Chief Financial Officer

Bienvivir All-Inclusive Senior Health (“Bienvivir”) is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the provision of the Program of All-Inclusive Care for the Elderly (“PACE”).

PACE is a unique managed care benefit for frail seniors (referred to as participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible.

BENEFITS for Full and Part-time employees who work 30 or more hours per week:

We pay 100% of the MEDICAL monthly premiums for Employee Only coverage.

We pay 100% of the DENTAL monthly premiums for Employee Only coverage.

We provide an affordable VISION monthly premium for Employee + Family coverage.

We pay 100% of BASIC LIFE for a benefit amount of $10,000.

We offer safe harbor matching contributions for the 403(B) RETIREMENT SAVINGS account.

We offer up to fifteen (15) days of PAID TIME OFF based on paid hours per pay period.

We offer eleven (11) company-observed PAID HOLIDAYS.

We offer education and TUITION REIMBURSEMENT.  

We offer MILEAGE REIMBURSEMENT.

Bienvivir is currently accepting applications for the following position:

CHIEF FINANCIAL OFFICER

Under the direction of the President and Chief Executive Officer, the Chief Financial Officer (CFO) serves as a member of the Executive Team and provides executive leadership for the financial integrity, fiscal sustainability, and Medicare and Medicaid revenue of Bienvivir All Inclusive Senior Health and CASA Bienvivir (BASH and CASA). The CFO directs the financial operations of the Organization, including capitated revenue from Medicare and Medicaid, and ensures that financial strategy, administrative support services, and financial risk management are aligned with the Organization's Mission, long-term strategic goals, and regulatory obligations.

The CFO directly oversees accounting and finance, Medicare and Medicaid revenue, information technology (including the Electronic Medical Record and Medical Records), purchasing, and contracts. The CFO works closely with the Finance Committee, the Executive Team, auditors, actuaries, financial institutions, and regulators, including CMS and the Texas Health and Human Services Commission.

RESPONSIBILITIES:

Responsibilities for the Chief Financial Officer fall into four general functions:

Financial Leadership, Reporting, and Stewardship:

1. Directs and oversees all accounting and financial operations of BASH and CASA, ensuring the integrity of the general ledger, monthly and annual close, financial reporting, budgeting, forecasting, cash management, payroll, claims, accounts payable, billing to Medicaid and Medicare, risk adjustment reconciliation, Part D financial reporting, and internal financial controls.

2. Oversees and directs the development of monthly, quarterly, and annual financial reports for the Executive Team, Board of Directors, and Finance Committee, ensuring that results are timely, accurate, meaningful, and presented with a clear explanation of significant variances, emerging risks, and recommended actions.

3. Actively participates in and presents at Bienvivir and CASA Bienvivir Board of Directors meetings and leads the work of the Finance Committee, including presentation of financial results, forecasts, market matters, key risks, and other significant business issues.

4. Leads the development of the annual operating and capital budgets for BASH and CASA and oversees long-range financial planning, scenario modeling, and forecasting in support of the Organization's strategic, operational, and growth objectives.

5. Oversees cash flow forecasting, liquidity planning, and the Organization's investment portfolio in coordination with investment counsel, brokers, and portfolio managers, ensuring the Organization meets operational needs, optimizes excess funds, and complies with Board-approved investment policies.

6. Serves as the primary executive relationship manager for financial institutions, trustees, lenders, bondholders, investment brokers, portfolio managers, insurance brokers, auditors, actuaries, and other external financial advisors.

7. Oversees compliance with all financing documents, bond covenants, bond reporting requirements, and related obligations, including coordination with legal counsel, trustees, and financial consultants to maintain compliance and evaluate renewals, amendments, or restructuring opportunities when needed.

8. Directs and oversees external audits and examinations, including the annual financial statement audits of BASH and CASA, Pension Plan audit, benefit plan filings, and applicable federal or state payer audits for Part D, while coordinating internal preparation of schedules, responses, and corrective action follow-up.

9. Oversees the preparation, review, and filing of applicable tax returns and related filings for BASH and CASA, including Forms 990, Form 5500, and other required reports.

10. Oversees all CASA, HUD, financial, and reporting requirements, including REAC, Data Collection Forms for Single Audit, reserve and residual account analysis, and related compliance submissions.

11. Oversees the fiscal administration of the Texas PACE Association, including financial statements, cash flow projections, dues billing, the Form 990 and Texas Franchise Tax filings, and review and approval of disbursements in coordination with authorized representatives and National PACE Association resources when applicable.

12. Leads the financial evaluation and placement of employee benefits and commercial insurance programs in partnership with Human Resources, recommends plan design, cost, and risk strategy to the CEO, and manages insurance claims and carrier communications for insured losses, including the financial aspects of litigation in support of the CEO and outside counsel.

13. Maintains ownership of the Pension Plan document and coordinates required amendments, consultant review, and presentation to the Finance Committee as appropriate.

Medicare and Medicaid Revenue:

14. Serves as the executive accountable for Medicare and Medicaid revenue integrity, including monthly reconciliation of CMS membership and payment reports (MMR and MARx) and resolution of payment discrepancies.

15. Shares responsibility for the risk adjustment program with the Vice President of Clinical Operations and the Medical Director, serving as the monitoring executive for risk adjustment and reimbursement results and projections, including risk score trends, submission completeness against CMS deadlines, and projected Medicare revenue.

