At Vytalize Health, we're transforming the way primary care is delivered — and the financial infrastructure behind our mission-critical to our growth.
Vytalize Health is seeking a Sr. Director of VBC Finance to own the financial analysis, monitoring, reporting, and strategic evaluation of all private payer value-based contracts. This role will work cross-functionally across accounting, FP&A, treasury, operations, data & analytics, legal, and payer contracting. This is a high-impact, highly visible role for a healthcare finance leader who thrives at the intersection of data, strategy, and execution.
Contract Evaluation & Performance
Review and evaluate active payer contracts across Medicare Advantage, Commercial, and Medicaid lines of business
Assess contract language, risk level, shared savings / quality / PMPM terms, data specifications, financial implications, and accounting treatment
Evaluate new contracts: analyze historical performance, model go-forward financial implications, and make recommendations
Integrate new contracts into existing reporting, performance monitoring, and accounting processes in collaboration with payer contracting and operations teams
Monitoring & Reporting
Pull and consolidate payer reporting to assess contract-level financial performance (revenue, expense, MLR)
Produce performance summaries and guidance for senior leadership and investors; escalate issues and variances as needed
Track impact of advance cash mechanisms on revenue vs. cash treatment
Present findings to senior executives, provider partners, and payers (e.g., provider JOC meetings, NOMS leadership)
Payer Communication & Engagement
Actively participate in JOC and other monthly payer meetings; own performance tracking and follow-ups
Serve as point of contact for payer-reported financial data interpretation
Manage claims processing where applicable (e.g., Anthem MA Ohio)
Month-End Close
Summarize performance across all contracts and provide information flow to accounting
Interpret payer-reported data and recommend accounting entries (revenue, COGS); propose journal entries based on reported performance
Advise on approach to book financials given claims lag and delayed payer reporting
Report on actuals and full-year projections as claims runout data and payer reporting become available; provide financial inputs to accounting
Budgeting & Planning
Own private payer budgeting: short-term and long-term planning
Produce and maintain budget vs. actuals reporting
Provide strategic financial insights and contracting recommendations
Financial Audit Support
Walk through program, payer, and provider contracts with auditors
Document revenue projection processes for in-year and future-year performance
Stop-Loss & Reinsurance
Assess stop-loss policies and pricing; report claims to insurance provider and manage communication for timely recoveries
Interact with third parties (reinsurers, underwriters, actuaries) to interpret results and assess impact on performance outlook
Provide stop-loss results to accounting
Cross-Functional Collaboration
Partner with medical economics team to analyze claims and financial data to identify savings opportunities
Support final practice-level shared savings payouts across functions
Serve as SME for value-based contracting across accounting, finance, data & analytics, operations, legal & compliance, and network teams
Participate in private payer underwriting workgroup and provide input on MA incentive payment structures
Ad-hoc participation in investor meetings to present contract financial performance and outlook
Support claims validation and QA: data ingestion, normalization, and comparison to payer financial reporting
7+ years of experience in healthcare finance, with a focus on value-based care contracting and payer economics
Deep understanding of VBC contract structures across Medicare Advantage, Commercial, and Medicaid (shared savings, PMPM, quality, risk arrangements)
Experience with month-end close processes, accounting entries, and financial reporting in a healthcare setting
Strong analytical skills with the ability to synthesize complex payer data into actionable insights
Excellent communication skills; comfortable presenting to senior executives, investors, and external partners
Experience working cross-functionally with accounting, FP&A, operations, legal, and data teams
Familiarity with stop-loss / reinsurance programs a plus
Bachelor's degree in Finance, Accounting, or related field; CPA or MBA preferred
Perks/Benefits
Competitive base compensation
Annual bonus potential
Health benefits effective on start date
401K plan effective on the first of the month after your start date; 100% of up to 4% of your annual salary
Unlimited (or generous) paid "Vytal Time", and 5 paid sick days after your first 90 days
Company paid STD/LTD
Technology setup
Ability to help build a market leader in value-based healthcare at a rapidly growing organization
Disclaimer:
*Please Note: At no time during our screening, interview, or selection process do we ask for additional personal information (beyond your résumé) or account/financial information. We will also never ask you to purchase anything, nor will we ever interview you via text message. Any communication received from a Vytalize Health recruiter during your screening, interviewing, or selection process will come from an email ending in @vytalizehealth.com.
*We fully embrace the power of AI and encourage innovative, responsible use of emerging technologies in our work. However, during the interview and assessment process, it’s essential that we evaluate your individual skills, problem-solving ability, and technical mastery without external assistance.
Candidates must complete all interviews and assessments independently.
Use of AI tools, platforms, or automated assistance during interviews or assessments is not permitted. Unauthorized use will result in immediate disqualification from the hiring process and withdrawal of employment consideration.
Our goal is to ensure a fair and accurate assessment of your true capabilities—the same creativity and critical thinking we value once you join our team.