Edtech.com's Summary

Emory University is hiring a Senior Director, Finance - Emory Health Plan. The role leads the financial strategy and operations of the Emory Health Plan, overseeing financial sustainability, claims analysis, forecasting, and cost optimization. This position collaborates with cross-functional leaders to align the health plan with institutional goals and manages financial compliance and reporting.

Highlights

Lead financial sustainability and strategic planning for the Emory Health Plan.
Manage claims analysis, forecasting, risk management, and cost optimization.
Partner with HR, Benefits, Clinical, and Finance teams to align health plan goals.
Develop and oversee annual budgets, reserve targets, and multi-year financial forecasts.
Create financial dashboards and monitor key performance indicators.
Ensure compliance with ERISA, HIPAA, ACA, and other regulatory requirements.
Require bachelor's degree in Finance, Accounting, Healthcare Administration or related field; CPA, MBA, or MHA preferred with 10+ years in financial leadership.
Extensive knowledge of health plan operations, actuarial principles, and healthcare finance.
Lead a high-performing finance team dedicated to plan analysis, reporting, and operations.
Serve employees, faculty, staff, and dependents of Emory University and Emory Healthcare through a self-funded benefits program.

Senior Director, Finance - Emory Health Plan Full Description

Discover Your Career at Emory University:

Emory University is a leading research university that fosters excellence and attracts world-class talent to innovate today and prepare leaders for the future. We welcome candidates who can contribute to the diversity and excellence of our academic community. Description:

The Senior Director of Finance will serve as the financial leader of the Emory Health Plan, a self-funded health benefits program serving employees, faculty, staff, and eligible dependents of Emory University and Emory Healthcare.

KEY RESPONSIBILITIES:

This individual is accountable for the plan's financial sustainability, performance analysis, and strategic decision support.
The role is both strategic and hands-on, integrating financial planning, claims analysis, forecasting, risk management, and cost optimization.
The Senior Director partners closely with HR, Benefits, Clinical, and Finance leaders across Emory to ensure the health plan aligns with institutional goals, supports population health priorities, and manages cost and utilization effectively.
Leads the long-range financial strategy and annual operating plan for the Emory Health Plan.
Translates trends in claims, utilization, and healthcare market shifts into actionable strategies that support sustainability and value.
Serves as a key advisor to health plan and institutional leadership on financial matters, including plan design, cost containment and investment in clinical programs.
Develops and manages the health plan's annual budget, including funding levels, reserve targets and scenario modeling.
Leads multi-year forecasting for plan performance, incorporating actuarial inputs, trend data and demographic shifts.
Builds and maintains financial dashboards and tools to monitor performance and communicate progress to leadership.
Monitors plan performance against benchmarks and internal targets, identifying emerging risks related to claims volatility, stop-loss and value-based care programs.
Manages end-to-end processes for financial reconciliation of claims data received from third party administrators.
Identifies trends in utilization, including in-network vs out-of-network patterns and highlight cost drivers and opportunities for optimization.
Identifies and implements cost-saving initiatives, including evaluation of vendor contracts, provider networks and care management programs.
Collaborates with Population Health and Clinical Operations to quantify ROI for chronic disease management, behavioral health and value-based care programs.
Oversees actuarial relationships to ensure accuracy of reserve levels, rate-setting and IBNR.
Ensures compliance with financial and regulatory requirements governing self-funded plans including ERISA, HIPAA and ACA-related reporting.
Develops and presents regular reporting packages for governance, senior leadership and other internal and external stakeholders.
Acts as a bridge between HR, Finance and Clinical leadership to ensure alignment between benefit design, budgetary targets and employee value.
Partners with enterprise finance teams to ensure accurate, timely and actionable reporting.
Leads and develops and high-performing finance team dedicated to plan analysis, reporting and financial operations.

MINIMUM QUALIFICATIONS:

Bachelor's degree in Finance, Accounting, Health Care Administration or related field; CPA, MBA or MHA strongly preferred and 10 years of progressive financial leadership experience, including direct experience with self-funded health plans, academic institutions or integrated health systems.
Deep knowledge of health plan operations, claims analysis, actuarial principles and healthcare finance.
Demonstrated ability to lead cross-functional teams and influence senior leadership through data-driven recommendations.

NOTE: This role will be granted the opportunity to work from home regularly but must be able to commute to Emory University on a flexible weekly schedule based upon business needs. Schedule is based on agreed upon guidelines of department. This role requires residency in the state of GA. Emory reserves the right to change remote work status with notice to employee. Additional Details: Emory University is dedicated to providing equal opportunities and equal access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression, and veteran's status. Emory University does not discriminate in admissions, educational programs, or employment on the basis of any factor stated above or prohibited under applicable law. Students, faculty, and staff are assured of participation in University programs and in the use of facilities without such discrimination. Emory University complies with Executive Order 11246, as amended, Section 503 of the Rehabilitation Act of 1973, the Vietnam Era Veteran's Readjustment Assistance Act, and applicable executive orders, federal and state regulations regarding nondiscrimination, equal opportunity and affirmative action. Emory University is committed to achieving a diverse workforce through application of its affirmative action, equal opportunity and nondiscrimination policy in all aspects of employment including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training. Inquiries regarding this policy should be directed to the Emory University Department of Equity and Inclusion, 201 Dowman Drive, Administration Building, Atlanta, GA 30322.

Emory University is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Department of Accessibility Services at 404-727-9877 (V) | 404-712-2049 (TDD). Please note that one week advance notice is preferred.

Original Job Description

Discover Your Career at Emory University:

KEY RESPONSIBILITIES:

This individual is accountable for the plan's financial sustainability, performance analysis, and strategic decision support.
The role is both strategic and hands-on, integrating financial planning, claims analysis, forecasting, risk management, and cost optimization.
The Senior Director partners closely with HR, Benefits, Clinical, and Finance leaders across Emory to ensure the health plan aligns with institutional goals, supports population health priorities, and manages cost and utilization effectively.
Leads the long-range financial strategy and annual operating plan for the Emory Health Plan.
Translates trends in claims, utilization, and healthcare market shifts into actionable strategies that support sustainability and value.
Serves as a key advisor to health plan and institutional leadership on financial matters, including plan design, cost containment and investment in clinical programs.
Develops and manages the health plan's annual budget, including funding levels, reserve targets and scenario modeling.
Leads multi-year forecasting for plan performance, incorporating actuarial inputs, trend data and demographic shifts.
Builds and maintains financial dashboards and tools to monitor performance and communicate progress to leadership.
Monitors plan performance against benchmarks and internal targets, identifying emerging risks related to claims volatility, stop-loss and value-based care programs.
Manages end-to-end processes for financial reconciliation of claims data received from third party administrators.
Identifies trends in utilization, including in-network vs out-of-network patterns and highlight cost drivers and opportunities for optimization.
Identifies and implements cost-saving initiatives, including evaluation of vendor contracts, provider networks and care management programs.
Collaborates with Population Health and Clinical Operations to quantify ROI for chronic disease management, behavioral health and value-based care programs.
Oversees actuarial relationships to ensure accuracy of reserve levels, rate-setting and IBNR.
Ensures compliance with financial and regulatory requirements governing self-funded plans including ERISA, HIPAA and ACA-related reporting.
Develops and presents regular reporting packages for governance, senior leadership and other internal and external stakeholders.
Acts as a bridge between HR, Finance and Clinical leadership to ensure alignment between benefit design, budgetary targets and employee value.
Partners with enterprise finance teams to ensure accurate, timely and actionable reporting.
Leads and develops and high-performing finance team dedicated to plan analysis, reporting and financial operations.

MINIMUM QUALIFICATIONS:

Bachelor's degree in Finance, Accounting, Health Care Administration or related field; CPA, MBA or MHA strongly preferred and 10 years of progressive financial leadership experience, including direct experience with self-funded health plans, academic institutions or integrated health systems.
Deep knowledge of health plan operations, claims analysis, actuarial principles and healthcare finance.
Demonstrated ability to lead cross-functional teams and influence senior leadership through data-driven recommendations.

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Senior Director, Finance - Emory Health Plan

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Senior Director, Finance - Emory Health Plan Full Description

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