Chief Financial Officer (City of Schenectady)
Description At Healthy Alliance, our purpose is to improve health and empower communities facing barriers. Every community has its own needs, affecting the health of those who live, learn, work, and play within them. Our network brings together organizations, big and small, to coordinate and collaborate so that all communities have reliable access to the resources they need. Why? Because every New Yorker deserves the same opportunity to be healthy. Designated as the Social Care Network (SCN) Lead Entity for the Capital Region, Central NY, and North Country under New York’s 1115 Waiver Amendment’s SCN & Health-Related Social Needs (HRSN) Program, we are responsible for ensuring that there is a seamless, consistent end-to-end process for screening, navigation, and the delivery of services – including food, housing, and transportation to thousands of Medicaid Members. Transformative in nature, this novel Program will further sustain our vision of cultivating a world wherein everyone has a fair and just opportunity to be as healthy as possible. As a 2019-2024 Albany Business Review’s Best Places to Work and a 2021-2026 Modern Healthcare’s Best Places to Work in Health Care award recipient, we strive to maintain a culture wherein high-performing, mission-driven team members collectively work toward better health for all. Dedicated to promoting a culture built upon autonomy, mastery, and purpose, we believe our differences in strengths and perspectives play an integral role in propelling us forward, while our core values ground us, serving as the common thread that unites our team. Why You Should Join Healthy Alliance We offer amenities, professional development opportunities, events, and programming that support the interests of our teams while expanding and enriching our culture. Some of the benefits you can expect when you join Healthy Alliance include: Competitive compensation package Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company-contributed accounts, and more 401K with a company match Unlimited paid time off after 90 days of employment Company-sponsored training and certification opportunities Hybrid work environment and people-first workplace A workplace that values safety, respect, employee engagement, recognition, and diversity Salary range: $195,314-$226,735 per year. Actual compensation will be determined based on the selected candidate's experience, education, skills, certifications, and relevant accomplishments, as well as internal equity and market considerations. While candidates may be considered throughout the range, placement within the range is based on alignment with the role's qualifications and requirements. Who You Are The Chief Financial Officer (CFO) serves as a key member of the Executive Leadership team and is responsible for the strategic and operational leadership of Healthy Alliance's finance, accounting, treasury, financial planning and analysis (FP&A), revenue optimization, and risk management functions. The CFO provides enterprise-wide financial leadership, ensuring the organization's long-term sustainability, stewardship, and readiness as health care financing increasingly shifts toward value-based and risk-bearing reimbursement models. This role serves as a strategic partner to the CEO, Board of Directors, health plans, government agencies, and community stakeholders to advance Healthy Alliance's mission and position the organization for future growth, innovation, and financial success. This role requires a candidate familiar with and located within Healthy Alliance’s footprint—New York’s Capital, Central, and North Country regions. What You'll Do Lead Healthy Alliance's financial strategy and operational readiness for the transition from fee-for-service and grant-dependent funding streams toward value-based, outcomes-driven, and risk-based payment arrangements. Develop financial models, forecasting methodologies, and performance measurement frameworks that support emerging Medicaid, social care, managed care, and population health reimbursement strategies. Partner with executive leadership to evaluate new lines of business, alternative payment arrangements, shared savings opportunities, capitation methodologies, and other innovative financing approaches that support long-term organizational sustainability. Represent the organization in all financial negotiations, reconciliation activities, rate discussions, attribution reviews, and settlement processes with Managed Care Organizations, health plans, state agencies, and other funding partners. Serve as the lead executive responsible for protecting Healthy Alliance's financial interests during settlement discussions, including situations where attribution methodologies, performance outcomes, eligibility determinations, or financial calculations are disputed or lack immediate consensus among stakeholders. Develop data-supported positions, negotiate equitable outcomes, and elevate issues appropriately while maintaining productive long-term relationships with external partners. Monitor and evaluate financial performance under payer contracts, value-based arrangements, government programs, and strategic partnerships. Identify emerging opportunities and risks related to reimbursement, Member attribution, utilization trends, quality outcomes, and contract performance. Advise the CEO, Executive Leadership team, Finance Committee, Audit Committee, and Board of Directors on financial implications of strategic decisions, market changes, regulatory developments, and emerging health care payment models. Lead PMPM reconciliation, value-based payment initiatives, financial modeling, and capacity-building reporting. Navigate the organization through the addition of new service lines and transition to a value-based payment (VBP) model for specific services. Oversee the Finance and Audit Committees of the organization, working closely with the Finance and Audit Committee Chairs, and supporting other governance committees and the board. Provide executive oversight of financial systems, ERP platforms, budgeting, payroll, banking, and reporting solutions. Ensure the maintenance of financial records and accounting systems to ensure compliance with all regulations, generally accepted accounting practices and contractual requirements. Provide leadership for agency-wide strategic plan implementation in partnership with the CEO and Executive team. Maintain strategic relationships with health systems, MCOs, community-based organizations, government agencies, auditors, consultants, and vendors. Oversee audit, tax, treasury, risk management, insurance, grants, and internal controls. Oversee development, implementation, and enforcement of financial policies and procedures. Perform other responsibilities and duties as assigned. How You'll Lead Developing & Empowering Others: Build a culture of development, sponsor emerging leaders, and scale talent strategies Transparent & Thoughtful Communication: Lead team or organization-wide communication and shape communication strategy Driving Accountability & Results: Establish systems of accountability and lead complex, high-impact initiatives Cultivating Trust & Collaboration: Foster inclusion, remove silos, and align diverse groups around shared goals Strategic Thinking & Vision: Define vision, drive innovation, and influence team or enterprise-wide direction This job description is not designed to cover or contain a comprehensive listing of task activities and/or duties that are required of the employee for this job. Responsibilities and activities may change at any time with or without notice. Requirements What You'll Need Education Bachelor’s degree in accounting or finance is required. Master’s degree is preferred. CPA designation (active) is strongly preferred. Professional Work Experience 10 years of progressively responsible experience in financial management, including 5 years of senior management experience. Knowledge, Skills, and Abilities Ability to scale an organization through continuous growth. Demonstrated experience navigating complex payer relationships, financial settlements, contract reconciliations, reimbursement disputes, or rate negotiations involving government programs, managed care organizations, health systems, or other health care funding entities. Experience leading organizations through financial transformation, including value-based payment arrangements, risk-bearing contracts, capitation models, shared savings programs, alternative payment methodologies, or other outcomes-based reimbursement structures. Strong understanding of Medicaid Managed Care financing, health care economics, population health funding models, social care reimbursement, and health care regulatory environments. Deep knowledge and understanding of GAAP compliance and reporting. Strong knowledge of health care revenue cycle and billing processes. A proven track record of proficiency with FP&A functions including, but not limited to, budgeting, cash flow tracking and analysis, financial planning, and forecasting. Experience managing treasury operations, including oversight of banking activities, investment maximization, and managing sho
