Market Finance Lead

About the role

The Market Finance Lead is a strategic financial and operational partner responsible for aligning market financial performance with operational effectiveness. Key responsibilities include analyzing financial results, claims experience, and data to identify opportunities, influence decisions, and support market growth and operational improvement. The role involves partnering with various departments and external providers to translate complex data into actionable recommendations.

Responsibilities

• Partner with regional leadership 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 their financial and operational impacts across the market.

Requirements

• Bachelor's degree or higher
• 2+ 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+ years of project leadership experience
• 1+ years of SQL or other data related tools
• Knowledge of complex accounting and financial transactions for internal and external reporting
• 1+ years experience leading and managing special projects that may necessitate cross-functional partnerships

Preferred Qualifications

• 3+ years healthcare economics or value based performance analytics experience
• Experience in the Medicare Advantage bid process
• 3+ 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