16. Directs Medicare Part D financial operations, including annual bid development with the Organization's actuary, prescription drug event data integrity, DIR reporting, annual reconciliation, pharmacy benefit manager financial terms, the Part D reserve, and the financial effects of Medicare drug pricing programs, including the Maximum Fair Price and Manufacturer Discount programs, on the bid, pharmacy reimbursement, and cash flow.

17. Supports the CEO in the Organization's engagement with the Texas Health and Human Services Commission and its actuaries by preparing Medicaid rate-setting data, cost reporting, and rate adequacy analysis, and oversees Medicaid eligibility and enrollment reconciliation.

18. Oversees PACE fiscal soundness requirements, including fiscal soundness reporting, insolvency protections, reserve policy, and liquidity targets.

19. Oversees and coordinates required CMS submissions and attestations within the CFO's areas of responsibility, including P2P, COB, quarterly membership and payment attestations, and data certifications required of the Chief Financial Officer.

Technology and Administrative Support Departments:

20. Directs and oversees the Information Technology function, including the IT Manager and Virtual Chief Information Officer, to ensure the security, reliability, and effectiveness of the Organization's technology infrastructure, enterprise systems, cybersecurity safeguards, business continuity planning, user support, and strategic technology planning, including governance of digital transformation and Artificial Intelligence initiatives in partnership with Process Improvement.

21. Through IT leadership, oversees the Medical Records Supervisor and department and the EHR Manager responsible for administration of the Electronic Medical Record system, ensuring data integrity, system reliability, regulatory support, and effective coordination across clinical and administrative functions.

22. Directs and oversees the Contracts function and enterprise contract administration, including review, negotiation, execution support, tracking, amendments, renewals, and Business Associate Agreements, to ensure agreements are properly documented and administered in accordance with operational, regulatory, and financial requirements, seeking legal review as appropriate.

23. Directs and oversees the Purchasing and Warehouse function to ensure effective procurement practices, vendor management, inventory control, supply chain continuity, and cost-effective acquisition of goods and materials.

Executive Partnership:

24. Provides strategic financial guidance, analysis, and decision support to the CEO and Executive Team, and represents the Organization on financial matters, including:

·         Clinical and Pharmacy - Financial analysis of reimbursement, pharmacy benefit, and documentation initiatives that affect Medicare revenue.

·         Workforce and Compensation - Financial analysis of compensation studies and of the financial terms of provider employment and independent contractor arrangements.

·         Real Estate and Facilities - Financial analysis, financing, and lease evaluation for real estate decisions and capital project budgets.

·         Growth - Financial feasibility analyses and pro formas for Service Area Expansion and other growth initiatives.

·         Advocacy - Financial and rate analyses supporting the CEO's legislative, regulatory, and rate-setting advocacy.

·         Industry and Regulatory Forums - Participation in National PACE Association finance, Part D, and risk adjustment workgroups and in CMS calls.

25. Assumes the role of Chief for the Logistics and Finance Sections within the Organization's Incident Command Structure and oversees the initiation and execution of all responsibilities assigned to those sections during internal emergencies or external community-wide events in accordance with the Organization's Emergency Preparedness Plan.

26. Performs other duties and special projects as assigned by the President and Chief Executive Officer.

QUALIFICATIONS / REQUIREMENTS:

1. Bachelor's degree in Accounting, Finance, Business Administration, or a related field.

2. Master's degree in Accounting, Finance, Business Administration, Healthcare Administration, or a related field preferred.

3. CPA designation or comparable executive financial leadership credentials strongly preferred.

4. Ten or more years of progressively responsible finance leadership experience, including at least five years at the director level or above, preferably in healthcare, managed care, PACE, or other capitated or risk-based environments.

5. Demonstrated experience with capitated or risk-based revenue, including Medicare Advantage or PACE risk adjustment, Medicare Part D, or Medicaid managed care rate-setting.

6. Experience overseeing information technology functions, and executive-level collaboration with Boards, auditors, actuaries, lenders, and external financial partners, preferred.

Required Skills

KNOWLEDGE, SKILLS, AND ABILITIES:

1. Strong knowledge of accounting principles, financial analysis, budgeting, forecasting, treasury management, payroll oversight, and executive financial reporting.

2. Strong understanding of internal controls, audit readiness, enterprise risk considerations, and strategic financial planning.

3. Working knowledge of PACE, Medicare and Medicaid capitation, Medicare risk adjustment including RAPS and encounter data, Medicare Part D bid and reconciliation requirements, and Medicaid rate-setting.

4. Knowledge and familiarity with bond covenants, financing arrangements, investment oversight, and relationships with financial institutions, auditors, legal counsel, and external advisors.

5. Strong leadership and management skills with the ability to direct finance, technology, and administrative support departments, develop leaders, and hold teams accountable for performance and results.

6. Excellent analytical, strategic thinking, and problem solving skills, with the ability to identify emerging issues, evaluate alternatives, and implement sound solutions.

7. Strong organizational and project management skills, with the ability to manage multiple priorities and enterprise initiatives simultaneously across different functions of the Organization.

8. Excellent written and oral communication skills, including the ability to prepare executive level analyses, present complex information clearly, and represent the Organization effectively with internal and external stakeholders.

9. Strong negotiation, relationship management, and conflict resolution skills.

10. Personal qualities of integrity, credibility, sound judgment, and commitment to the Mission of BASH and CASA.

11. Ability to work collaboratively with the Executive Team, Board, professional advisors, consultants, regulators, and community partners.

12. Ability to adapt to evolving business needs, regulatory demands, technology changes, and strategic priorities.