Chief Financial Officer

Chief Financial Officer

The Department of Health Care Policy and Financing welcomes your interest in the Chief Financial Officer (CFO) position. This position is responsible for statewide fiscal leadership, strategic policy impact, and executive authority over multiple divisions comprising the Department's financial and compliance infrastructure. The position is the Department's highest fiscal authority, reporting to the Executive Director. This position operates within one of the most complex fiscal environments in state government, requiring simultaneous understanding of federal healthcare financing rules, state budget processes, and Medicaid operational systems. The CFO must interpret and apply interrelated statutes, regulations, and fiscal policies.

Responsibilities in this position include :

• Leading the Finance Office in advancing the Department's fiscal mission and ensuring the effective stewardship of approximately $20 billion in state and federal funds.
• Providing executive leadership to the Finance Office divisions encompassing Budget, Controller functions, Provider Reimbursement, Managed Care Rates, Payment Reform, Special Financing, and Audits and Procurement.
• Directing the development and execution of the Department's financial strategy, ensuring fiscal sustainability, equity, and alignment with the Governor's and Executive Director's priorities and the legislature's directives.
• Guiding enterprise-level financial risk management, internal controls, and compliance with federal and state fiscal requirements.
• Representing the Department before Stakeholders as well as State and Federal officials, providing authoritative fiscal counsel and negotiating complex funding and policy issues that affect the Colorado Medicaid enterprise.
• Leading the Finance Office's management team in fostering a culture of integrity, accountability, and continuous improvement. Advancing strategic objectives in workforce planning and leadership development to ensure a resilient, high-performing Finance Office capable of meeting complex fiscal challenges.
• Directing the formulation, justification, and execution of the Department's annual budget and multi-year financial plan.
• Leading the development of data-driven forecasts, fiscal models, and budget-balancing strategies that promote financial integrity and program sustainability.
• Providing membership caseload, claim cost trend, and administrative cost insights and forecasting to the Executive Director throughout the year at a defined cadence to enable course correction against plan and to ensure no-surprises management.
• Overseeing the collaborative effort with the Department Executive Leadership Team (ELT) to leverage the insights of Budget staff, data analysts and policy experts to identify and quantify budget reduction opportunities necessary to reduce Medicaid trends that achieve goals.
• Providing executive direction for collaboration with the Office of State Planning and Budgeting (OSPB), the Joint Budget Committee (JBC), and legislative analysts to ensure transparent, accurate, and timely budget submissions and adjustments.
• Providing executive oversight of the Department's provider fee for service rate setting, managed care rate development, and value-based payment models.
• Directing the formulation of actuarially sound rates and reimbursement methodologies in compliance with federal standards and state fiscal policy.
• Leading the integration of fiscal and policy objectives to improve provider access, promote equity, and incentivize value-based care.
• Guiding implementation of the Medicaid Provider Rate Review Advisory Committee (MPRRAC) recommendations and ensuring completion of required analyses comparing Colorado Medicaid rates with Medicare and peer states. Overseeing the timely and accurate completion of other legislatively required rate comparison data and reporting.
• Overseeing the Department's Controller and Accounting functions to ensure fiscal integrity, transparency, and compliance with State Fiscal Rules, the State Controller's Office, and federal requirements.
• Directing preparation and submission of all mandated financial reports, including CMS-37, CMS-64, and related federal expenditure filings.
• Providing executive leadership for the Audits and Procurement Division, ensuring fiscal accountability, compliance, and transparency across all departmental financial and operational activities.
• Directing the Department's External Audits function, managing all state, federal, and third-party audits and ensuring timely, accurate, and defensible responses to oversight entities.

Minimum Qualifications :

Preferred Qualifications and Highly Desirable Competencies :

Conditions of Employment :