Lead Strategic Finance Analyst

Pay Range

Pay Range $102,300.00 - $163,700.00

About the role

Plays a critical role in shaping the organization’s strategic direction by producing high-quality financial insights that drive sound decision-making. Led by this position, the organization will support provider and vendor value-based care (VBC) program design, performance monitoring, and contractual settlement analysis.

Responsibilities

• Lead financial modeling and analytics to support provider and vendor value-based care (VBC) program design, performance monitoring, and contractual settlement analysis.
• Serve as the primary financial partner for risk adjustment forecasting, revenue optimization analyses, and scenario modeling.
• Oversee the analysis and reconciliation of pharmacy rebate performance, trends, and forecast inputs.
• Translate complex financial, actuarial, and clinical information into actionable insights for senior leadership.
• Partner with Actuarial, Clinical, Pharmacy, and Network Management teams to ensure alignment of financial methodologies and assumptions across the enterprise.
• Facilitate decision-making by presenting financial scenarios, identifying risks, and recommending strategic pathways.
• Ensure adherence to financial, regulatory, and operational policies related to VBC, risk adjustment, and pharmacy programs.
• Develop and maintain standardized financial models, reporting tools, and documentation to support accuracy, transparency, and repeatability.
• Identify opportunities to streamline analytical workflows, improve data quality, and enhance forecasting and modeling accuracy.
• Other duties as assigned.

Requirements

• Bachelor’s degree in Finance, Accounting, Economics, Data Analytics, Healthcare Administration, Mathematics, or a related field (or equivalent experience).
• Seven to ten years of experience in financial analysis, healthcare analytics, actuarial support, or similar quantitative roles.
• Advanced proficiency in financial modeling, forecasting, and data analysis.
• Strong technical skills with tools such as Excel, SQL, Power BI/Tableau, or Python.
• Demonstrated ability to manage complex datasets and produce clear, actionable insights.
• Excellent communication skills, with the ability to simplify complex concepts for diverse audiences.
• Knowledge of Federal Acquisition Regulations and Cost Accounting Standards.

Qualifications

• Experience with value-based care financial models (shared savings, risk corridors, capitation, bundled payments, etc.).
• Familiarity with Medicare Advantage, commercial risk adjustment, HCC methodologies, or Part D revenue models.
• Knowledge of pharmacy rebate programs, PBM financial structures, and drug utilization analytics.
• Prior experience in a health plan, provider organization, or healthcare consulting environment.
• Project leadership experience, including guiding analysts or cross-functional workstreams.
• Understanding of budgeting principles.

Skills

• Financial modeling
• Data analysis
• Communication
• Technical skills (Excel, SQL, Power BI/Tableau, or Python)

Benefits

Flexible work arrangements that include remote and hybrid opportunities and paid time off. Tuition reimbursement and assistance with student-loan repayment. Health, dental, and vision insurance. Programs that support mental health and well-being. Competitive pay, bonuses, and investment plans. Commitment to employee growth and development. Paid time to volunteer in communities across Rhode Island.

Pay

$102,300.00 - $163,700.00

Schedule

Role offers In-office: onsite 5 days per week
Hybrid: onsite 2-4 days per week
Remote: onsite 0-1 days per week.

Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia