|
Location Address: 9521 San Mateo NE Albuquerque, NM 87113-2237
Summary: The Director of Business Unit Finance is responsible for overseeing all operational financial activities within the health plan. Reporting to the CFO of the health plan, this leadership role involves developing and executing financial monthly financial reporting to support P&L leaders, establishing and monitoring key financial metrics and scorecard targets, providing financial decision support to business operators, coordinating with PHS enterprise FP&A and controller office on annual budgets and capital forecasting. The Director collaborates closely with PHP business unit leaders and cross-functional teams to ensure financial objectives are met and aligned with overall company goals. Other duties include preparing management reports, ensuring compliance with internal controls and external regulations, and leading a team of finance professionals. The ideal candidate excels in strategic planning, business partnership, and driving financial performance to support sustainable growth.
Job Description: Business Unit Finance
* Develops Monthly Operating Reporting finance infrastructure and reporting in partnership with the CFO and leads budget variance analysis and research in conjunction with P&L owners.
* Serves as primary finance support and liaison for P&L leaders, and other PHP LT executives and operators to maintain line of business and product profitability views to guide growth decisions.
* Model financial impacts of new products, market expansions, network changes, and benefit updates in support of product and P&L leaders.
* Support Enterprise FP& A with the annual plan, long range financial plan, and rolling forecasts, incorporating membership, rates, and medical cost trends.
* Provide clear reporting and insights on medical cost trends, utilization, unit costs, and category-level drivers-including pharmacy.
* Collaborate with Medical Economics, Network, and Clinical teams to quantify savings and monitor affordability initiatives.
* Partner with Product, Sales, and Actuarial to assess financial impacts of new products, rating strategies, and broker/commission programs.
* Support rate filings, bids, and RFP responses (e.g., Medicare Advantage, Medicaid, Exchange).
* Analyze membership trends-growth, retention, and mix-to understand financial implications.
* Work with Actuarial, Quality, and Operations to forecast the financial impact of risk adjustment, Stars/quality programs, and reinsurance/stop-loss.
* Support as needed actuarial finance on claims completion, IBNR, reserves, and standardized financial metrics.
* Deliver clear financial narratives tied to operational and medical cost drivers.
* Lead planning and oversight of administrative expenses across operational and clinical areas.
* Establish FTE benchmarks and track benefits from transformation initiatives.
* Support Procurement team and development of ROI reviews for key systems and tools.
* Evaluate investments in health plan capabilities and support NPV development for capital expenditure requests.
* Maintain business case rigor, benefit tracking, and post implementation reviews.
* Act as a strategic advisor to Health Plan leadership, translating financial results into actionable insights.
* Lead and develop the finance team to promote customer service, accountability, collaboration, and continuous improvement. Additional Job Description: Required Qualifications
* Bachelor's degree in Finance, Accounting, Economics, or related field required.
* 8+ years of progressive finance experience, including leadership responsibilities.
* Demonstrated experience in health plan finance, payer finance, or managed care (Commercial, Medicare, Medicaid, Marketplace, or ASO).
* Strong expertise in corporate finance and executive-level financial storytelling.
* Proven ability to partner cross-functionally and influence decisions in a matrixed environment.
* Advanced analytical skills with ability to connect financial outcomes to operational drivers (claims, utilization, pricing, membership, network strategy).
Preferred Qualifications
* MBA, MHA, or Master's degree preferred.
* Experience leading transformation efforts (automation, analytics modernization, process redesign). Benefits
Benefits are effective day-one (for .45 FTE and above) and include:
- Competitive salaries
- Full medical, dental and vision insurance
- Flexible spending accounts (FSAs)
- Free wellness programs
- Paid time off (PTO)
- Retirement plans, including matching employer contributions
- Continuing education and career development opportunities
- Life insurance and short/long term disability programs
About Us
Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system ofnine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.
Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.
We are part of New Mexico's history-and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come. About New Mexico
New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerque's International Balloon Fiesta, Los Alamos' nuclear scientists, Roswell's visitors from outer space, and Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.
Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.
New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
|
Presbyterian Healthcare Services
life insurance, vision insurance, paid time off, long term disability
Feb 26, 2026