7 дней назад
Market Finance Lead (Medicare Advantage)
104 000 - 143 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
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 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
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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