Director FP&A – Medicaid

Reporting into senior finance leadership, this role leads strategic financial planning, forecasting, budgeting, and performance management activities for a complex healthcare business. The position partners closely with operational, actuarial, accounting, analytics, and executive stakeholders to support financial decision‑making, drive operational performance, and ensure long‑term business sustainability.

The individual will oversee financial analysis across multiple business functions, providing insights into performance, growth opportunities, investment decisions, and strategic initiatives. This role also serves as a key advisor to business leadership, helping translate operational activity into financial outcomes and supporting enterprise‑wide planning efforts.

• Lead enterprise financial planning activities, including annual budgeting, long‑range planning, forecasting, and monthly financial reviews.
• Partner with business, operational, actuarial, and accounting teams to evaluate performance and identify financial and operational improvement opportunities.
• Establish planning assumptions, financial targets, and key performance measures used to support strategic and operating objectives.
• Monitor financial and operational performance against plan, providing variance analysis and recommendations to senior leadership.
• Develop forecast models for revenue, membership, utilization, expenses, and other key business drivers.
• Perform financial analysis of business operations, strategic initiatives, growth opportunities, and investment decisions.
• Design and maintain executive reporting packages, dashboards, KPIs, and business metrics that support informed decision‑making.
• Lead the preparation and management of annual operating and capital budgets.
• Support strategic planning activities through business case development, scenario modelling, and sensitivity analysis.
• Provide profitability analysis across products, service lines, customer segments, and contractual arrangements.
• Collaborate with finance and operational leaders to develop forward‑looking plans and evaluate emerging business risks and opportunities.
• Evaluate reimbursement methodologies, funding arrangements, and evolving payment models to assess financial impacts.
• Develop forecasting methodologies using multiple internal and external data sources while ensuring analytical integrity and accuracy.
• Identify, quantify, and monitor efficiency initiatives and operational improvement opportunities.
• Prepare financial materials and presentations for executive leadership, governance committees, and other key stakeholders.
• Partner across finance, analytics, operations, contracting, and product teams to support business growth and strategic initiatives.
• Lead, mentor, and develop finance team members while promoting best practices in financial analysis and planning.
• Support special projects and other strategic priorities as required.

• Bachelor's degree in Finance, Accounting, Economics, Business Administration, or related field required.
• Advanced degree and/or professional certification (MBA, CPA, CFA or equivalent) preferred.

• 7+ years of progressive experience within financial planning, corporate finance, healthcare finance, or related functions.
• Prior leadership or people management experience preferred.
• Experience supporting healthcare, managed care, payer, provider, or value‑based care environments strongly preferred.
• Strong understanding of budgeting, forecasting, financial modelling, business performance management, and strategic planning.
• Experience evaluating financial impacts of reimbursement arrangements, risk‑based contracts, or healthcare funding models is highly desirable.
• Demonstrated…