Senior Financial Analyst - Managed Care

OhioHealth • Columbus, OH

5d

About The Position

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities. Job Description Summary: The Sr. Financial Analyst, Managed Care, provides analytics and decision support by translating payer contract rates and terms, patient volume, and utilization trends into actionable insights to facilitate the strategic positioning of revenue, payer contracts, and overall network strategy. The Sr. Financial Analyst works closely with Managed Care leaders to prioritize what-if modeling and reporting needs and ensure provision of timely and accurate deliverables. The job may also include developing actuarial reimbursement models as well as designing and/or evaluating upside/downside arrangements and supporting quality financial impact projections using actuarial methods. To be successful in this role, the Sr. Financial Analyst must be able to think critically and self-guide their work without detailed instruction. The right individual will be open to change, suggest ideas for process improvement, and have a positive attitude and enthusiastic approach to problem-solving.

Requirements

• Bachelor's Degree (Required)
• Actuarial experience with strong analytical and quantitative skills.
• Familiarity with shared savings contracts and value-based care models.
• Proficiency in financial modeling tools (e.g., Excel, SQL).

Nice To Haves

• Master's Degree

Responsibilities

• Analyze and manage hospital-based and professional-based reimbursement models and payment structures.
• Develop and monitor financial models for shared savings contracts and value-based care initiatives using actuarial methods (trend analysis, claims cost modeling, benchmarking, regression analysis, etc, etc.).
• Collaborate with Managed Care and/or Population Health to assess financial risks and optimize cost-effectiveness.
• Support the design and implementation of financial strategies aligned with organizational goals.
• Conduct financial modeling and analysis to assist our joint venture teams, including assessing valuation, risk, and projected returns.
• Monitor post-acquisition performance to ensure alignment with financial and strategic goals.
• As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties. The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level