Sr Value Based Programs Financial Analyst

C999 UMass Memorial Health Care, Inc.; Worcester (MA); Presencial; USD 75.000 - 136.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Signing bonus

Descripción de la vacante

UMass Memorial Health in Worcester, MA is seeking a Sr Value Based Programs Financial Analyst to serve as a subject matter expert in advanced financial, utilization, and healthcare data analysis supporting value-based programs. You will collaborate with OCI leadership and actuarial partners to improve program performance and reporting accuracy.

The role requires a Master’s degree and 5+ years of healthcare analytics experience, with strong Excel/PowerPoint skills and familiarity with EMR data

Formación

• Master’s degree required in Health Care Administration, Math, Data Science, Economics, Finance, or related field.
• Minimum of 5 years of healthcare finance or value-based analytics experience.
• Excellent analytical and presentation skills.
• Familiarity with EMR data systems (Epic/Clarity) and claims data.
• Advanced Excel and PowerPoint; strong attention to detail and communication.
• Experience with Python, SPSS, Tableau is a plus.

Responsabilidades

• Develop financial reports, dashboards, and executive summaries for value-based programs.
• Analyze total medical expense (TME), utilization trends, risk adjustment, and savings projections.
• Collaborate with actuarial partners and OCI leadership to forecast financial performance.
• Mentor junior analysts and ensure documentation and standards are followed.
• Present findings to ACO and UMMH committees as needed.

Conocimientos

Analytical skills

Presentation skills

Communication

Teamwork

Multitasking

Excel

PowerPoint

Python

SPSS

Tableau

Educación

Master’s degree in Health Care Administration/Math/Data Science/Economics/Finance or related field

Herramientas

Epic/Clarity

EMR data

SQL/Data analysis

Descripción del empleo

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health?

Exemption Status: Exempt Hiring Range: $75,379.20 - $135,699.20 (based on a full time schedule of 40 hours per week). Please note that the final offer will vary based on scheduled hours. Compensation for part-time or reduced schedules will be prorated based on scheduled weekly hours, experience, skills, qualifications, and internal equity considerations.

Schedule Details: Monday through Friday Scheduled Hours: 8 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5822 Performance Reporting This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

Reporting to the Manager of Value Based Care Financial Performance, the Sr Value Based Programs Financial Analyst is a key subject matter expert responsible for advanced financial, utilization, and healthcare data analysis supporting value-based programs. The role analyzes claims, financial, clinical, and statistical data to evaluate total medical expense (TME), utilization trends, risk adjustment, cost drivers, and value-based contract performance while ensuring data accuracy. The Sr Financial Analyst develops actionable insights, executive-ready reporting, financial projections, savings/loss analyses, and performance forecasts, and works with actuarial partners to develop, evaluate, and interpret savings/loss projections and financial forecasts supporting value-based programs. This position works closely with the Office of Clinical Integration (OCI) leadership, analytics, finance, and operational team to translate complex data into clear recommendations that improve value-based program financial performance.

Major Responsibilities:

• Leads the development and refinement of financial reports, executive summaries, and dashboards to track the performance of value-based programs.
• Reviews and enhances existing reports, procedures, and systems to optimize reporting processes and ensure accuracy.
• Prepares analytic reports to summarize total medical expenses (TME), utilization trends, risk adjustment data, value-based contract performance, and cost drivers to help identify areas for improvement.
• Track performance against financial targets, conduct variance analyses, and recommend actionable solutions.
• Develop financial projections, financial modeling, gainsharing calculations, and, under guidance, collaborate with actuarial partners on saving/loss projections, forecasting assumptions, and financial models supporting value-based programs.
• Perform ad hoc analyses, feasibility studies, and market evaluations for special projects, and strategies initiatives.
• Presents findings and analyses as needed for various ACO and UMMH committees.
• Works with Data Scientists and other team members to ensure accurate and timely financial/utilization reporting, leveraging clinical data from EMR systems, claims data, and other sources.
• Provides the data teams with the specifications for new metrics and reporting needs.
• Ensures all work is fully documented and project specifications are created following the analytics team standards, oversee documentations from junior analysts.
• Mentor junior analysts and provides guidance on analytical tools and techniques.

Position Qualifications:

• License/Certification/Education: Required: Master’s degree with a major or concentration in Health Care Administration, Math, Data Science, Economics, Finance, or related field.
• Experience/Skills: Required: Minimum of 5 years of relevant work experience in healthcare finance, value-based care analytics, managed care analytics, or healthcare analytics. Excellent analytical and presentation skills. Familiarity with healthcare data systems, including EMR platforms (e.g. Epic/Clarity) and claims data A working knowledge of computer-aided data analysis, financial forecasting, and value-based program performance analytics (e.g., including TME, utilization, risk management, and shared savings concepts). Advanced Microsoft Excel and PowerPoint skills Strong attention to detail, good communication skills, and ability to work collaboratively. Ability to manage multiple priorities and meet deadlines.
• Preferred: Experience with hospital/healthcare delivery systems, financial forecasting, value based contracting and saving/loss projection modeling. Experience working in reimbursement, value-based programs or managed care. Python/SPSS, Tableau or other visualization software experience.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at [e-mail]. We will make every effort to respond to your request for disability assistance as soon as possible.

At UMass Memorial Health, everyone is a caregiver. No matter their responsibilities or title, every employee or “caregiver” fills an important role for our patients and their families every day. Who is a caregiver? It’s not just the person who delivers the care. It’s all the people who make it work … and make it better. Caregivers give everything that helps patients heal, from expertise to extra attention. They give clean, comfortable rooms. Fast, accurate answers. And an easier, less stressful experience. They give warm, reassuring smiles, and helping hands. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, our community and each other. And everyone, in their own unique way, plays an important part, every day.