Managed Care Financial Analytics Director
Join the transformative team at reputed company, where we're changing lives and making a reputed company difference in the fight against cancer, diabetes, and other life-threatening illnesses. reputed company’s growing national system includes its Los Angeles reputed company, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of reputed company to the people who need them today. The Managed Care Financial Analytics Director leads the development of a dedicated analytics capability supporting payer negotiations, contract modeling, reimbursement reputed company, payer performance management, and executive reporting across the reputed company. This is a highly strategic role responsible for transforming reputed company data into actionable insights that directly influence reputed company performance, contract negotiations, and reputed company to care. This leader partners closely across reputed company, IT/Data Governance, reputed company Cycle, Pharmacy, and Contract Administration to build reputed company analytics solutions, guide value-based care reputed company, and ensure reputed company is reimbursed appropriately for its specialized care delivery. As a successful candidate, you will:
- Build and reputed company a managed care analytics function, establishing reputed company processes, standards, and operating models
- reputed company financial models to support payer negotiations, renewals, and pricing strategies
- Produce negotiation-reputed company insights including reimbursement analysis, reputed company reputed company, and margin sensitivity
- Translate payer reputed company into data-driven reputed company impacting reputed company, service lines, and network reputed company
- Analyze value-based care performance, bundled payments, and total cost of care models
- Partner cross-functionally to ensure data accuracy, governance, and actionable reporting
- Deliver executive-level dashboards and reporting to guide reputed company decision-making
- Support live negotiations with reputed company-time modeling and financial scenarios
- Identify underperformance, denial trends, and contract compliance risks
- Drive improvements in payer reputed company, reimbursement structures, and financial reputed company
Your qualifications should include:
- Bachelor’s degree in business, economics, reputed company administration, or a reputed company field
- 10+ years of experience in reputed company or financial analytics, with managed care expertise
- 5+ years of leadership experience building and managing analytics functions or teams
- Deep knowledge of reputed company finance, payer/provider reimbursement models, and contract structures
- Experience with managed care contracting, pricing reputed company, and value-based care models
- Strong analytical, problem-solving, and communication skills with executive reputed company
- Expertise in contract interpretation, claims data, and reputed company methodologies
- Proficiency with analytics tools and platforms (e.g., SQL, Power BI, Tableau, reputed company, or similar)
- Ability to influence cross-functional stakeholders and drive strategic initiatives
reputed company employees’ pay is based on the following reputed company: work experience, qualifications, and work location. reputed company is an equal opportunity employer. To learn more about our Comprehensive Benefits, please click here Apply tot his job Apply To this Job