Finance Program Manager

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

📋 Description

• Oversee and refine the annual budget processes and quarterly reforecasts across various markets, ministries, and entities.

• Offer monthly closing assistance, coordination of accounting activities, 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 analytical processes.

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

• Create 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, in collaboration with Managed Care, Actuarial, Finance, and IT teams.

• Deliver financial, utilization, and quality analytics to support improvement initiatives, vendor assessments, and strategic decisions.

• Perform data validation, reconciliations, controls reviews, and prepare for audits.

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

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

• Collaborate with Shared Services, Market Finance, data teams, and leadership to align financial reporting, performance management, and compliance needs.

• Maintain customer-service relationships with CFOs, finance teams, and clinical staff.

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

• Conduct ad hoc analysis and provide proactive financial insights that support enterprise strategy and operational objectives.

⛳️ Requirements

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

• Minimum of 5 years' experience in healthcare finance, accounting, actuarial/insurance analytics, value-based care analytics, or related areas (mandatory).

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

• Strong proficiency in SQL, Tableau or other BI tools, Excel, and relational databases (mandatory).

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

• Experience with financial planning software.

• CPA certification (preferred).

• CBAP certification (preferred).

• Knowledge of healthcare finance and accounting principles.

• Skills in SQL querying, data extraction, and navigating relational databases.

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

• Proficiency in Tableau or similar data visualization tools.

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

• Competence in KPI development, monitoring, and benchmarking.

• Experience in audit preparation, data validation, and quality assurance.

• Knowledge of healthcare performance metrics covering cost, utilization, and quality.

• Advanced Excel skills, including pivot tables, lookups, and formulas.

• Understanding of HIPAA compliance and data governance standards.

• Strong critical thinking, analytical reasoning, and problem-solving abilities.

• Excellent communication skills, including the ability to translate data into actionable insights.

• High attention to detail and accuracy.

• Effective time management skills and the ability to meet deadlines.

• Proven collaboration and stakeholder engagement skills across complex teams.

• Adaptability to changing priorities and requirements.

• Initiative, self-direction, and accountability.

🏝️ Benefits

• Competitive salary.

• Incentives.

• Referral bonuses.

• 403(b) plan with employer contributions (when eligible).

• Medical, dental, vision, and prescription coverage.

• Options for HSA/FSA.

• Life insurance.

• Mental health resources and discounts.

• Paid time off.

• Parental and FMLA leave.

• Short- and long-term disability coverage.

• Backup care for children and elders.

• Tuition assistance.

• Opportunities for professional development.

• Support for continuing education.