About the RoleComplete Health is seeking a Vice President of Value-Based Care Finance to lead financial planning, forecasting, and performance management across its value-based care businesses while supporting strategic growth initiatives.
Reporting to the CFO, this leader will own the integrated financial outlook for Medicare Advantage and ACO programs and develop the financial case for growth opportunities, including new markets, payer relationships, acquisitions, and strategic partnerships.
The ideal candidate combines deep experience in risk-bearing healthcare economics with strong financial modeling, investment analysis, business judgment, and hands-on execution.
Key Responsibilities- Lead financial planning and forecasting for Medicare Advantage full-risk and shared-risk arrangements and ACO programs.
- Own the integrated VBC forecast: membership, revenue, medical expense, and medical margin.
- Partner with Medical Economics and external actuarial resources to challenge assumptions and explain variances to plan.
- Lead market- and contract-level profitability analysis and identify margin improvement opportunities.
- Build the financial case for growth: new markets, payer contracts and renewals, practice and panel acquisitions, and partnerships.
- Support corporate development, including valuation, transaction modeling, due diligence, and post-close performance tracking.
- Partner with Corporate FP&A to integrate VBC results into enterprise planning and reporting.
- Present analyses and recommendations to executive leadership, the Board, and investors.
Required Qualifications- Significant experience with Medicare Advantage, risk-bearing provider groups, or value-based care organizations.
- 10+ years of experience in healthcare finance, strategic finance, corporate development, investment banking, or related disciplines.
- Strong financial modeling, forecasting, and valuation capabilities.
- Working knowledge of risk adjustment, including V28, medical expense trends, and payer contract economics.
- Familiarity with claims lag, IBNR, payer settlements, and their impact on financial results.
- Strong executive communication and business partnership skills.
- Experience working collaboratively and effectively in a cross-functional leadership role.
- Bachelor's degree in Finance, Accounting, Economics, or a related field; MBA preferred.
- Ability to travel to Jacksonville and other company locations on short notice, with approximately 25% travel expected.
Preferred Qualifications- Experience in investment banking, private equity, corporate development, or strategic finance within healthcare services.
- Experience with acquisitions, partnerships, payer contracting, or market expansion.
- Experience in a private equity-backed or similarly performance-oriented organization.
