Managed Care Financial Analytics Director

City of Hope; United States; On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Comprehensive Benefits

Job summary

Join City of Hope as the Managed Care Financial Analytics Director, leading analytics supporting payer negotiations and contract modeling. You will build and manage a dedicated analytics function that drives improvements in payer strategy and reimbursement structures.

The ideal candidate has over 10 years of healthcare analytics experience with significant leadership experience. A bachelor's degree in a relevant field is required, along with proficiency in analytics tools like SQL and Power BI. This role is pivotal in influencing financial outcomes and improving access to care.

Qualifications

• 10+ years of experience in healthcare or financial analytics, with managed care expertise.
• 5+ years of leadership experience building and managing analytics functions or teams.
• Deep knowledge of healthcare finance, payer/provider reimbursement models.

Responsibilities

• Build and lead a managed care analytics function, establishing scalable processes.
• Develop financial models to support payer negotiations and pricing strategies.
• Deliver executive-level dashboards to guide enterprise decision-making.

Skills

Healthcare analytics

Contract negotiation

Financial modeling

Data-driven decision making

Cross-functional collaboration

Education

Bachelor’s degree in business, economics, healthcare administration or related field

Tools

SQL

Power BI

Tableau

Epic

Job description

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life‑threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.

The Managed Care Financial Analytics Director leads the development of a dedicated analytics capability supporting payer negotiations, contract modeling, reimbursement strategy, payer performance management, and executive reporting across the enterprise. This is a highly strategic role responsible for transforming complex data into actionable insights that directly influence revenue performance, contract negotiations, and access to care. This leader partners closely across FP&A, IT/Data Governance, Revenue Cycle, Pharmacy, and Contract Administration to build scalable analytics solutions, guide value‑based care strategy, and ensure City of Hope is reimbursed appropriately for its specialized care delivery.

As a successful candidate, you will:

• Build and lead a managed care analytics function, establishing scalable processes, standards, and operating models
• Develop financial models to support payer negotiations, renewals, and pricing strategies
• Produce negotiation‑ready insights including reimbursement analysis, revenue impact, and margin sensitivity
• Translate payer strategy into data‑driven decisions impacting contracts, service lines, and network strategy
• Analyze value‑based care performance, bundled payments, and total cost of care models
• Partner cross‑functionally to ensure data accuracy, governance, and actionable reporting
• Deliver executive‑level dashboards and reporting to guide enterprise decision‑making
• Support live negotiations with real‑time modeling and financial scenarios
• Identify underperformance, denial trends, and contract compliance risks
• Drive improvements in payer strategy, reimbursement structures, and financial outcomes

Your qualifications should include:

• Bachelor’s degree in business, economics, healthcare administration, or a related field
• 10+ years of experience in healthcare or financial analytics, with managed care expertise
• 5+ years of leadership experience building and managing analytics functions or teams
• Deep knowledge of healthcare finance, payer/provider reimbursement models, and contract structures
• Experience with managed care contracting, pricing strategy, and value‑based care models
• Strong analytical, problem‑solving, and communication skills with executive presence
• Expertise in contract interpretation, claims data, and healthcare coding methodologies
• Proficiency with analytics tools and platforms (e.g., SQL, Power BI, Tableau, Epic, or similar)
• Ability to influence cross‑functional stakeholders and drive strategic initiatives

City of Hope is an equal opportunity employer.

To learn more about our Comprehensive Benefits, please click here.