Role Description
The Finance Program Manager serves as a key financial, analytical, and technical resource supporting enterprise-wide financial planning, forecasting, analytics, and value-based performance management. This role manages and coordinates complex budgeting processes; leads financial system enhancements; performs advanced financial, operational, and claims-based analytics; and delivers data-driven insights that support strategic, operational, and value-based care decision-making.
The Finance Program Manager collaborates with corporate finance, local markets, population health entities, IT/analytics teams, physicians, and senior leadership. The position independently leads long-term projects, manages financial planning applications, and communicates effectively across all levels of the organization—particularly with leaders responsible for operating budgets and value-based contract performance.
Essential Job Functions
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Lead and optimize system-wide annual budget processes and quarterly reforecasts across markets, ministries, and entities.
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Provide monthly close support, accounting coordination, income statements, balance sheets, and long-term financial projections.
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Serve as expert and project lead for budgeting, forecasting, and financial planning.
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Implement financial system enhancements, optimize workflows, and standardize tools, methodologies, dashboards, and analytics processes.
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Analyze claims, eligibility, attribution, CMS/payer files, and contract datasets to identify trends, risk drivers, financial opportunities, and performance gaps.
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Develop and maintain executive dashboards and KPI reporting for leadership and governance.
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Support value-based contract modeling (MSSP, MA, shared savings, bundled payments) in partnership with Managed Care, Actuarial, Finance, and IT.
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Provide financial, utilization, and quality analytics to support improvement initiatives, vendor reviews, and strategic decisions.
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Conduct data validation, reconciliations, controls reviews, and audit preparation; collaborate with Internal Audit and external partners.
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Ensure adherence to HIPAA, PHI, and organizational data governance standards.
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Translate actuarial, contractual, and management guidance into actionable financial insights and strategic recommendations.
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Partner with Shared Services, Market Finance, data teams, and leadership to align financial reporting, performance management processes, and compliance requirements.
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Maintain strong customer-service relationships with CFOs, finance teams, and clinicians.
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Prepare and deliver high-quality presentations for senior leadership, boards, committees, and external stakeholders.
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Provide ad hoc analysis and proactive financial insights to support enterprise strategy and operational goals.
Qualifications
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Bachelor’s degree in Accounting, Finance, Health Informatics, Data Analytics, or related field (required)
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Master’s degree in Business Administration, Finance, Health Informatics, or related discipline (preferred)
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5 years’ experience in healthcare finance, accounting, actuarial/insurance analytics, value-based care analytics, or related fields (required)
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Experience working with healthcare claims, eligibility, and financial datasets (required)
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Proficiency in SQL, Tableau (or other BI tools), Excel, and relational databases (required)
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Experience with Medicare Advantage, MSSP, ACOs, CINs, risk-based payment models, or provider/payer financial reconciliation workflows (preferred)
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Experience with financial planning software
Requirements
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CPA (Certified Public Accountant) (preferred)
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CBAP (Certified Business Analysis Professional – IIBA) (preferred)
Skills
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Healthcare finance and accounting
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SQL querying, data extraction, and relational database navigation
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Claims, eligibility, attribution, and contract data analysis
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Tableau or equivalent data visualization tools
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Financial modeling, forecasting, and scenario planning
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KPI development, monitoring, and benchmarking
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Audit preparation, data validation, and quality assurance
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Healthcare performance metric analysis (cost, utilization, quality)
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Advanced Excel (pivot tables, lookups, formulas)
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HIPAA compliance and data governance standards
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Critical thinking, analytical reasoning, and problem solving
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Clear and concise communication, including translating data into actionable insights
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Strong attention to detail and accuracy
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Effective time management and ability to meet deadlines
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Collaboration and stakeholder engagement across complex teams
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Adaptability to evolving priorities and requirements
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Initiative, self-direction, and strong sense of accountability
Benefits
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Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
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Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
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Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
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Tuition assistance, professional development and continuing education support
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Benefits may vary based on the market and employment status.