Senior Analyst - Strategic Finance

CareMore Health Management Services, LLC; California (MO); Hybrid; USD 108,000 - 161,000; Full time

Job summary

CareMore Health Management Services, LLC is seeking a Senior Analyst, Strategic Finance to support IPA financial and strategic objectives using medical claims and financial data. You will collaborate with clinical, network, operations, and leadership teams to deliver data-driven insights that improve performance and lower the cost of care across the IPA.

The role requires proficiency in Excel, SQL/Databricks, and data visualization tools, with experience in healthcare analytics and risk-based

Qualifications

• Bachelor's degree in Finance, Economics, Healthcare Administration, Analytics, Statistics or related field.
• 2-4 years of experience in healthcare analytics, financial analysis, consulting, or related role, preferably in an IPA, health plan, MSO, or provider organization
• 2+ years of experience processing information and distilling it down to concrete business recommendations with supporting rationale
• Strong experience with medical claims data and understanding drivers of utilization, cost, and quality in value-based care models
• Advanced proficiency in Excel; Proficiency in SQL, Databricks, or similar data analytics platforms; experience with data visualization tools (Tableau, Power BI) preferred
• Solid understanding of risk-based contracting, capitation, and total cost of care concepts
• Ability to synthesize complex data into strategic insights and practical recommendations
• Strong communication skills and comfort presenting to cross-functional stakeholders
• Highly organized, self-directed, and able to manage multiple priorities in a fast-paced, collaborative environment

Responsibilities

• Analyze medical claims data to evaluate utilization patterns, cost drivers, quality performance, and population health trends across attributed member populations
• Assess provider and network performance, including variation in utilization, cost, and outcomes, to support network strategy and provider engagement efforts
• Support value-based care and risk-based arrangements by analyzing financial performance against benchmarks, targets, and capitation assumptions
• Perform financial analysis, which includes ROI assessments, cost-benefit analysis, and variance analysis to enhance strategic decision-making
• Develop financial models and reporting to support strategic initiatives, including network optimization, care management programs, and contract performance
• Partner with clinical, care management, network, and operations teams to identify, size, and track opportunities to improve performance and reduce avoidable utilization
• Translate complex analytical findings into clear, actionable insights for senior leadership and provider-facing teams

Skills

Excel

SQL/Databricks

Tableau/Power BI

Data analysis

Communication

Risk-based contracting

Presentation

Healthcare analytics

Education

Bachelor's degree in Finance, Economics, Healthcare Administration, Analytics, Statistics

Tools

Databricks

Tableau

Power BI

SQL

Job description

Job Description Summary

The Senior Analyst, Strategic Finance will support the IPA’s financial and strategic objectives by leveraging medical claims and financial data to deepen understanding of patient populations, utilization patterns, and network performance. This role will partner closely with clinical, network, operations, and leadership teams to deliver data-driven insights and recommendations that improve performance, support value-based care initiatives, and lower the total cost of care across the IPA.

Key Responsibilities

• Analyze medical claims data to evaluate utilization patterns, cost drivers, quality performance, and population health trends across attributed member populations
• Assess provider and network performance, including variation in utilization, cost, and outcomes, to support network strategy and provider engagement efforts
• Support value-based care and risk-based arrangements by analyzing financial performance against benchmarks, targets, and capitation assumptions
• Perform financial analysis, which includes ROI assessments, cost-benefit analysis, and variance analysis to enhance strategic decision-making
• Develop financial models and reporting to support strategic initiatives, including network optimization, care management programs, and contract performance
• Partner with clinical, care management, network, and operations teams to identify, size, and track opportunities to improve performance and reduce avoidable utilization
• Translate complex analytical findings into clear, actionable insights for senior leadership and provider-facing teams

Qualifications

• Bachelor's degree in Finance, Economics, Healthcare Administration, Analytics, Statistics, or a related field
• 2-4 years of experience in healthcare analytics, financial analysis, consulting, or a related role, preferably in an IPA, health plan, MSO, or provider organization
• 2+ years of experience processing information and distilling it down to concrete business recommendations with supporting rationale
• Strong experience working with medical claims data and understanding drivers of utilization, cost, and quality in value-based care models
• Advanced proficiency in Excel; Proficiency in SQL, Databricks, or similar data analytics platforms; experience with data visualization tools (e.g., Tableau, Power BI) preferred
• Solid understanding of risk-based contracting, capitation, and total cost of care concepts
• Ability to synthesize complex data into strategic insights and practical recommendations
• Strong communication skills and comfort presenting to cross-functional stakeholders, including clinical and provider audiences
• Highly organized, self-directed, and able to manage multiple priorities in a fast-paced, collaborative environment

Compensation Range: $107,569.00 to $161,353.00

The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.

Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans.