Director, Medicaid Financial Planning and Analysis
VNS Health
New York, NY · Posted September 28, 2026
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About the job
Overview
Oversees financial planning and analysis (FP&A) activities for either Health Plans or Provider Services, as well as coordinating financial activities across other strategic business units to ensure the financial health of VNS Health. Financial planning activities include, but are not limited to, reviewing operational performance, identifying key issues and trends, developing new financial approaches, preparing financial forecasts/projections, and performing financial modeling and analysis of business operations, new programs and acquisitions and presenting findings to senior leadership. Serves as primary liaison to FP&A leads as well as program leadership. Collaborates with finance leadership to coordinate and monitor the activities of financial planning in accordance with departmental goals and policies. Coaches and mentors staff to increase financial analytical ability. Plans, directs, and coordinates the business and financial functions for a specific Program to ensure streamlined, effective and efficient operations. Collaborates with Program leadership in the development, evaluation, and implementation of business, operational and financial activities, including policies and procedures. Works under general direction.
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 3 0 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched retirement saving funds
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement
Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
What You Will Do:
Directs major financial planning activities and milestones, including monthly financials, forecasting and budgeting.
Works closely with FP&A, Accounting, Actuarial and Program Management to identify operational improvement opportunities and ensure financial health.
Facilitates the establishment of key planning targets, which serve as the basis for budget and multi-year operating goals.
Tracks operational performance of business units against budget targets and reports results to senior management.
Utilizes actual and budgeted financial results to estimate future forecasted volumes, revenues and expenses.
Analyzes the business and financial operations for the Program.
Develops, evaluates and implements reporting, standard key performance indicators and business metrics to ensure that the financial performance of the Program is enhanced through the provision of efficient, high-quality services.
Directs and prepares the Program’s annual budget for areas including revenue, expense and capital budgets.
Reviews and analyzes monthly variance reports and makes recommendations to Program leadership for action.
Participates in the financial aspects of strategic planning.
Manages financial and statistical reporting requirements, including performance indicators, monthly key driver reports, profitability by product and other financial analyses required by VNS Health senior leadership and/or the Board.
Acts as the primary representative to Corporate Finance on all budgetary matters, including audits, operational flows and cost report activities, relating to the Program.
Works closely across the Enterprise to identify emerging issues, coordinate planning activities and assemble forward-looking plans. Assists with program improvement prioritization and the development and monitoring of success indicators.
Creates and reviews strategic plans and business cases for program improvement, including new product offerings, payer-level profitability, managed care business plans, interdepartmental operational analyses, cost-control initiatives, referral source profitability and forecasting models.
Performs sensitivity analyses as needed. Supports the development of a consistent approach to these evaluations.
Establishes and fosters positive relationships with internal and external customers and acts as a liaison between the Program and Corporate Finance to ensure timely accrual and monthly and ad hoc reporting of Program expenses.
Identifies, evaluates and resolves issues and problems as needed.
Collaborates with Program leadership to create statistical and financial reports for presentations, reports and publications, including quarterly reports to senior leadership and the Program Board of Directors.
Ensures financial forecast models are consistent with key operating targets and management goals. Works with staff and provides hands-on modeling support to effectively utilize existing financial models and develop new models.
Performs quality assurance on all major assigned work products.
Analyzes internal trends, monitors external market trends and incorporates findings into existing volume forecasting models.
Applies quantitative methodologies to infer likely future results. Manages and integrates multiple data sources. Performs quality assurance on volume forecasting as needed.
Analyzes new reimbursement methodologies for new and emerging third-party payment mechanisms.
Identifies new areas for potential operational efficiencies and work process review and quantifies operational efficiencies realized from completed work process redesigns.
Serves on and participates in various committees, task forces and meetings, as required.
Interfaces with Business Intelligence & Analytics, Product Management, Provider Network & Contracting and other department leadership to support and enhance the strategic business direction of the Program as delivered to members and business partners.
Performs all duties inherent in a senior managerial role. Approves staff training, hiring, promotions, terminations and salary actions. Collaborates with Finance leadership to grow key Finance talent within VNS Health. Prepares and ensures adherence to the department budget.
Participates in special projects and performs other duties as assigned.
Qualifications
Education: Bachelor's degree in finance, Accounting, Business Administration or related area required
Master's degree in finance, Accounting, Business Administration, or CPA preferred
Work Experience:
Minimum seven years of progressive experience working in finance/accounting functions in a health care organization required.
