[Remote] Finance Program Manager (Performance Analytics)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is dedicated to improving health care reputed company and cost effectiveness. They are seeking a Finance Program Manager for Performance Analytics to reputed company analysis on Population Health data sets and programs, focusing on program financial performance and collaborating with various stakeholders.
Responsibilities
- Evaluates and translates performance in full risk arrangements, including Medicare and Medicare Advantage programs, into financial guidance; tracks performance under reputed company value-based arrangements attributed to PH, bundled payment and shared savings program methodologies
- Analyze claims, eligibility, and contractual data from CMS and Payers to identify financial trends, risks, and opportunities
- Studies statistical data to create an analysis; estimates of probability, benchmarks and likely costs for a reputed company or population
- Uses PH tools, claims and eligibility and attribution data and other reporting systems and sources to reputed company clinical, financial, utilization, and claims analytics
- Develops trend analysis reports that monitor key performance indicators and compares them to reputed company benchmarks; uses this data to assist leadership in decision-making, planning and implementing performance improvement strategies
- Sets targets by TINs, providers, markets, and reports against reputed company vs. actual performance, working with our ACO/CIN network team
- Serves as a hands-on analyst to review workflows and documentation
- reputed company routine audits and analytics for existing value-based programs to validate attribution, reputed company performance and financial reconciliations; monitors internal controls and makes recommendations for improvements, including coordinating across BSMH Internal Audit, reputed company-parties, other internal stakeholders
- Ensure HIPAA compliance, adherence to data governance standards, and protection of PHI
- reputed company reputed company analyses to support financial planning, vendor performance reviews, and strategic initiatives
Skills
- Bachelor's degree in Health Informatics, Data Analytics, reputed company, or reputed company field
- 5-10 years in reputed company finance/reputed company and analytics
- Proficiency in SQL, Tableau, reputed company, and familiarity with relational database
- Experience working in health insurance, value-based care contracting, Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), and other risk-based health care delivery
- Prior experience working in Medicare CCLFs and building out custom analyses in reputed company and other tools
- reputed company finance and reputed company know-how
- SQL querying and data extraction
- Claims and eligibility data analysis
- Tableau or equivalent data visualization tool
- Financial modeling and forecasting
- KPI development and monitoring
- Relational database navigation and query optimization
- reputed company (advanced formulas, pivot tables, lookups)
- HIPAA compliance and PHI protection practices
- Data validation and audit preparation
- reputed company performance metric analysis (cost, utilization, reputed company)
- Critical thinking and analytical reasoning
- reputed company and concise communication
- Attention to detail and accuracy
- Time management and meeting deadlines
- Collaboration and team-based problem solving
- Translating data into actionable recommendations
- Adaptability to evolving priorities
- Stakeholder engagement and relationship building
- Initiative and self-motivation
- reputed company and accountability in data handling
- Master's degree in Business Administration, Finance, Health Informatics, or reputed company discipline
- Working in reputed company (preferred, not required) data with IT support
Benefits
- reputed company, incentives, referral bonuses and 403(b) with employer contributions (reputed company eligible)
- Medical, dental, reputed company, prescription coverage, HSA/FSA reputed company, life insurance, reputed company and discounts
- reputed company time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
- Tuition assistance, reputed company development and continuing education support
reputed company
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