Director of Health Systems Finances

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Title: Director of Health Systems Finances

Application Deadline Date: 08/30/2026

Req ID: 55595

Department: Green Mountain Care Board

Location:

Montpelier, VT, US

Position Type: Permanent

Schedule Type: Full Time

Minimum Salary: $49.19

Maximum Salary: $77.65

Overview

The Green Mountain Care Board is in search of a Director of Health Systems Finances to work as part of the Board''s innovative and dynamic leadership team.

This position designs, prepares, and presents financial analyses of Vermont''s health system to Board Members, state legislators, and other stakeholders to inform regulatory policy and decision-making. This position will oversee the Board''s health systems regulatory work and manages a team of skilled finance and data professionals.

Who May Apply

This position, Director of Health Systems Finances (Job Requisition #55595), is open to all State employees and external applicants.

If you would like more information about this position, please contact Jean.Stetter@vermont.gov.

Resumes will not be accepted via e-mail. You must apply online to be considered.

Class Definition

Managerial, planning and operations work at the executive level managing hospital reporting, budgeting, and analyses of hospital operations and managing insurance premium rate review, including effects on the Vermont healthcare system.

The role encompasses a wide range of planning, financial, regulatory, and administrative functions including acting as the Executive Director''s designee in many aspects of insurance premium rate review and hospital health care operations, improvement and compliance activities. Extensive interaction occurs with Board Members, individually and at public meetings; Division Directors; the Vermont Association of Hospitals and Health Systems; a wide range of providers and provider advocates; and other interested parties, including the public at large. Supervision is exercised over a staff of professional, technical and clerical employees and contractors, including actuaries. Duties are performed in a highly independent manner, reporting to the Executive Director and or the Board Chair.

Environmental Factors

Work is performed primarily in a standard office setting but some travel will require private means of transportation. Duties may require extensive time outside of normal work hours. The successful candidate will be expected to attend public meetings and hearings and to testify before the Legislature and the Board. The role also requires working individually with five Board members on requests and proposals. A wide diversity of opinion and emotions can be anticipated for which diplomacy and tact will be required.

Minimum Qualifications

Bachelor's degree or higher in accounting, finance, statistics, economics, business administration, or related field AND five (5) years or more of experience with accounting, budgeting, fiscal auditing or analysis, or related field that includes experience managing a major fiscal program or operations.

OR

Seven (7) years or more of experience with accounting, budgeting, fiscal auditing or analysis, or related field that includes experience managing programs, funding sources, or staff.

Preferred Qualifications

Master's degree in relevant field.

Supervisory experience.

Experience working with Accountable Care Organization operations or CMS All Payer Model agreement(s).

Experience working with regulatory boards under Vermont's Open Meeting Law.

Experience with hospital budgets or insurance premium rate development or review.

Total Compensation

As a State employee you are offered a great career opportunity, but it''s more than a paycheck. The State''s total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation, including:

• 80% State paid medical premium and a dental plan at no cost for employees and their families
• Work/Life balance: 12 paid holidays each year and a generous leave plan
• State Paid Family and Medical Leave Insurance (FMLI)
• Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
• Tuition Reimbursement
• Flexible spending healthcare and childcare reimbursement accounts
• Low cost group life insurance
• Incentive-based Wellness Program
• Qualified Employer for Public Service Student Loan Forgiveness Program

Want the specifics? Explore the Benefits of State Employment on our website.

Equal Opportunity Employer

The State of Vermont celebrates diversity, and is committed to providing an environment of mutual respect and meaningful inclusion that represents a variety of backgrounds, perspectives, and skills. The State does not discriminate in employment on the basis of race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, membership in an employee organization, family medical history or genetic information, or family or parental status. The State's employment decisions are merit-based. Retaliatory adverse employment actions by the State are forbidden.

Nearest Major Market: Barre

Nearest Secondary Market: Montpelier

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