, planning and operations work at the executive level managing hospital reporting, budgeting, and analyses of hospital operations and managing insurance premium rate review, including effects on the Vermont healthcare system.

The role encompasses a wide range of planning, financial, regulatory, and administrative functions including acting as the Executive Director's designee in many aspects of insurance premium rate review and hospital health care operations, improvement and compliance activities. Extensive interaction occurs with Board Members, individually and at public meetings;
Division Directors; the Vermont Association of Hospitals and Health Systems; a wide range of providers and provider advocates; and other interested parties, including the public ervision is exercised over a staff of professional, technical and clerical employees and contractors, including actuaries. Duties are performed in a highly independent manner, reporting to the Executive Director and or the Board Chair.

Work is performed primarily in a standard office setting but some travel will require private means of transportation. Duties may require extensive time outside of normal work hours. The successful candidate will be expected to attend public meetings and hearings and to testify before the Legislature and the Board. The role also requires working individually with five Board members on requests and proposals.

A wide diversity of opinion and emotions can be anticipated for which diplomacy and tact will be required.

Bachelor’s degree or higher in accounting, finance, statistics, economics, business administration, or related field AND five (5) years or more of experience with accounting, budgeting, fiscal auditing or analysis, or related field that includes experience managing a major fiscal program or operations.
OR
Seven (7) years or more of experience with accounting, budgeting, fiscal auditing or analysis, or related field that includes experience managing programs, funding sources, or staff.

Master’s degree in relevant field.
Supervisory experience.
Experience working with Accountable Care Organization operations or CMS All Payer Model agreement(s).
Experience working with regulatory boards under Vermont’s Open Meeting Law.
Experience with hospital budgets or insurance premium rate development or review.

As a State employee you are offered a great career opportunity, but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation, including:

• 80% State paid medical premium and a dental plan at no cost for employees and their families
• Work/Life balance: 12 paid holidays each year and a generous leave plan
• State Paid Family and Medical Leave Insurance (FMLI)
• Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
• Tuition Reimbursement
• Flexible spending healthcare and childcare reimbursement accounts
• Low cost group life insurance
• Incentive-based Wellness Program
• Q…