Provider Financial Analyst III

Key Accountabilities

• Analyze provider reimbursement data, medical expense trends, and financial performance metrics.
• Develop, maintain, and enhance financial models to evaluate provider contracts and payment methodologies.
• Prepare monthly, quarterly, and annual financial reports related to provider spending and network performance.
• Maintain key performance indicators (KPIs) and identify trends, risks, and opportunities for improvement.
• Perform variance analysis and explain financial results to leadership and business partners.
• Evaluate financial impacts of proposed provider contracts, amendments, and reimbursement changes.
• Model methodology changes to monitor organizational impact.
• Collaborate with Network Management teams to ensure compliance with organizational objectives.

Data Management & Analytics

• Extract, validate, and analyze large datasets from claims, provider, and financial systems.
• Utilize analytical tools to identify utilization patterns, cost drivers, and reimbursement trends.
• Develop dashboards and reporting solutions to improve visibility into provider financial performance.
• Ensure data accuracy and integrity across analyses and reporting.

Business Partnership

• Collaborate with Finance, Actuarial, Medical Management, Network Operations, and Compliance teams.
• Present findings and recommendations to management and stakeholders.
• Support budgeting, forecasting, and strategic planning activities.
• Participate in special projects, audits, and financial initiatives as needed.

Required Qualifications

• Bachelor's degree or equivalent experience in related field.
• 5 years of work experience beyond degree.
• Experience with SQL, Power BI, Tableau, SAS, or other analytical tools.
• Healthcare Industry experience.

Preferred Qualifications

• Experience analyzing healthcare claims, provider contracts, reimbursement methodologies, or medical cost data.
• Familiarity with value-based care models and alternative payment methodologies.
• Advanced proficiency in Microsoft Excel, including pivot tables, complex formulas, and financial modeling.
• Experience working with large datasets and data visualization/reporting tools.
• Strong analytical, problem-solving, and critical-thinking skills.
• Excellent verbal and written communication skills.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

Work Location

The position is an Office role, requiring an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, Madison, WI, or St. Louis, MO.

Compensation

The full salary grade for this position is $70,200 - $120,400. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $70,200 - $105,315. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data.

Benefits

We offer a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

Equal Opportunity Employer

We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.