Senior Analyst, Finance (Medicare, VBC, SQL) - REMOTE

About the role

The organization operates in the healthcare sector, focusing on Medicare services across multiple US markets including South Carolina, New York, Massachusetts, Texas, Idaho/Utah, Arizona, California, and Washington. It addresses the challenges of managing medical costs and implementing value-based care programs by providing financial oversight, forecasting, and analytical support to improve cost and quality outcomes.

The SENIOR ANALYST, FINANCE (MEDICARE, VBC, SQL) role is responsible for overseeing financial performance and analytical support specifically for the Medicare line of business across various regions. This position plays a key role in monitoring medical costs, evaluating risk-based financial arrangements, and providing actionable insights that inform strategic decisions and support value-based care initiatives.

Responsibilities

• Develop and maintain financial forecasts, models, and projections related to Medicare medical costs and capitation arrangements.
• Monitor and analyze medical cost and utilization trends to identify drivers, risks, and opportunities.
• Evaluate provider capitation and risk-based arrangements through variance analysis and performance monitoring.
• Support value-based care programs by assessing provider performance and financial impact.
• Prepare financial reports and forecasts for market and executive leadership highlighting key indicators.
• Collaborate with operational, clinical, and market teams to analyze financial data and recommend improvements.
• Utilize large healthcare and financial datasets to conduct ad hoc analyses for strategic decision-making.
• Present findings and recommendations to management and enhance reporting and forecasting processes.

Requirements

• Minimum of 3 years of finance experience or equivalent education and experience.
• Bachelor’s degree in finance or related field or equivalent combination of education and experience.
• Strong critical thinking and attention to detail.
• Ability to collaborate effectively with both technical and non-technical stakeholders.
• Strong time management skills to handle multiple projects and meet deadlines.
• Effective verbal and written communication skills.
• Proficiency with Microsoft Office, particularly Excel (including VLOOKUPs and pivot tables).

Qualifications

• Experience in Medicare healthcare, preferably within managed care or health plan settings.
• Experience with value-based care, capitation, or risk-based reimbursement arrangements.
• Proficiency in SQL for data extraction, validation, analysis, and reporting.
• Advanced Excel skills including financial modeling, forecasting, and trend analysis.