Market Finance Lead

About the role

The Market Finance Lead is a financial and strategic partner responsible for connecting market financial performance with operational effectiveness. You will analyze financial results, claims experience, use trends, contract performance, membership, and provider performance data to identify opportunities, influence decisions, and support market growth and operational improvement.

Responsibilities

• Partner with regional leadership and external provider partners to review financial performance, membership, cost and use trends, contractual results, and opportunities for improvement.
• Present on provider trends and opportunities for improvement directly with providers and senior leadership.
• Analyze market financials, claims data, utilization trends, membership movement, risk adjustment impacts, medical cost drivers, and provider contract performance.
• Identify cost-of-care opportunities, performance gaps, and areas for operational improvement.
• Advise regional leadership on financial strategies and performance matters of significance.
• Address complex financial and operational issues.
• Build relationships with internal stakeholders and external provider partners to support collaboration, accountability, and performance improvement.
• Maintain awareness of company initiatives and assess financial and operational impacts across the market.

Requirements

• Bachelor's degree or higher
• 2 or more years of working with Value Based Contracts (VBC) and/or Value Based Providers (VBP)
• Experience developing methods and criteria for measuring and summarizing data for complex analyses
• Experience advising senior leadership on financial strategies
• 2 or more years of project leadership experience
• 1 or more years of SQL or other data related tools
• Knowledge of complex accounting and financial transactions for internal and external reporting
• 1 or more years experience leading and managing special projects that may necessitate cross-functional partnerships

Preferred Qualifications

• 3 or more years healthcare economics or value based performance analytics experience
• Experience in the Medicare Advantage bid process
• 3 or more years of experience in Service Fund reporting
• Knowledge of complex accounting and financial transactions for internal and external reporting
• Master's Degree in Business Administration or a related field
• Project Management Professional (PMP) certification
• Certified Public Accountant