Location: Boston (Hybrid)

Organization Summary:

Community Care Cooperative (C3) is a 501(c)(3) non-profit multi-service organization governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We fulfill two primary business functions for the FQHCs we work with. First, we are an FQHC-led accountable care organization (ACO); second, we are a Management Services Organization (MSO) for FQHCs.

As an ACO, we negotiate value-based payor contracts on behalf of our FQHCs, hold and operate those contracts (including fulfilling many compliance, financial management, and population health management functions), and maximize the return to FQHCs of any incentive dollars earned. We are proud to be the market leader in the MassHealth ACO Program. We are the largest Medicaid ACO in Massachusetts, and we operate a variety of business offerings nationwide.

As an MSO, we (along with our subsidiary companies, which are also FQHC-led non-profits) provide several financial, operational, and technological services to groups of FQHCs. These services include Epic EHR licensing and implementation; pharmacy operations consulting as well as the building and direct operation of on-site retail pharmacies; billing and credentialing; employer-sponsored insurance; and others.

We are a fast-growing, dynamic organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners. We have won “Best Places to Work” recognition from the Boston Globe for the last several years.

Job Summary:

The Chief Financial Officer (CFO) has primary responsibility for ensuring the financial success of the organization and sustainability under adverse conditions. The full scope of the CFO’s finance responsibilities are described below. As a member of the executive team, the CFO works collaboratively to support the vision and mission of the organization. In conjunction with the Executive Team, the CFO participates in the development and implementation of the mission, vision, and values of the organization, including successfully stewarding the organization’s strategic plan. The CFO serves as an organizational leader in support of all of the organization’s strategic goals, directly or as a supportive team member. This might include leading or supporting regular or ad hoc organizational efforts, and/or representing the organization with external stakeholders.

Responsibilities:

Leads actuarial work to understand, monitor, and recommend action with respect to ACO performance on total cost of care (claim cost)
The CFO works with a dedicated contracted/partnered actuarial resource, and as appropriate with other actuaries (e.g. EOHHS’s actuary Mercer)
- Drills down on cost and utilization concerns as needed to diagnose issues, identify potential solutions and develop action plans
Develops, explains, reports on, and ensures accountability for funds flow to and from the organization and member health centers, including DSRIP funding and other administrative payments, and performance payments resulting from the ACO’s Internal Financial Architecture (IFA)
The CFO forecasts and explains the potential implications of changes in administrative funding s availability and total cost of care performance on operations
Leads analysis of the impact of potential changes in the IFA and member health center risk tier elections on enterprise risk and regulatory compliance
Collaborates with health center CFOs on other issues related to the overall success of health centers
Leads budgeting, forecasting, reporting, and analytics process, and supports planning and execution of all aspects of ACO operations from a finance perspective
- This includes an annual budgeting process for the administrative functions of the ACO, and annual (and more often as needed) analysis and planning around initiatives to reduce total cost of care or improve quality scores. This also includes monthly monitoring of administrative spending against the Board- approved administrative budget
Ensures regulatory compliance in all tax and finance-related matters. This includes C3’s 501(c)(3) status and 990 filing, Risk-Bearing Provider Organization (RBPO) certificate, HPC ACO certification requirements and EOHHS contractually required repayment mechanism. This includes developing and maintaining an appropriate capital structure, including procurement of insurance against to adequately protect against adverse performance on total cost of care
Working with other members of senior team, manages all performance-based contracts including the performance of any and all of the company’s contracted vendors/partners
Oversees finance operations, including payroll, accounts payable, accounts receivable, and ensures appropriate controls. Procures insurance to limit the organization’s exposure to adverse events (e.g. cyber/privacy insurance)
Develop and implement strategic growth opportunities including but not limited value- based services for C3
Supports CEO in evaluating and negotiating government contracts and changes in policy and payment that may impact the ACO or its member health centers
Collaborates with health center CFOs to gather information related to these issues and represents policy concerns to EOHHS in coordination with CEO
Serve as primary executive for the Board Finance, Audit and Investment Committees
- Develops and presents content for the Finance Committee of the Board of Directors and/or the Executive Committee, working with the Chair of the Finance Committee. Documents board decisions related to financial matters including the development of policies
Serves as President of C3 subsidiaries as needed
Other duties and projects as assigned

Required Skills:

CFO must possess strong financial acumen, be a versatile leader, synthesize and communicate complex information verbally and in writing
Leadership ability, especially related to program design and implementation demonstrating financial acumen
Strong analytical skills and experience translating a strategic vision into an operational model
Record of managing a team of direct and/or indirect senior-level administrators; engaging and developing staff
Skilled in exercising a high degree of initiative, judgement, discretion and decision making to achieve objectives
Record of work in multidisciplinary teams that share and leverage the strengths of its members
Eight-plus years of full-time professional/managerial experience during which major duties included financial planning, oversight and management

Desired Other Skills:

Familiarity with the MassHealth ACO program
Familiarity with Federally Qualified Health Centers
Experience with anti-racism activities, and/or lived experience with racism is highly preferred

Qualifications:

Master’s Degree in Business Administration or related field

** In compliance with Infection Control practices per Mass.gov recommendations, we require all employees to be vaccinated consistent with applicable law. **