Comptroller

Creating Communities of Health and Wellness for ALL

We are a network advancing whole person services and supports designed to address health inequities, focus on accessibility, and deliver trauma informed care across the lifespan. Our work covers the spectrum from prevention to complex care. We facilitate partnerships among government, community resources, primary care providers, hospitals, schools, social and behavioral health services, payers and others to ensure everyone has a path to whole-person health. Equity and inclusion are a hallmark of how we work. We are intentional in inviting people to join us in creating whole-health pathways through co-design emphasizing diversity, equity, inclusion and belonging.

Position Overview

The Comptroller serves as the senior financial leader responsible for the integrity, management, and strategic oversight of all financial operations across HVCC's divisions, including the Health Home, Coordinated Behavioral Health Services Independent Practice Association (IPA), and Social Care Network (SCN).

The Comptroller will provide leadership in financial planning, budgeting, forecasting, accounting, grants management, revenue optimization, and financial analytics. This position partners closely with the CEO, COO, Board committees, network providers, and external stakeholders to support organizational growth, sustainability, value-based care initiatives, and mission-driven outcomes.

The ideal candidate is a strategic and hands-on finance executive with significant experience in healthcare, Medicaid-funded programs, behavioral health, substance use disorder services, nonprofit financial management, and value-based payment environments.

Reports To: Chief Operating Officer

FLSA Status: Exempt

Key Responsibilities

Strategic Financial Leadership

· Serve as a trusted advisor to the CEO, COO, and Leadership Team on financial strategy, organizational growth, and long-term sustainability.

· Develop financial models and business analyses to evaluate new market opportunities, contracts, partnerships, and revenue-generating initiatives.

· Support implementation of HVCC's Strategic Plan through financial planning, resource allocation, and performance monitoring.

· Present financial recommendations and organizational performance metrics to executive leadership and the Board of Directors.

· Assist in evaluating investments, acquisitions, network expansion opportunities, and strategic partnerships.

Financial Operations & Accounting

· Direct all accounting operations, including general ledger, accounts payable, accounts receivable, payroll oversight, fixed assets, and cash management.

· Oversee monthly, quarterly, and annual close processes.

· Prepare timely and accurate financial statements, variance analyses, and management reports.

· Establish and maintain effective internal controls and financial policies.

· Manage organizational cash flow and liquidity to ensure operational stability.

· Ensure compliance with Generally Accepted Accounting Principles (GAAP) and nonprofit accounting standards.

· Procure, support, and oversee accounting firm(s) preparing annual audits and tax returns.

· Oversee and manage revenue cycle, including oversight of any vendors involved in the revenue cycle.

Budgeting, Forecasting & Financial Analysis

· Lead annual budgeting and forecasting processes.

· Produce financial projections, operational forecasts, and performance dashboards for leadership review.

· Utilize data analytics to identify trends, risks, operational efficiencies, and growth opportunities.

· Monitor key financial performance indicators and recommend corrective actions as needed.

Social Care Network (SCN) Financial Oversight

· Oversee financial management of Social Care Network funding and contractual obligations.

· Develop systems for tracking social care service expenditures, provider payments, and community-based organization contracts.

· Monitor SCN program sustainability and funding utilization.

· Ensure accurate reporting and reconciliation of Medicaid, grant, and State-funded social care initiatives.

Health Home Financial Oversight

· Oversee Health Home care management revenues, Medicaid reimbursement tracking, and enrollment-related financial performance.

· Monitor cost effectiveness and financial sustainability of care management programs.

· Analyze member attribution, care management volumes, and revenue trends.

· Ensure compliance with all Health Home reporting and financial requirements.

Behavioral Health IPA Financial Oversight

· Lead all financial activities related to the IPA.

· Oversee provider payment methodologies, claims reconciliation, quality incentive payments, and value-based payment arrangements.

· Analyze managed care contracts, risk-sharing arrangements, and provider network financial performance.

· Support negotiations with managed care organizations through financial modeling and performance analysis.

· Develop reporting that supports network growth, provider engagement, and quality outcomes.

Compliance, Audit & Risk Management

· Maintain compliance with federal, state, and local financial regulations.

· Coordinate annual independent financial audits and regulatory reviews.

· Support organizational compliance with Medicaid, HIPAA, OMH, OASAS, NYS DOH, and other applicable regulations.

· Partner with leadership to mitigate financial and operational risks.

· Assist with internal and external audits and implementation of corrective action plans when necessary.

Leadership & Team Management

· Foster a culture of accountability, continuous improvement, collaboration, and customer service.

· Support employee development through coaching, training, and performance management.

· Collaborate with leaders across Operations, Quality, IT, Network Development, and Program Divisions to achieve organizational objectives.

Qualifications

Education

· Bachelor's Degree in Accounting, Finance, Business Administration, or related field required.

· CPA strongly preferred.

· Master's Degree in Accounting, Finance, Healthcare Administration, Business Administration, or related field preferred.

Experience

· Minimum 8 years of progressive financial management and accounting experience.

· Minimum 5 years of leadership experience overseeing healthcare and/or nonprofit finance operations.

· Demonstrated experience managing complex budgets, forecasting, and financial analysis in healthcare settings. Experience with Medicaid-funded programs, behavioral health services, substance use disorder programs, accountable care models, or managed care environments is preferred.

· Experience supporting an IPA, Health Home, Social Care Network, FQHC, behavioral health organization, or healthcare network preferred.

Knowledge, Skills & Abilities

· Strong knowledge of GAAP, nonprofit accounting, and healthcare finance.

· Expertise in budgeting, forecasting, financial modeling, and revenue analysis.

· Advanced analytical skills with the ability to interpret complex financial and operational data.

· Understanding of Medicaid reimbursement methodologies, value-based payment arrangements, and provider contracting.

· Knowledge of behavioral health and substance use disorder funding streams.

· Excellent communication, leadership, and presentation skills.

· Advanced proficiency in financial reporting systems, Microsoft Excel, and financial analytics tools.

What We Offer

· Competitive salary commensurate with experience

· Comprehensive benefits package including health, dental, and vision insurance.

· Retirement savings plan with employer match

· Professional development opportunities

· The chance to make a significant impact on the Hudson Valley region

Qualified candidates are invited to submit their resume, cover letter, and salary requirements. HVCC is proud to be an equal opportunity employer and encourages applications from women, people of color, persons with disabilities, lesbian, gay, bisexual and transgender individuals, and veterans.

Pay: $125,000.00 - $150,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Experience:

• financial management and accounting: 5 years (Preferred)

Willingness to travel:

• 25% (Preferred)

Work Location: Hybrid remote in Tarrytown, NY 10591