Executive Director, VBC Financial Operations
Core
Leading financial operations, reconciliation, accrual governance, provider economics, and payment administration for Aetna's value-based care portfolio across Medicare, Commercial, and Specialty lines.
Role type
Executive Director, Value-Based Care Financial Operations
Builds
Scalable financial and operational processes for value-based care programs, provider settlements, and incentive payments.
Domain
Healthcare Finance / Value-Based Care / Managed Care
Required skills
Healthcare finance leadership, provider economics, value-based care models, Medicare Advantage financial drivers, risk adjustment programs, financial reporting, accrual management, forecasting, reconciliation, cross-functional stakeholder management, process design, governance structures.
Preferred skills
MBA/MHA/MPH, CPA/CFA/FSA, leading 8+ years of managers, experience with Commercial and Medicaid value-based arrangements.
Technologies
None explicitly stated
Responsibilities
Lead enterprise VBC financial reporting, accruals, forecasting, and performance measurement; Own governance and execution of monthly/annual VBC accrual processes; Provide executive oversight of VBC payment operations and reconciliation workflows; Lead evaluation of financial impacts associated with risk adjustment and revenue integrity; Serve as business owner for attribution governance supporting provider performance measurement; Act as a strategic advisor to senior leaders on provider reimbursement and financial risk.
Seniority
Executive Director, Senior Leadership