Senior Financial Analyst

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

📋 Description

• Prepare and present monthly financial performance reports, encompassing P&L analysis, utilization trends, healthcare spending analysis, and gainshare/risk-share performance outcomes.

• Formulate financial narratives and suggestions for executive leadership and stakeholders.

• Create executive-ready summaries, presentations, dashboards, and perform ad hoc analyses.

• Track performance across health plan products and associated risk-bearing facilities.

• Manage facility-level risk agreement calculations and performance incentive reporting.

• Oversee the monthly capitation and membership reconciliation procedures.

• Examine variances, pinpoint root causes, and facilitate issue resolution.

• Analyze healthcare claims, medical expenditures, utilization patterns, and cost drivers.

• Assess accrual methodologies and aid in healthcare cost forecasting.

• Review denied claims, high-cost claims, and payment discrepancies.

• Maintain documentation for Part D funds-flow and assist in pharmacy and healthcare cost analysis.

• Monitor recoveries, recoupments, and adjustments to reimbursements.

• Support internal and external audits, financial schedules, documentation, and regulatory submissions.

• Coordinate and analyze vendor data for accounting, reporting, and prefunding purposes.

• Assist with CMS-related financial reporting and compliance activities.

• Contribute to budgeting, forecasting, long-term planning, and cash-flow analysis.

• Aid in MLR reporting, Medicare Bid development, and CMS deliverables.

• Collaborate with Data Operations and Reporting teams to sustain financial and operational reporting.

• Offer strategic financial advice for growth initiatives and business planning.

⛳️ Requirements

• Bachelor’s degree in Finance, Accounting, Business, Economics, Healthcare Administration, or a similar field.

• 2–5 years of applicable experience in financial analysis, healthcare finance, accounting, FP&A, analytics, or a related discipline.

• Proficient in advanced Microsoft Excel.

• Experience with large datasets and financial systems.

• Strong analytical and problem-solving capabilities.

• Capacity to convert data into actionable business insights.

• Exceptional written, verbal, and interpersonal communication skills.

• Ability to collaborate effectively with Finance, Operations, Clinical, and business teams.

• Strong organizational and project management abilities.

• Capability to juggle multiple priorities at once.

• Preferred experience in healthcare finance, managed care, Medicare Advantage, value-based care, or risk-bearing organizations.

• Preferred experience with health plans, managed care organizations, provider groups, ACOs, IPAs, MSOs, or healthcare services organizations.

• Preferred knowledge of Medicare Advantage products, including I-SNP and C-SNP programs.

• Preferred experience analyzing healthcare claims, capitation agreements, utilization trends, MLR, and risk-based reimbursement models.

• Preferred familiarity with Part D financial reporting, healthcare cost accounting, and accrual methodologies.

• Preferred experience in supporting CMS reporting, Medicare Bid development, regulatory filings, or healthcare audits.

• Preferred experience with healthcare analytics, business intelligence tools, Power BI, Tableau, SQL, or similar reporting platforms.

• Must be authorized to work in the United States; the company cannot provide visa sponsorship.

🏝️ Benefits

• Competitive salary and performance-based bonuses.

• Comprehensive health, dental, and vision insurance.

• Retirement savings plan with company match.

• Generous paid time off and holiday schedule.

• Opportunities for professional development and continuous learning.