Overview
This role involves analyzing results and translating complex financial and operational drivers into clear, actionable insights. You will partner with stakeholders across Corporate Finance, Risk Adjustment Operations and Compliance, and Risk Adjustment and Stars Analytics (RASA) to support accurate, well-documented, and well-controlled processes for financial reporting, variance analysis, and business decision-making.
The MRA Finance team supports the Medicare Risk Adjustment business area within the Medicare organization. Responsibilities include developing revenue and risk score projections for bids, budgets, forecasts, and strategic planning; evaluating the financial impact of CMS regulatory changes and Medicare Advantage payment model updates; monitoring and reporting on risk adjustment data submissions; and supporting risk adjustment operations and initiatives that strengthen compliance, revenue accuracy, and business performance.
Responsibilities
- Analyze financial results and translate operational drivers into actionable insights.
- Support financial reporting, variance analysis, and business decision-making.
- Develop and maintain analytical models used for revenue and risk score projections for bids, budgets, forecasts, and strategic planning.
- Evaluate the financial impact of CMS regulatory changes and Medicare Advantage payment model updates.
- Monitor and report on risk adjustment data submissions.
- Collaborate with stakeholders across Corporate Finance, Risk Adjustment Operations and Compliance, and RASA.
- Ensure processes are accurate, well-documented, and well-controlled.
Required Qualifications
- Bachelor’s Degree.
- Minimum 3 years of technical experience working with financial modeling using SQL and Excel (including pivot tables and analytical trends).
- Experience writing SQL processes.
- Proven experience developing and maintaining analytical models.
- Ability to explain variances and trends, including enhanced modeling techniques.
- Experience working with moderately complex to complex issues where analysis requires in-depth evaluation of variable factors.
- Passion for contributing to an organization focused on continuously improving consumer experiences.
- Proven experience collaborating with others.
Preferred Qualifications
- Master’s Degree.
- Financial or actuarial background.
- Databricks experience.
- Experience in Medicare Advantage – risk adjustment or Stars.
Compensation & Benefits
- Pay Range: $89,000 - $121,400 per year
- Eligible for a bonus incentive plan based on company and/or individual performance.
Benefits include medical, dental, and vision; 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; and other opportunities.
Location
- Remote position
- Occasional travel to offices for training or meetings may be required.
Work at Home Requirements
- Self-provided internet service must meet minimum criteria:
- Download speed of 25 Mbps and upload speed of 10 Mbps
- Wireless, wired cable, or DSL connection is suggested
- In certain roles, the minimum recommended internet speed required by the employer may not be sufficient for business needs.
- The employer reserves the right to require associates to upgrade their internet service if necessary.
- Work must be performed from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Scheduled Weekly Hours
Application Deadline