Finance Program Manager - Work at Home

Overview

Scheduled Weekly Hours: 40
Work Shift: Days (United States of America)

This Finance Program Manager role serves as a key financial, analytical, and technical resource supporting enterprise-wide financial planning, forecasting, analytics, and value-based performance management. Responsibilities include managing and coordinating complex budgeting processes, leading financial system enhancements, performing advanced financial/operational/claims analytics, and delivering data-driven insights to 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, 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.
• Perform ad hoc analysis and provide 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)
• Ability to ensure adherence to HIPAA, PHI, and organizational data governance standards

Preferred Qualifications

• 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

Skills

• Healthcare finance and accounting
• SQL querying, data extraction, and relational database navigation
• Claims, eligibility, attribution, and contract data analysis
• Tableau or equivalent data visualization tools
• Financial modeling, forecasting, and scenario planning
• KPI development, monitoring, and benchmarking
• Audit preparation, data validation, and quality assurance
• Healthcare performance metric analysis (cost, utilization, quality)
• Advanced Excel (pivot tables, lookups, formulas)
• HIPAA compliance and data governance standards
• Critical thinking, analytical reasoning, and problem solving
• Clear and concise communication, including translating data into actionable insights
• Strong attention to detail and accuracy
• Effective time management and ability to meet deadlines
• Collaboration and stakeholder engagement across complex teams
• Adaptability to evolving priorities and requirements
• Initiative, self-direction, and strong sense of accountability

Compensation & Benefits

Range:

• Minimum: $46.76
• Maximum: $74.81

Benefits may include:

• Competitive pay, incentives, referral bonuses, and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, 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

Benefits may vary based on the market and employment status.

Location

United States of America

Equal Opportunity

Employment decisions are made in accordance with applicable federal and state laws, and applicants receive consideration without regard to protected characteristics, including protected veteran status and disability. Reasonable accommodations are available for individuals with disabilities as part of the employment selection process.