Finance Director, Health Plan Analytics & Strategy

Community Health Group; Chula Vista (CA); On-site; USD 180,000 - 240,000; Full time

Job summary

Community Health Group seeks a Director of Finance to provide financial leadership for CHG’s Medi-Cal and Medicare SNP programs. You will oversee budgeting, forecasting, rate development, capitation, data and claims, and regulatory reporting, turning complex results into actionable guidance.

The role partners with multiple departments to ensure compliant, efficient operations and supports long-term financial sustainability through strategic analyses and performance reporting.

Qualifications

• Bachelor’s degree in business or a related field; MBA or Master’s preferred.
• CPA active preferred.
• Seven+ years of financial or accounting analytics experience.
• Five+ years with a managed care plan; Medi-Cal/Medicaid, Medicare SNP, or health insurer preferred.
• Three+ years of supervisory or management experience.
• Proficiency with Microsoft applications (Word, Excel, PowerPoint); SQL preferred.

Responsibilities

• Lead annual operating budgets, multi-year financial plans, forecasts, and scenario analyses for all lines of business.
• Analyze premium revenue, capitation and other program payments, medical and pharmacy costs, admin expenses, investment income, and operating results; explain variances and actions.
• Assess financial implications of membership trends, acuity and risk adjustment, utilization, provider contracts, benefit changes, new programs, and initiatives.
• Develop timely financial reports, dashboards, and decision materials for executive management, the board, committees, and business owners.
• Lead rate development activities and prepare supplemental data reporting and analyses for management, regulators, and actuaries.
• Oversee financial analysis of enrollment, capitation, supplemental payments, quality incentives, risk corridors, settlements, recoupments, and contract revenue/liabilities.
• Analyze capitation and revenue by line of business; reconcile variances and prepare recurring revenue analyses for management.
• Partner with claims, EDI, UM, Rx, provider network, and data teams to assess data completeness, accuracy, timeliness, and financial impact.
• Conduct or oversee claims and data analyses to identify cost trends and opportunities; report program performance with financial indicators.
• Prepare or oversee financial reports, analyses, and schedules; support Accounting close and journal entries; explain variances.
• Provide training and interpretation of financial reports to staff and management; support organizational needs.

Skills

Financial analysis

Leadership

Regulatory compliance

Budgeting

SQL

Education

Bachelor’s degree in business or related field

Master’s degree in business administration or related field

CPA active preferred

Tools

Microsoft Excel

Microsoft Word

PowerPoint

SQL

Job description

Community Health Group seeks a Director of Finance to provide financial leadership for CHG’s Medi-Cal and Medicare SNP programs. You will oversee budgeting, forecasting, rate development, capitation, data and claims, and regulatory reporting, turning complex results into actionable guidance.

The role partners with multiple departments to ensure compliant, efficient operations and supports long-term financial sustainability through strategic analyses and performance reporting.