Finance Manager — Managed Care Financial Analysis & Forecasting

Nutex Health, Inc.; Alhambra (CA); On-site; USD 110,000 - 140,000; Full time

Job summary

Nutex Health, Inc. is seeking a Finance Manager / Managed Care Financial Analyst to support IPA/MSO financial operations in Alhambra, CA. The role focuses on capitation reconciliations, IBNR analysis, claims payment oversight, and utilization financial reporting to improve financial stability.

The candidate will model, forecast, reconcile, and partner with health plans, providers, and leadership to optimize financial performance in a fast-paced managed care environment.

Qualifications

• Bachelor’s degree in Finance, Accounting, Healthcare Administration, Business Administration, or related field.
• Experience in healthcare finance or managed care financial operations.
• Experience with capitation, IBNR, claims payments, and reimbursement methodologies.

Responsibilities

• Manage capitation reconciliations and provider payment reports.
• Oversee claims payments, utilization reporting, and financial variances.
• Support financial modeling, forecasting, reconciliation, and operational finance activities.
• Monitor financial performance across health plans, providers, and delegated arrangements.

Skills

Capitation reconciliation

IBNR analysis

Claims payment oversight

Utilization reporting

Financial modeling

Forecasting

Budgeting

Excel proficiency

HIPAA compliance

Communication skills

Education

Bachelor’s degree in Finance, Accounting, Healthcare Administration, Business Administration, or related field

Tools

SQL

Power BI

Tableau

Capitation systems

Job description

Nutex Health, Inc. is seeking a Finance Manager / Managed Care Financial Analyst to support IPA/MSO financial operations in Alhambra, CA. The role focuses on capitation reconciliations, IBNR analysis, claims payment oversight, and utilization financial reporting to improve financial stability.

The candidate will model, forecast, reconcile, and partner with health plans, providers, and leadership to optimize financial performance in a fast-paced managed care environment.