Key Responsibilities

Strategic Financial Leadership

• 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'sfinancial interestsin joint ventures, ACO structures, and integrated care initiatives that span the health plan and Baystate Health provider network.

Health Plan Finance & Actuarial Oversight

• 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 ensureappropriate 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 6 including analysis ofutilizationtrends, 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.

Regulatory, Compliance & Governance

• 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 Massachusetts Division of Insurance and relevant federal agencies; manage regulatory examinations and audits.

• Maintain and strengthen internal controls, audit readiness, and financial governance frameworks consistent with insurance regulatory standards and health system policy.

Financial Operations & Fiscal Services Integration

• Provide executive oversight of health plan financial operations including accounting, financial reporting, budgeting, forecasting, treasury, and tax compliance.

• Coordinate closely with the Baystate Health fiscal services function 6 which reports through thesystemCFO 6 to ensure seamless integration of financial controls, consolidation, and reporting across the enterprise.

• Lead the annual financial planning and budgeting process for HNE, ensuring alignment with Baystate Health's enterprise budget cycle and capital planning process.

• Oversee the health plan's audit processes, including coordination with external auditors and regulators; ensuretimelyandaccurateproduction of audited financial statements.

• Drive continuous improvement in financial systems, data infrastructure, and reporting capabilities to support operational decision-making at the plan and system level.

Organizational Leadership & Culture

• Build, lead, and develop a high-performing finance team for the health plan, fostering a culture of accountability, intellectual curiosity, and continuous improvement.

• Champion cross-functional collaboration between health plan finance and Baystate Health finance, clinical, actuarial, network, and operational leaders.

• Model and reinforce the mission-driven culture of both HNE and BaystateHealth;approachfinancial leadership as a strategic enabler of better health outcomes and communitybenefit.

• Mentor finance professionals across theorganization;invest in talent development and succession planning within the health plan finance function.

Qualifications

Required

• Bachelor's degree in Finance, Accounting, Economics, or related field;Master'sdegree (MBA, MHA, or equivalent)stronglypreferred.

• CPA designation or actuarial credentialing (FSA, MAAA)stronglypreferred.

• Minimum of 12 years of progressive financial leadership experience, with at least 7 years in a senior finance role within a health insurance or managed care organization.

• Deepexpertisein health plan finance, including medical cost management, premium revenue, actuarial collaboration, risk adjustment, and NAIC statutory accounting.

• Demonstrated experience leading financial operations for a regulated insurance carrier, including regulatory reporting and DOI/CMS compliance.

• Proven ability to lead finance functions in a matrixed, integrated, or multi-entity organizational structure.

• Executive-level communication and presentationskills;demonstratedability toadviseboards, regulators, and senior leadership.

• Track recordof building and leading high-performing finance teams.

Preferred

• Experience in a provider-sponsored or integrated delivery and financing system (IDFS) environment.

• Familiarity with value-based care contracting, risk-sharing arrangements,ACOor population health financial models.

• Knowledge of Massachusetts insurance market regulatory environment.

• Experience with Medicare Advantage and/or Medicaid managed care financial operations.

Core Competencies

The following competencies are essential to success in this role: