Sr Financial Analyst

Remote Jobs; Fort Myers (FL); On-site; USD 77,000 - 116,000; Full time

Job summary

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.

Qualifications

• 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.

Responsibilities

• 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.

Skills

Healthcare finance

Audits

Contract management

Financial analytics

Cross-functional collaboration

Education

Bachelor's degree in finance or accounting

CPA preferred

Job description

Job Description Summary

The Sr. Financial Analyst serves as the key financial liaison with risk affiliated entities, ensuring accurate financial execution, compliance, and transparency. This role is responsible for overseeing Incentive Pool calculations, payment integrity, audit preparedness, and financial reporting related to Medicare Advantage, ACO, and value-based arrangements.

How will you make an impact & Requirements

Responsibilities

• Track and validate all Incentive Pool calculations, including attributed revenue, medical expense, incentive payments, and initial startup costs.
• Provide verification support for contractual audit rights and maintain line-item expense transparency for items in excess of reasonable thresholds.
• Provide monthly reporting around Financial performance and operational metrics associated with Medicare Advantage and Medicare ACO contracts. Operational metrics include address rate, recapture rate, and admits per 1000 (admission, discharge, and keep metrics).
• Ensure timely incentive payment calculations, annual reconciliations, and performance reporting as outlined contractually.
• Document and manage offsetting of surpluses/deficits under Incentive Pool.
• Support decision-making and documentation for renegotiation events.
• Ensure accurate tracking of IBNR reserves, Payor Adjustments, and retroactive adjustments in accordance with contractual requirements.
• Track and reconcile incentive payments tied to burden of illness. Collaborate with Accounting on monthly journal entries for incentive activity and coordinate with Treasury for timely payments.
• Oversee receipt and accounting of risk-based and shared-savings revenue. Reconcile direct fee-for-service receipts, ensuring clear segregation between FFS and value-based revenue streams.
• Manage responses to third-party payor and government audits. Provide detailed supporting schedules and reconciliations for any financial audits requested.
• Manage invoicing, cash flow, and ongoing communication with for employee lease arrangements.
• Continuously evaluate financial performance to identify early indicators of performance variance. Support senior leadership in evaluating performance.

Qualifications

• Bachelor's degree in finance, accounting, or a related field required; CPA preferred.
• Minimum 2-3 years of progressive experience in healthcare finance, preferably within managed care, ACO, or health system settings.
• Experience with financial analytics, financial statements, and claims data.
• Demonstrated experience in contract-driven financial management and audit compliance.
• Strong knowledge of capitation, shared savings, and risk-adjustment methodologies a plus.
• Strong strategic thinking, problem-solving, and leadership abilities.
• Ability to navigate complex relationships across the organization.
• Ability to work independently in a fast-paced, cross-functional environment.

Compensation Range:

$77,417.00 to $116,126.00

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.