[Hiring] Senior Financial Analyst for Value-Based Programs @UMass Memorial Health

Role Description

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.

• 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.
• Tracks performance against financial targets, conducts variance analyses, and recommends actionable solutions.
• Develops financial projections, financial modeling, gainsharing calculations, and collaborates with actuarial partners on saving/loss projections, forecasting assumptions, and financial models supporting value-based programs.
• Performs 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, overseeing documentation from junior analysts.
• Mentors junior analysts and provides guidance on analytical tools and techniques.

Qualifications

• Master’s degree with a major or concentration in Health Care Administration, Math, Data Science, Economics, Finance, or related field.

Requirements

• 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.

Benefits

• This position may have a signing bonus available; a member of the Recruitment Team will confirm eligibility during the interview process.