Job Summary:

The Senior Director of Finance for Care New England (CNE) Integra ACO is responsible for leading financial strategy, analytics, financial accounting and reporting and operational support across the Integra operating unit. This role partners closely with CNE Finance, ACO leadership, and clinical teams to optimize revenue, manage budgets within Kaufman Hall, and ensure financial sustainability while advancing the organization’s value-based care initiatives. The position blends financial management, analytic rigor, and strategic influence to drive performance, revenue optimization, and high-quality decision-making across the enterprise.

Duties and Responsibilities:

Participate in the monthly financial close process through variance analysis, report preparation, performance summarization, and reporting to Senior Management Team (SMT).

Maintain thorough understanding of the financial implications and outcomes Integra ACO contracts with payers in order to drive operational and financial success of Integra ACO.

Perform ad hoc financial analyses as requested by the President, VPO, CFO, ACO leadership, or CNE leadership.

Serve as the primary point of contact for the ACO management team on all financial matters, including productivity and resource management.

Ensure that timely and accurate financial information is available to leadership to promote a culture of accountability and informed decision-making.

Partner with ACO and system leadership to identify opportunities to strengthen financial performance through new revenue streams, revenue optimization, and cost reduction initiatives.

Responsible for oversight and review of payroll reports (Productivity, FTEs, and OT) and monthly expense reports; coordinate implementation of corrective action plans to achieve targets.

Develop financial and statistical projections and lead the AU annual operating and capital budget process.

Collaborate with CNE Revenue Finance on Net Patient Revenue, Accounts Receivable, Payer Mix, and Income Statement analysis; identify opportunities to optimize revenue and strengthen financial performance.

Complete special projects as assigned.

Financial Planning, Analysis & Budgeting

Lead the annual operating and capital budget process for Integra ACO in Kaufman Hall.

Develop Integra ACO financial projections, including scenario modeling to inform strategic decisions.

Partner with health system and ACO leadership to ensure timely, accurate financial information supports accountability and informed decision-making.

Maintain expert-level knowledge of Kaufman Hall and train ACO managers as needed.

Provide ad hoc financial analyses to the VP of Operations, ACO leadership, and CNE executive leadership.

Oversee payroll, productivity, FTE, and overtime reporting; coordinate corrective action plans to meet budget targets.

Revenue Optimization & Performance Management

Collaborate with CNE Revenue Finance to analyze Net Patient Revenue, Accounts Receivable, Payer Mix, and Income Statement details.

Identify opportunities to strengthen financial performance through new revenue streams, value-based initiatives, and revenue optimization strategies.

Initiate and support ROI analyses for new business or care delivery initiatives; monitor financial performance and outcomes.

Partner with health system and ACO leadership to track key performance metrics, including cost and utilization trends, to drive operational and clinical efficiency.

Analytics & Decision Support

Lead the development and implementation of analytics to support value-based care initiatives, risk-based contracting, and population health management.

Utilize advanced analytics, including predictive modeling and data science techniques, to understand cost drivers, forecast trends, and inform strategy.

Serve as a trusted partner to health system and ACO leadership, providing actionable insights into revenue, costs, and utilization patterns.

Collaborate with Strategic Financial Planning and CNE and ACO Analytics teams to enhance reporting capabilities and analytic tools.

Develop and communicate financial performance narratives to executive leadership, ensuring clarity on drivers of results and potential opportunities.

Leverage deep understanding of payer dynamics, risk-based contracting, and total cost of care to guide financial strategy and support value-based initiatives.

Partner with clinical, operational, and finance teams to analyze population health cost drivers, payer performance, and opportunities to optimize care delivery and revenue.

Leadership & Cross-Functional Partnership

Act as primary finance liaison Integra ACO management teams.

Represent CNE Finance at various meetings as needed.

Build and maintain strong, collaborative relationships across Finance, Operations, Clinical leadership, and Analytics teams.

Lead, mentor, and develop a team of finance and analytic professionals to execute strategic priorities and deliver value.

Partner with research accounting teams to monitor research-related financial activity as appropriate.

Compliance & Reporting

Support General Accounting during monthly and annual financial close, including audits and reporting inquiries.

Ensure compliance with regulatory, contractual, and organizational financial reporting requirements.

Prepare information for internal and external financial and statistical surveys.

Participate in special projects and strategic initiatives as assigned.

Requirements:

Bachelor’s degree in accounting or finance required; Master’s Degree preferred

5+ years of progressive healthcare finance experience, preferably in ACO, hospital, or integrated delivery system finance.

Minimum of 5 years financial experience, preferably in healthcare. Prior experience with Kaufman Hall budgeting software (or similar) preferred. Prior experience with payers or value-based care strongly desired.

Deep understanding of value-based care, provider payment models, and risk-based contracting.

Strong analytical skills, including experience with predictive modeling, trend analysis, and revenue optimization.

Expertise in payer contracting, and total cost of care management strategies.

Executive presence with proven ability to influence leadership and drive strategic initiatives.

Direct experience managing staff and leading cross-functional teams.