Your Opportunity

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.

What you Will Do

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

What will make you successful here

• 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.