Senior Analyst, Finance (Medicare, VBC, SQL) - REMOTE

Remote Jobs; United States; Remote; USD 85,000 - 125,000; Full time

Job summary

Molina Healthcare seeks a Senior Finance Analyst to provide senior-level financial and analytical support across Medicare markets, with primary responsibility for forecasting, reporting, and trend analysis to drive business decisions.

You will partner with operations, clinical and market teams, build financial models, and analyze capitation and risk-based arrangements while delivering insights that improve cost and quality outcomes.

Qualifications

• At least 3 years of finance experience or equivalent education.
• Strong analytical and communication skills.
• Ability to collaborate with both technical and non-technical stakeholders.

Responsibilities

• Develop and maintain forecasts, financial models, and projections for Medicare medical costs and capitation.
• Monitor medical cost trends and identify drivers, risks, and opportunities across markets.
• Evaluate financial performance of capitation and risk-based arrangements via variance analysis.
• Support value-based care initiatives by measuring provider performance and financial impact.
• Prepare recurring reports and analyses for market and executive leadership with actionable insights.
• Partner with operations, clinical, and market teams to improve cost and quality outcomes.
• Use large healthcare datasets for ad hoc analyses to inform strategic decisions.
• Present findings to management and enhance reporting and forecasting processes.

Skills

Forecasting

Financial analysis

Data analysis

Stakeholder communication

Cross-functional collaboration

Critical thinking

Time management

Education

Bachelor's degree in finance or related field

Tools

SQL

Excel

Job description

Job Summary

Provides senior-level financial and analytical support for Molina's Medicare line of business across multiple markets, with primary responsibility for overseeing financial performance, forecasting, reporting, and trend analysis for SC, NY, MA, TX, ID/UT, AZ, CA, and WA. Monitors medical cost performance, evaluate financial trends, support capitation and risk-based arrangements, and deliver actionable insights that support business decision‑making.

Essential Job Duties

• Develop and maintain forecasts, financial models, and projections related to Medicare medical costs, capitation arrangements, and value-based care programs.
• Monitor and analyze medical cost and utilization trends, identifying key drivers, risks, and opportunities across Medicare markets.
• Evaluate the financial performance of provider capitation and risk-based arrangements through variance analysis, trend reporting, and performance monitoring.
• Support value-based care initiatives by measuring provider performance, identifying opportunities for improvement, and assessing financial impact.
• Prepare recurring financial reports, forecasts, and analyses for market and executive leadership, highlighting key performance indicators and actionable insights.
• Partner with operational, clinical, and market teams to analyze financial performance and develop recommendations to improve cost and quality outcomes.
• Utilize large healthcare and financial datasets to perform ad hoc analyses, quantify financial impacts, and support strategic decision-making.
• Present findings and recommendations to management and stakeholders while driving enhancements to reporting, forecasting, and analytical processes.

Required Qualifications

• At least 3 years of finance experience, or equivalent combination of relevant education and experience.
• Bachelor’s degree in finance or related field or equivalent combination of education and experience.
• Strong critical‑thinking and attention to detail.
• Ability to effectively collaborate with technical and non‑technical stakeholders.
• Strong time‑management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
• Effective verbal and written communication skills.
• Proficient in Microsoft Office suite products, including key skills in Excel (VLOOKUPs and pivot tables), and applicable software program(s) proficiency.

Preferred Qualifications

• Medicare healthcare experience, preferably within a managed care or health plan environment.
• Experience supporting value-based care (VBC), capitation, or other risk-based reimbursement arrangements preferred.
• Proficiency in SQL for data extraction, validation, analysis, and reporting.
• Advanced Excel skills, including financial modeling, forecasting, and trend analysis.

Molina Healthcare offers a competitive benefits and compensation package.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V