Emory University · 2 months ago
Associate Vice President, Finance - Emory Health Plan
Atlanta, GA
Full-time
Hybrid
Director/Executive
10+ years expEmory University is a leading research university that fosters excellence and attracts world-class talent. They are seeking an Associate Vice President of Finance to drive financial strategy and lead transformational change at Emory Health Plan, impacting healthcare affordability and value-based care innovation.
E-LearningEducationHealth Care
Responsibilities
Architect and execute multi-year financial strategy supporting 62% growth while maintaining fiscal discipline
Lead annual budgeting, forecasting, and scenario planning for $1.3B health plan operations
Serve as principal financial advisor to President and governance committee on sustainability, benefit design, and strategic investments
Design pricing strategies, rate-setting methodology, and contribution structures balancing affordability with financial integrity
Present quarterly to EHP Governance Committee and semi-annually to University Board
Restructure stop-loss insurance program for $1.3B scale (specific and aggregate coverages)
Manage $80-100M reserve fund with sophisticated incurred but not reported (IBNR) calculations and actuarial validation
Oversee relationships with external actuaries for valuations, trends, and strategic consulting
Conduct stress testing for catastrophic scenarios including pandemics, high-cost therapies, and market disruptions
Evaluate captive insurance and risk retention strategies appropriate for $1B+ operations
Scale analytics infrastructure from 20M to 35-40M annual claims with advanced predictive modeling and machine learning
Perform deep-dive utilization analysis identifying cost drivers, trend decomposition, and optimization opportunities
Expand value-based care arrangements from current baseline to $300-400M (30-35% of spend)
Design and negotiate shared savings/risk contracts with providers including capitation, bundled payments, and ACO arrangements
Deliver ROI on care management programs and clinical interventions with measurable outcomes
Lead negotiations with TPA, PBM, stop-loss carriers, and specialty vendors managing $50M+ administrative spend
Generate $30-50M annual savings (3-5% of budget) through strategic contracting, plan design, and operational improvements
Evaluate and implement innovative cost strategies: reference-based pricing, centers of excellence, direct contracting, specialty drug optimization
Establish rigorous SLAs, performance guarantees, and vendor scorecarding for accountability
Ensure full compliance with ERISA, HIPAA, ACA, CAA transparency requirements, Mental Health Parity Act, and all self-funded plan regulations
Oversee Form 5500 preparation, PCORI fees, Medicare Part D reporting, and regulatory filings
Lead audit preparedness and coordinate with external auditors, DOL, and regulatory agencies
Develop compliance management system with controls, documentation, and audit trails
Drive adoption of emerging technologies: AI/ML for predictive analytics, RPA for automation, cloud-based financial systems
Lead major VBC transformation initiatives
Champion continuous improvement using Lean/Six Sigma to optimize operations for scale
Build data-driven culture with self-service analytics, real-time dashboards, and advanced modeling capabilities
Qualification
Required
Bachelor's degree in Finance, Accounting, Health Care Administration or related field and 10 years of progressive financial leadership experience, including direct experience with self-funded health plans, academic institutions or integrated health systems
Progressive healthcare finance leadership with 10+ years managing self-funded health plans (50,000+ lives) or health plans with $500M+ annual spend
Proven track record leading through significant growth or transformation (50%+ revenue/membership increase within 3-5 years)
Deep expertise with academic medical centers, integrated health systems, Fortune 500 self-insured employers, or managed care organizations
Direct experience negotiating and managing stop-loss/reinsurance programs for $500M+ plans
Demonstrated success scaling value-based care arrangements to $200M+ with measurable financial outcomes
Executive presence with board and C-suite presentation experience
Actuarial proficiency: IBNR calculations, reserve management, trend analysis, credibility theory for large risk pools
Claims analytics: Advanced utilization analysis, predictive modeling, risk stratification across 20M+ annual claims
VBC contracting: Shared savings/risk design, bundled payments, capitation, quality metrics, financial reconciliation
Financial modeling: Multi-year forecasting, scenario planning, growth modeling, contribution strategies
Data & analytics: SQL, Tableau/Power BI, statistical analysis, machine learning applications
Regulatory expertise: ERISA, HIPAA, ACA, CAA, Mental Health Parity, Form 5500, self-funded plan compliance
Strategic thinker who translates complex financial concepts into actionable business strategies
Exceptional communicator demonstrating leadership and cross-functional partnerships
Change agent who leads transformation with resilience, adaptability, and coalition-building
Team developer who builds high-performing, diverse teams and cultivates talent
Systems thinker who sees interconnections in complex organizations and solves root causes
Mission-driven leader passionate about healthcare improvement and population health
Preferred
MBA, MHA, MPH or other related master's degree strongly preferred
CPA, CMA, FSA or ASA strongly preferred
Benefits
Retirement: 403(b) with 6% employer contribution + match (up to 9% total)
Tuition remission: Full tuition for employee, 50% for dependents at Emory University (valued at $50,000+ annually)
Time off: generous paid time off + 11 holidays plus 2 floating holidays including winter break
Relocation assistance: for qualified candidates
Comprehensive benefits: Premium health/dental/vision, life/disability, wellness programs, executive health
Company
Emory University
Emory University is an institute of higher learning and a private research university.
10001+ employees
H1B Sponsorship
Emory University has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (417)
2024 (370)
2023 (308)
2022 (266)
2021 (164)
2020 (162)
Funding
Current Stage
Late StageTotal Funding
$719.87MKey Investors
GettyNational Institutes of HealthHyundai Hope On Wheels
2025-08-20Grant· $0.28M
2024-11-13Grant· $15M
2024-08-28Grant· $0.4M
Leadership Team
Claire E Sterk
President Emerita and Charles Howard Candler Professor of Public Health
Gregory Fenves
Chancellor
Recent News
2026-01-16
News-Medical.Net
2025-11-23
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