Finance Program Manager - Work at Home

Overview

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 leads and coordinates complex budgeting processes, champions financial system enhancements, performs advanced financial/operational/claims analytics, and delivers 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, including accounting coordination, income statements, balance sheets, and long-term financial projections.
• Serve as the 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.
• Perform other job-related duties as required by the supervisor, subject to reasonable accommodation.

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

• CPA (Certified Public Accountant) (preferred).
• CBAP (Certified Business Analysis Professional – IIBA) (preferred).
• Master’s degree in Business Administration, Finance, Health Informatics, or related discipline (preferred).
• Experience with Medicare Advantage, MSSP, ACOs, CINs, risk-based payment models, or provider/payer financial reconciliation workflows (preferred).
• 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

• Pay range: Minimum $46.76, Maximum $74.81.
• Incentives and referral bonuses.
• 403(b) with employer contributions (when eligible).
• Medical, dental, vision, and prescription coverage.
• HSA/FSA options.
• Life insurance and 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

Benefits may vary based on the market and employment status.