Chief Financial Officer, Health England

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Reporting directly to the Baystate Health CFO with a dotted‑line relationship to the HNE President, the CFO/VP of Finance occupies a uniquely complex and high‑impact position: leading all health plan finance functions while aligning plan financial strategy with system‑wide goals, navigating the regulatory and actuarial demands of a licensed insurance carrier, and driving the financial performance of an integrated delivery and financing model.

Fiscal services functions are aligned through the Baystate Health CFO, enabling a unified approach to financial controls, treasury, accounting, and reporting across the integrated enterprise. The successful candidate will bring deep expertise in health plan finance — including risk management, premium and medical cost management, and regulatory compliance — alongside the executive presence and collaborative instincts to lead across organizational boundaries.

Health New England is a not‑for‑profit, provider‑owned health plan serving members across western Massachusetts and Connecticut. As a wholly‑owned subsidiary of Baystate Health, HNE operates within a highly integrated model that aligns financial incentives across the insurer and provider, enabling population health management and value‑based care initiatives.

The CFO/VP of Finance is accountable for translating this strategic integration into financial performance — ensuring that the health plan’s capital, risk, and cost structures support the health system’s mission, margin, and long‑term sustainability.

Serve as the primary financial executive for Health New England, partnering with the HNE President, Baystate Health CFO, and system leadership to develop and execute financial strategy aligned with the integrated delivery system’s goals.

Provide financial vision and counsel to the HNE Board of Directors, Finance Committee, and senior leadership teams of both the health plan and Baystate Health.

Lead development and execution of multi‑year financial plans, capital allocation strategies, and investment frameworks that reflect the interdependencies of the plan/provider model.

Evaluate and advise on strategic partnerships, value‑based contracting structures, network design decisions, and new market opportunities through a rigorous financial lens.

Represent the health plan’s financial interests in joint ventures, ACO structures, and integrated care initiatives that span the health plan and Baystate Health provider network.

Oversee all health plan financial functions including premium revenue management, medical cost management, trend analysis, claims reserving, and loss ratio performance.

Partner with actuarial leadership to ensure appropriate rate‑setting, risk adjustment, and reserve adequacy across all lines of business (commercial, Medicare Advantage, Medicaid).

Drive medical cost management strategies in partnership with clinical, network, and population health leadership — including analysis of utilization trends, unit costs, and care management effectiveness.

Lead financial evaluation of provider contracts, capitation arrangements, and risk‑sharing programs; ensure financial structures align plan and system incentives.

Oversee and continuously strengthen the plan’s financial risk management framework, including reinsurance, stop‑loss, and capital adequacy strategy.

Ensure full financial compliance with Massachusetts Division of Insurance (DOI) and applicable federal (CMS) regulatory requirements, including statutory filings, minimum capital requirements, and market conduct standards.

Direct the preparation and submission of all regulatory financial reports, including NAIC statutory filings, CMS financial reporting, and state health connector reporting.

Serve as the primary financial liaison to the…