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Vice President, Finance (FP&A and G&A)

Centene · NY · Remote available · $188,900–$359,800 a year · Full time

Posted Aug 12, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

How do you work with corporate on reserving methodology when the business unit sees things differently?

What they are checking: Whether they can challenge corporate assumptions with evidence while staying aligned on one set of numbers.

Tell me about a time your forecast was wrong. What did you change afterward?

What they are checking: Whether they own misses and improve their process rather than defending the original number.

How have you built a finance team that delivers month-end analysis quickly and accurately?

What they are checking: Whether they can develop people and processes so the close does not depend on heroics.

This role is hybrid in the NYC office. How do you keep a finance team connected and aligned with a mixed schedule?

What they are checking: Whether they have practical habits for managing a team that is not always in the same room.

What would you do

Medical costs come in well over forecast this month. How do you explain the variance to senior management and what it means for the forecast?

What they are checking: Whether they can separate timing, reserving and true trend before telling leaders what changed.

The business wants to spend more on G&A to fix operational problems, but the margin is under pressure. How do you advise them?

What they are checking: Whether they act as a business partner who weighs return on spend, not just a cost gatekeeper.

About the work

Walk me through how you would build and monitor an Annual Operating Plan for a health plan business unit.

What they are checking: Whether they understand how membership, premium and medical cost assumptions drive the whole plan.

How do you identify medical cost trends early enough to act on them?

What they are checking: Whether they look at leading indicators like authorizations and claims lag, not just closed months.

How do you handle headcount planning when state requirements set staffing expectations?

What they are checking: Whether they connect G&A planning to regulatory staffing rules and not only to cost targets.

What goes into a management reporting pack that leaders will actually read?

What they are checking: Whether they can tell a clear story about drivers instead of handing over pages of tables.

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The full job description

As published by Centene.

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Location: Hybrid - 3 days a week in the NYC office, two weeks out of the month. Position Purpose: Provide leadership, oversight and proactive management of all aspects of finance (FP&A and G&A) for the Business Unit. • Oversee all finance FP&A and G&A related activities for business unit including developing and monitoring progress against Annual Operating Plan. • Responsible for financial analysis, identification of month end financial drivers, and forecasting including headcount planning to ensure compliance with state requirements. • Responsible for identifying medical cost trends. • Align with Corporate Functions on Reserving Methodology and Medical Cost Estimates • Prepare Management and Reporting Packs on Financial Performance • Review monthly performance and financial results of the business units and provide recommendations, rationale for variances and impact to forecast to senior management. • Responsible for the business unit’s contribution to corporate. • Establish financial strategic vision, objectives, policies and procedures in support of the overall strategic plan. • Direct health plan analytical needs and coordinate reporting strategy. • Performs other duties as assigned. • Complies with all policies and standards. Education/Experience: Bachelor's Degree in Finance, Accounting, Economics, Business Administration or equivalent experience required. Master's Degree preferred. 8+ years in a high-level finance role in the healthcare or insurance industry required. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. CPA preferred. Medicaid and Medicare experience preferred. Pay Range: $188,900.00 - $359,800.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law , including full-time or part-time status . Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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