Finance Manager Managed Care Financial Analyst
Overview
Lead financial operations for IPA/MSO supporting capitation reconciliations and IBNR analysis. Monitor performance across health plans and providers while ensuring accurate reporting and payment processing. Support leadership with financial modeling and forecasting to improve stability. This role differs by focusing on managed care financial operations and risk-based healthcare analysis.
What You'll Do5
- 1Build scalable solutions for capitation payments and provider reconciliation
- 2Design utilization reporting frameworks for healthcare expenditure analysis
- 3Drive financial modeling for risk-based healthcare operations
- 4Own financial forecasting initiatives to enhance organizational performance
- 5Scale reporting processes across delegated arrangements
Requirements5
- 15+ years building ETL pipelines with Spark and Airflow
- 23-4 years managing IBNR reports and healthcare claims data
- 3Experience with Medicare Advantage and Medi-Cal environments
- 4Proficiency in Microsoft Excel advanced functions and healthcare analytics platforms
- 5Certifications such as CHFP or CPA preferred
Salary Insight
$95 - $140k per year
Location
Required Skills
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