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Job Summary

• The Financial Analyst is responsible for compiling, analyzing, and interpreting financial and statistical data to support managed care decision-making, contract analysis, and strategic planning. This role works closely with finance leadership and department managers to assess reimbursement models, monitor payment accuracy, and support financial reporting.

Essential Functions

• Develops and maintains profitability testing and reimbursement models for insurance plans and contracts.
• Analyzes utilization and financial data for presentation to Medical Directors, Case Management, and department leadership.
• Verifies the accuracy of managed care payments and identifies variances or underpayments.
• Assists with the review and negotiation of managed care contract language and terms in collaboration with the CFO.
• Supports comparative data analysis using regional and severity-adjusted benchmarks (e.g. PLM or other sources).
• Provides data and recommendations to finance leadership for decision support and planning.
• Prepares financial reports and reimbursement analyses for executive leadership and department heads.
• Ensures financial data integrity and supports compliance with regulatory and contractual requirements.

Knowledge/Skills/Abilities/Expectations

• Strong analytical and problem-solving skills with attention to detail.
• Proficient in Microsoft Excel and financial modeling tools.
• Working knowledge of healthcare reimbursement methodologies and contract terms.
• Ability to work independently and communicate complex information clearly.
• Familiarity with financial reporting systems and databases.
• Capable of working in a fast-paced, high-pressure environment with minimal supervision

Education

• Bachelor’s Degree in Business, Finance, Accounting, or a related field (Required)

Licenses/Certifications

• Certified Public Accountant (CPA) or Certified in Healthcare Finance Mgmt. Accounting (HFMA) Upon Hire (Preferred) Or
• Certified Management Accountant (CMA) Upon Hire (Preferred)

Experience

• 3+ years relevant experience in financial analysis, healthcare reimbursement, or cost accounting (Required) And
• Prior Experience in managed care contracting or payer analytics (Preferred)