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7 дней назад

Market Finance Lead (Medicare Advantage)

104 000 - 143 000$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
lead
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Мэтч & Сопровод

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Описание вакансии

Текст:
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TL;DR
Market Finance Lead (Medicare Advantage): Analyzing provider contracts, claims, utilization, membership, and financial performance to improve regional Medicare Advantage operations with an accent on value-based care, contract performance, and strategic finance partnership. Focus on leading provider performance reviews, developing financial insights and action plans, and supporting bid strategy, forecasting, and cross-functional decision-making.

Location: Remote anywhere in the United States; preferred location is Louisiana. Occasional travel to hirify.global offices for training or meetings may be required, with travel up to 10%.

Salary: $104,000–$143,000 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a U.S. healthcare and health insurance company serving Medicare, Medicaid, individual, family, and military communities through insurance and healthcare services.

What you will do

  • Lead a team analyzing value-based provider financial performance, membership, costs, utilization, contracts, and improvement opportunities.
  • Prepare financial analysis and reporting for provider and contract performance, claims experience, medical cost drivers, risk adjustment, and market operations.
  • Lead financial preparation for provider engagement sessions and advise Network Performance teams on contract results and improvement actions.
  • Partner with regional leadership, actuarial, Corporate Finance, clinical, contracting, operations, sales, and value-based care providers.
  • Support Medicare Advantage bid strategy, product positioning, financial projections, and competitive analytics.
  • Align monthly accruals and financial close activities while addressing complex financial and operational issues.

Requirements

  • Bachelor’s degree.
  • At least 3 years of experience with Value Based Contracts or Value Based Providers and at least 3 years of financial analysis and reporting experience.
  • Experience presenting financial strategies to senior leadership and managing cross-functional special projects.
  • Knowledge of complex accounting and financial transactions for internal and external reporting.
  • Strong Microsoft Excel skills, including formulas, pivot tables, and charts; proficiency with PowerPoint, SQL, and Power BI.
  • Ability and willingness to travel up to 10% and work from a dedicated home workspace meeting PHI/HIPAA privacy requirements.

Nice to have

  • Master’s degree in business administration or a related field.
  • CPA certification and people management experience.
  • Experience with Service Fund reporting, Power Query, Power Automate, or Hyperion Essbase.
  • Experience with the Medicare Advantage bid process, product design, and competitive analysis.

Culture & Benefits

  • Remote work-from-home arrangement with minimum internet speeds of 25 Mbps download and 10 Mbps upload.
  • Medical, dental, and vision benefits.
  • 401(k) retirement savings plan, paid time off, holidays, and paid parental and caregiver leave.
  • Short- and long-term disability coverage, life insurance, and wellness-focused benefits.

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