Director Market Finance

Overview

This role serves as a key financial and strategic partner, connecting market financial performance with operational effectiveness. You will analyze financial results, claims experience, trends, contract performance, membership, and provider performance data to identify opportunities, influence decisions, and support market growth and operational improvement. This position reports to the Regional VP of Operations.

Responsibilities

• Work directly with value-based providers to review financial performance, membership, cost and utilization trends, contractual results, and opportunities for improvement.
• Present provider trends and opportunities for improvement directly with providers and senior leadership.
• Analyze market financials, claims data, utilization trends, membership movement, risk adjustment impacts, medical cost drivers, and provider contract performance.
• Serve as a strategic finance partner to regional and market leadership, providing insights that support operational, financial, and value-based care performance.
• Support budget development, forecasting, administrative planning, and financial performance reviews for the market.
• Lead financial analysis for strategic initiatives, including market optimization, value-based care performance, cost containment, and growth-related activities.
• Advise regional leadership on financial strategies and business performance matters of significance.
• Monitor company initiatives and assess financial and operational impacts across the market.

Required Qualifications

• Live in Florida
• Bachelor’s degree
• 3 or more years of experience working with Value Based Contracts (VBC) and/or Value Based Providers (VBP)
• 4 or more years of management experience
• Experience advising senior leadership on financial strategies
• 5 or more years of project leadership experience
• 2 or more years of SQL or other data related tools
• Demonstrated experience leading and managing special projects that may necessitate cross-functional partnerships

Preferred Qualifications

• Master’s Degree

Compensation & Benefits

• Pay Range: $168,000 - $231,000 per year
• Bonus incentive plan eligibility: This job is eligible for a bonus incentive plan based upon company and/or individual performance.

Benefits include:

• Medical, dental and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance
• Many other opportunities

Location & Work Details

• Scheduled Weekly Hours: 40
• Work at home requirements:
  • Home or Hybrid Home/Office self-provided internet service must meet minimum speeds of 25 Mbps download and 10 Mbps upload.
  • Wireless, wired cable or DSL connection is suggested.
  • A dedicated space with no ongoing interruptions is required to protect member PHI / HIPAA information.
  • In certain roles, the minimum recommended internet speed may not be sufficient for business needs; the employer reserves the right to require an upgrade if necessary.
• Travel: Occasional travel to offices for training or meetings may be required while in a remote position.

Equal Opportunity Employer

The employer is an equal opportunity employer and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status. The employer also takes affirmative action in compliance with Section 503 of the Rehabilitation Act and VEVRAA.