Minimum three years of experience in a supervisory role preferred.
Demonstrated experience designing transformational, cost-effective and sustainable operating care delivery financial models required.
Effective oral and written communication and interpersonal skills required.
Strong budgeting techniques and administrative, organizational and analytical skills required.
Application proficiencies required include MS Office, advanced Excel and Enterprise Planning Database familiarity with Adaptive, Workday and Essbase.
Experience in payer-provider risk modeling preferred.
Pay Range
USD $154,400.00 - USD $205,800.00 /Yr. About Us
VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 3 0 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched retirement saving funds
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement
Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
What You Will Do:
Directs major financial planning activities and milestones, including monthly financials, forecasting and budgeting.
Works closely with FP&A, Accounting, Actuarial and Program Management to identify operational improvement opportunities and ensure financial health.
Facilitates the establishment of key planning targets, which serve as the basis for budget and multi-year operating goals.
Tracks operational performance of business units against budget targets and reports results to senior management.
Utilizes actual and budgeted financial results to estimate future forecasted volumes, revenues and expenses.
Analyzes the business and financial operations for the Program.
Develops, evaluates and implements reporting, standard key performance indicators and business metrics to ensure that the financial performance of the Program is enhanced through the provision of efficient, high-quality services.
Directs and prepares the Program’s annual budget for areas including revenue, expense and capital budgets.
Reviews and analyzes monthly variance reports and makes recommendations to Program leadership for action.
Participates in the financial aspects of strategic planning.
Manages financial and statistical reporting requirements, including performance indicators, monthly key driver reports, profitability by product and other financial analyses required by VNS Health senior leadership and/or the Board.
Acts as the primary representative to Corporate Finance on all budgetary matters, including audits, operational flows and cost report activities, relating to the Program.
Works closely across the Enterprise to identify emerging issues, coordinate planning activities and assemble forward-looking plans. Assists with program improvement prioritization and the development and monitoring of success indicators.
Creates and reviews strategic plans and business cases for program improvement, including new product offerings, payer-level profitability, managed care business plans, interdepartmental operational analyses, cost-control initiatives, referral source profitability and forecasting models.
Performs sensitivity analyses as needed. Supports the development of a consistent approach to these evaluations.
Establishes and fosters positive relationships with internal and external customers and acts as a liaison between the Program and Corporate Finance to ensure timely accrual and monthly and ad hoc reporting of Program expenses.
Identifies, evaluates and resolves issues and problems as needed.
Collaborates with Program leadership to create statistical and financial reports for presentations, reports and publications, including quarterly reports to senior leadership and the Program Board of Directors.
Ensures financial forecast models are consistent with key operating targets and management goals. Works with staff and provides hands-on modeling support to effectively utilize existing financial models and develop new models.
Performs quality assurance on all major assigned work products.
Analyzes internal trends, monitors external market trends and incorporates findings into existing volume forecasting models.
Applies quantitative methodologies to infer likely future results. Manages and integrates multiple data sources. Performs quality assurance on volume forecasting as needed.
Analyzes new reimbursement methodologies for new and emerging third-party payment mechanisms.
Identifies new areas for potential operational efficiencies and work process review and quantifies operational efficiencies realized from completed work process redesigns.
Serves on and participates in various committees, task forces and meetings, as required.
Interfaces with Business Intelligence & Analytics, Product Management, Provider Network & Contracting and other department leadership to support and enhance the strategic business direction of the Program as delivered to members and business partners.
Performs all duties inherent in a senior managerial role. Approves staff training, hiring, promotions, terminations and salary actions. Collaborates with Finance leadership to grow key Finance talent within VNS Health. Prepares and ensures adherence to the department budget.
Participates in special projects and performs other duties as assigned.
Education: Bachelor's degree in finance, Accounting, Business Administration or related area required
Master's degree in finance, Accounting, Business Administration, or CPA preferred
Work Experience:
Minimum seven years of progressive experience working in finance/accounting functions in a health care organization required.
Minimum three years of experience in a supervisory role preferred.
Demonstrated experience designing transformational, cost-effective and sustainable operating care delivery financial models required.
Effective oral and written communication and interpersonal skills required.
Strong budgeting techniques and administrative, organizational and analytical skills required.
Application proficiencies required include MS Office, advanced Excel and Enterprise Planning Database familiarity with Adaptive, Workday and Essbase.
Experience in payer-provider risk modeling preferred.