Overview
This is a Remote/Work from Home position. Applicants must be living in the continental US and open to working eastern time zone hours.
The Finance Program Manager serves as a key financial, analytical, and technical resource supporting enterprise-wide financial planning, forecasting, analytics, and value-based performance management. This role manages and coordinates complex budgeting processes; leads financial system enhancements; performs advanced financial, operational, and claims-based analytics; and delivers data-driven insights that support strategic, operational, and value-based care decision-making.
Responsibilities
- Lead and optimize system-wide annual budget processes and quarterly reforecasts across markets, ministries, and entities.
- Provide monthly close support, including accounting coordination, income statements, balance sheets, and long-term financial projections.
- Serve as expert and project lead for budgeting, forecasting, and financial planning.
- Implement financial system enhancements; optimize workflows; and standardize tools, methodologies, dashboards, and analytics processes.
- Analyze claims, eligibility, attribution, CMS/payer files, and contract datasets to identify trends, risk drivers, financial opportunities, and performance gaps.
- Develop and maintain executive dashboards and KPI reporting for leadership and governance.
- Support value-based contract modeling (MSSP, MA, shared savings, bundled payments) in partnership with Managed Care, Actuarial, Finance, and IT.
- Provide financial, utilization, and quality analytics to support improvement initiatives, vendor reviews, and strategic decisions.
- Conduct data validation, reconciliations, controls reviews, and audit preparation; collaborate with Internal Audit and external partners.
- Ensure adherence to HIPAA, PHI, and organizational data governance standards.
- Translate actuarial, contractual, and management guidance into actionable financial insights and strategic recommendations.
- Partner with Shared Services, Market Finance, data teams, and leadership to align financial reporting, performance management processes, and compliance requirements.
- Maintain strong customer-service relationships with CFOs, finance teams, and clinicians.
- Prepare and deliver high-quality presentations for senior leadership, boards, committees, and external stakeholders.
- Provide ad hoc analysis and proactive financial insights to support enterprise strategy and operational goals.
Requirements
- Bachelor’s degree in Accounting, Finance, Health Informatics, Data Analytics, or related field (required).
- 5 years’ experience in healthcare finance, accounting, actuarial/insurance analytics, value-based care analytics, or related fields (required).
- Experience working with healthcare claims, eligibility, and financial datasets (required).
- Proficiency in SQL, Tableau (or other BI tools), Excel, and relational databases (required).
Preferred Qualifications
- Healthcare finance experience in Lab and/or Pharmacy.
- CPA (Certified Public Accountant).
- CBAP (Certified Business Analysis Professional – IIBA).
- Master’s degree in Business Administration, Finance, Health Informatics, or related discipline.
- Experience with Medicare Advantage, MSSP, ACOs, CINs, risk-based payment models, or provider/payer financial reconciliation workflows.
- Experience with financial planning software.
Licensing/Certification
- CPA (preferred)
- CBAP (preferred)
Compensation & Benefits
Range:
What’s offered (benefits may vary based on the market and employment status):
- Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
- Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
- Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
- Tuition assistance, professional development and continuing education support
Location
Remote/Work from Home position. Must be living in the continental US and open to working eastern time zone hours.