Senior Director, Finance - Emory Health Plan

• 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.

• 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.

Emory University