For most CFOs, healthcare sits somewhere between payroll and property on the expense line. Big enough to matter, complex enough that finance rarely owns it directly. Oversight tends to sit with brokers, third-party administrators, and vendors, and the standard approach is an annual, sample-based audit that reviews spend after it's already gone. That's not a control. It's a retrospective review. This workshop looks at how CFOs bring financial governance to cost categories that have traditionally sat outside finance's direct ownership.... In a practical session, we'll look at how to identify and quantify cost variance at scale, what ongoing oversight looks like beyond annual reviews, and how some CFOs are building accountability into spend that has historically been treated as someone else's problem. Key takeaways: - Insight into the elusive root causes of healthcare insurance spend, from utilization patterns to care variation and leakage. - Why some of the largest cost categories in the business operate with limited financial control. - How to identify and quantify hidden cost variance within complex, vendor-managed spend. - What effective, continuous financial governance looks like beyond periodic reviews. - How CFOs bring visibility, accountability, and control to non-traditional spend areas.