Vice President, Value-Based Finance

Company Overview:Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. It’s no wonder 98% of patients report being fully satisfied with Upward Health!Job Title & Role Description:The Vice President, Value-Based Finance is the enterprise owner of financial performance for Upward Health’s risk-based business model. This role is accountable for how value-based contracts perform economically, how financial risk is measured and managed, and how those realities are reflected in company-wide planning and strategy.This position operates as a hands-on executive leader, combining strategic influence with deep analytical rigor in a lean, high-impact finance organization. The VP serves as the primary financial authority on value-based care economics, directly influencing payer strategy, contract structure, and organizational risk appetite.The role partners closely with the CFO, executive leadership team, and Board of Directors to translate complex healthcare economics into clear, actionable insights that guide enterprise decision-making. Unlike traditional FP&A roles, this position carries decision-shaping responsibility, owning both the interpretation and performance management of risk-bearing contracts.Key responsibilities include enterprise ownership of value-based contract economics, leadership of FP&A processes embedded in risk models, actuarial-style financial analysis, advanced data engagement, and executive-level financial governance. The VP also leads and develops a small team of analysts while setting a high bar for analytical rigor and business impact.Skills Required:Deep expertise in value-based care economics and risk-bearing contract structuresAdvanced financial modeling, scenario analysis, and forecasting capabilitiesStrong FP&A leadership with experience supporting executive and Board-level decision-makingProficiency in SQL and ability to work directly with large healthcare datasetsActuarial-informed analytical thinking (medical cost modeling, risk exposure, utilization trends)Ability to translate complex financial and healthcare data into clear strategic insightsStrong business acumen with understanding of payer-provider dynamicsExecutive communication and presentation skillsStrategic thinking with the ability to influence enterprise directionLeadership and team development in a lean, high-performance environmentKey Behaviors:Acts as an Enterprise Owner: Takes full accountability for the financial performance of value-based contracts, not just reporting outcomesDrives Decision-Making: Proactively shapes strategic decisions rather than reacting to themMaintains Analytical Rigor: Grounds all conclusions in data validation and first-principles thinkingOperates with Executive Presence: Communicates complex topics clearly and confidently to senior stakeholders and the BoardBalances Strategy and Execution: Moves seamlessly between high-level strategy and hands-on analytical workExercises Sound Judgment Under Uncertainty: Makes informed decisions in complex, ambiguous, and risk-laden environmentsPartners Cross-Functionally: Collaborates effectively with payer, clinical, actuarial, and operational leadersChallenges Constructively: Provides independent, data-driven perspectives even when they may be unpopularBuilds Scalable Thinking: Establishes repeatable frameworks for financial and economic analysisDevelops Talent: Coaches and elevates team performance despite a lean structureCompetencies:Value-Based Care Financial ExpertiseDemonstrates deep understanding of payer-provider risk arrangements, including capitation, shared savings, and downside risk modelsOwns contract-level profitability, PMPM performance, and medical cost ratio analysisEvaluates and optimizes financial performance across value-based contractsStrategic Financial Leadership (FP&A)Leads enterprise forecasting, budgeting, and long-range planning processesIntegrates contract-level economics into consolidated financial strategyInfluences executive and Board-level decision-making with actionable insightsRisk Assessment & Actuarial ThinkingApplies actuarial principles to evaluate medical cost trends, utilization, and risk exposureAssesses margin volatility and downside risk across populationsPartners effectively with actuarial and analytics teams to refine assumptions and modelsAdvanced Analytics & Data FluencyEngages directly with data using SQL and other analytical toolsValidates financial insights through detailed data interrogationEstablishes standards for rigorous, repeatable analysisExecutive Communication & InfluenceTranslates complex healthcare and financial concepts into clear, concise narrativesCommunicates effectively with executives, Board members, and external stakeholdersFrames trade-offs between growth, margin, risk, and outcomesBusiness Partnership & Cross-Functional LeadershipCollaborates with payer, clinical, and operational leaders to inform strategyInfluences contract negotiations, pricing, and risk participation decisionsAligns financial strategy with operational and clinical realitiesAccountability & OwnershipDemonstrates full ownership of financial outcomes and strategic directionMoves beyond analysis to drive execution and resultsMaintains high standards for accuracy, integrity, and impactTeam Leadership & DevelopmentLeads and develops a high-performing team of analystsSets clear expectations for analytical rigor and business impactBuilds capability within a lean organizational structureUpward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.Upward Health BenefitsUpward Health Core ValuesUpward Health YouTube Channel