Healthcare Finance Analyst - Incentive Pool & Risk

Remote Jobs; Fort Myers (FL); Vor Ort; USD 77.000 - 116.000; Vollzeit

Zusammenfassung

Talentify is seeking a Sr. Financial Analyst to serve as the key financial liaison with risk affiliated entities, overseeing incentive pool calculations, payment integrity, and audit readiness for Medicare Advantage, ACO, and value-based arrangements.

You will track incentive calculations, support annual reconciliations, provide monthly financial reporting, and coordinate with accounting and treasury to ensure timely payments.

Qualifikationen

• Bachelor's degree in finance or accounting is required; CPA preferred.
• 2–3 years of progressive healthcare finance experience.
• Experience with financial analytics and claims data.
• Contract-driven financial management and audit compliance.
• Understanding of capitation and risk-adjustment methodologies is a plus.

Aufgaben

• Track and validate all Incentive Pool calculations and related expenses.
• Support contractual audit rights and maintain line-item transparency.
• Provide monthly financial reporting on Medicare Advantage and ACO metrics.
• Ensure timely incentive payments and annual reconciliations.
• Document offsetting of surpluses/deficits in the Incentive Pool.
• Assist renegotiation decisions with thorough documentation.
• Track IBNR reserves, Payor Adjustments, and retroactive changes.
• Coordinate with Accounting and Treasury on journal entries and payments.
• Oversee risk-based and shared-savings revenue receipts and segregation.
• Prepare schedules for audits and respond to third-party requests.
• Manage invoicing, cash flow, and communications for employee lease arrangements.
• Identify early indicators of performance variance and advise leadership.

Kenntnisse

Healthcare finance

Audits

Contract management

Financial analytics

Cross-functional collaboration

Ausbildung

Bachelor's degree in finance or accounting

CPA preferred

Jobbeschreibung

Talentify is seeking a Sr. Financial Analyst to serve as the key financial liaison with risk affiliated entities, overseeing incentive pool calculations, payment integrity, and audit readiness for Medicare Advantage, ACO, and value-based arrangements.

You will track incentive calculations, support annual reconciliations, provide monthly financial reporting, and coordinate with accounting and treasury to ensure timely payments.