Finance Program Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee and enhance the annual budgeting processes and quarterly reforecasts across various markets, ministries, and entities.

• Offer monthly closing assistance, coordinate accounting activities, and prepare income statements, balance sheets, and long-term financial projections.

• Act as the subject matter expert and project leader for budgeting, forecasting, and financial planning initiatives.

• Execute enhancements to financial systems, streamline workflows, and standardize tools, methodologies, dashboards, and analytics processes.

• Evaluate claims, eligibility, attribution, CMS/payer files, and contract datasets to uncover trends, risk factors, financial opportunities, and performance deficiencies.

• Design and sustain executive dashboards and KPI reporting for leadership and governance purposes.

• Assist in modeling value-based contracts, including MSSP, MA, shared savings, and bundled payments.

• Deliver financial, utilization, and quality analytics to support improvement initiatives, vendor evaluations, and strategic decision-making.

• Perform data validation, reconciliations, controls assessments, and audit preparations.

• Ensure compliance with HIPAA, PHI, and organizational data governance standards.

• Convert actuarial, contractual, and management guidelines into actionable financial insights and strategic recommendations.

• Collaborate with Shared Services, Market Finance, data teams, and leadership to synchronize reporting, performance management, and compliance obligations.

• Prepare and present reports to senior leadership, boards, committees, and external stakeholders.

• Conduct ad hoc analyses and provide proactive financial insights that align with enterprise strategy and operational objectives.

⛳️ Requirements

• Bachelor’s degree in Accounting, Finance, Health Informatics, Data Analytics, or a related field (required).

• A minimum of 5 years’ experience in healthcare finance, accounting, actuarial/insurance analytics, value-based care analytics, or similar fields (required).

• Proven experience with healthcare claims, eligibility, and financial datasets (required).

• Proficiency in SQL, Tableau (or other business intelligence tools), Excel, and relational databases (required).

• CPA (Certified Public Accountant) certification (preferred).

• CBAP (Certified Business Analysis Professional – IIBA) certification (preferred).

• Familiarity with Medicare Advantage, MSSP, ACOs, CINs, risk-based payment models, or provider/payer financial reconciliation workflows (preferred).

• Experience with financial planning software.

• Understanding of healthcare finance and accounting principles.

• Skills in SQL querying, data extraction, and relational database navigation.

• Ability to analyze claims, eligibility, attribution, and contract data.

• Proficient in using Tableau or equivalent data visualization tools.

• Experience in financial modeling, forecasting, and scenario planning.

• Competence in KPI development, monitoring, and benchmarking.

• Familiarity with audit preparation, data validation, and quality assurance processes.

• Experience in analyzing healthcare performance metrics (cost, utilization, quality).

• Advanced Excel skills (pivot tables, lookups, and formulas).

• Knowledge of HIPAA compliance and data governance standards.

🏝️ Benefits

• Competitive salary, incentives, referral bonuses, and a 403(b) plan with employer contributions (when eligible).

• Comprehensive medical, dental, vision, and prescription coverage, along with HSA/FSA options, life insurance, mental health resources, and discounts.

• Paid time off, parental leave, FMLA leave, short- and long-term disability benefits, and backup care for children and elders.

• Tuition assistance, professional development, and continuing education support.