Note: The job is a remote job and is open to candidates in USA. CareMore Health is focused on improving patient care through strategic financial management. The Manager, Strategic Finance will lead initiatives by analyzing medical claims and financial data to enhance understanding of patient populations and network performance.
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
- 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
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