VP, MSO Finance

Job Responsibilities: 

Own MSO Financial Performance. 
Accountable for the full P&L of MSO operations — monitoring financial results at the market and individual provider level, analyzing cost and utilization trends, and driving performance improvement across all contractual and reimbursement structures. Develop and maintain financial reporting that gives leadership actionable, real-time visibility into MSO performance. 

Execute MSO Operations and Infrastructure. 
Deliver the operational infrastructure, workflows, and support services required to serve all provider partners effectively in a value-based environment. Work with local market teams to execute network and operations opportunities, standardize workflows across markets, and eliminate barriers to provider adoption and financial performance. 

Lead and Develop the MSO Finance Team. 
Build, lead, and manage a high-performing team — setting clear expectations, holding team members accountable for results, and investing in development. Ensure the team has the tools, data, and organizational support to execute across all markets. 

Drive MSO and Provider Growth. 
Support MSO, IPA, and provider sales forecast and pipeline — serving as an operational and financial advocate for growth. Partner with corporate and local development teams to execute network opportunities and integrate providers under all contractual models, tracking success metrics at the individual provider level. 

Build and Sustain Provider Relationships. 
Develop and maintain strong executive-level relationships with MSO providers, medical groups, and community physicians. Build collaborative relationships across the continuum of care to foster a strong expansion pipeline and support provider success in value-based arrangements. 

Monitor Market Dynamics and Implement Competitive Strategies. 
Proactively assess and respond to market barriers affecting adoption, financial performance, and growth. Develop and execute competitive strategies aligned with improving patient and community health outcomes — incorporating physician and clinical team feedback to improve operational efficiency and financial reporting. 

Deliver Actionable Care Performance Metrics. 
Collaborate with clinical, quality, and analytics stakeholders to ensure appropriate, actionable care performance metrics are available across all markets. Partner with corporate and market physician and clinical teams to support related initiatives and improve financial and clinical outcomes. 

Other duties and projects not listed above 

Supervisory Responsibilities:   

This role carries full people management authority over the MSO Finance team. 

• Directly supervises finance, operations, and market performance staff 

• Responsible for recruiting, onboarding, performance managing, and retaining direct reports 

Supervisory Requirements: Fulfill supervisory responsibilities in accordance with organization policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. 

Job Requirements: 

Experience: 

Required:  

• Demonstrated track record of leading teams to deliver P&L results in a healthcare or managed care environment 

• Extensive operations leadership experience in a large medical group, MSO, or IPA — with deep knowledge of clinic workflow and financial risk-based performance analysis 

• Significant senior leadership experience in managed care, provider organizations, or healthcare services 

• Hands-on experience operating against value-based arrangements — including full-risk, shared savings, and capitation models — and managing the operational infrastructure for attributed lives 

• Expert understanding of payer relationships and risk-based contracts 

• Experience partnering with physicians and care teams to drive process and outcome improvements 

• Demonstrated results in a high-growth enterprise environment — comfortable getting into operational details while pivoting between strategy and execution 

Preferred:  

• Prior VP or above experience in a Medicare Advantage MSO, IPA, or managed care organization 

• Experience with provider network financial reporting at the individual provider level across multiple contractual models 

Education: 

Required:  

• Bachelor's degree in Finance, Business Administration, Healthcare Administration, or a related field 

Preferred: 

• MBA strongly preferred 

• CPA or formal finance/accounting background 

Training: 

Required:  

• Expert-level knowledge of value-based care financial models, risk contract structures, and healthcare operational analytics through applied experience 

Preferred:  

• Lean, Six Sigma, or equivalent operational improvement methodology 

Specialized Skills: 

Required:  

• P&L Ownership and Financial Performance Management (Advanced): Full accountability for MSO financial results — including provider-level reporting, cost trend analysis, and revenue optimization across multiple reimbursement and contractual structures.  

• Value-Based Care Operations and Contract Management (Advanced): Expert working knowledge of full-risk, shared savings, and capitation arrangements — and the clinical and operational infrastructure required to manage attributed lives and deliver on financial performance targets. 

• Healthcare Financial Modeling and Analytics (Advanced): Ability to build and interpret complex financial models, market forecasts, and provider performance analytics — and translate findings into clear, actionable recommendations for C-suite audiences. 

• Provider Engagement and Executive Relationship Management (Advanced): Proven ability to build and maintain executive-level relationships with provider organizations and community physicians — driving adoption, performance improvement, and MSO growth. 

• Operational Infrastructure and Workflow Design (Advanced): Experience designing and scaling the operational systems, workflows, and support infrastructure required to serve provider partners effectively in value-based care.  

• Cross-Functional Leadership (Advanced): Ability to lead and align finance, operations, clinical, and analytics teams in a highly matrixed environment — driving execution without relying exclusively on formal authority. 

• Market Intelligence and Competitive Strategy (Intermediate to Advanced): Ability to assess market conditions, payer dynamics, and regulatory changes — and develop effective responses that advance MSO performance and provider adoption. 

Preferred:  

Licensure: 

Required: 

Preferred: 

• CPA (Certified Public Accountant) 

• MBA or equivalent advanced business credential 

Essential Physical Functions: 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. 

2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.