Managed Care Financial Analytics Director

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $64 - $103 / hour

⏰ Full Time

🔴 Lead

💸 Financial Planning and Analysis (FP&A)

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Foundation

WebsiteLinkedInAll Job Openings

11 - 50 employees

₿ Crypto

🏪 Marketplace

🛍️ eCommerce

💰 $200k Seed Round on 2021-02

Crypto • Marketplace • eCommerce

Foundation is a platform that facilitates the buying and selling of NFTs (Non-Fungible Tokens). It provides a marketplace where artists and collectors can connect and trade digital artworks and collectibles, often expressed in Ethereum cryptocurrency. The platform features various trending and featured works, including exhibitions and galleries presented by different artists or collectives. Foundation Labs operates with a focus on the digital art community, providing a space for creators to showcase their work to a global audience.

📋 Description

• Build and lead a managed care analytics function, establishing scalable processes, standards, and operating models • Develop financial models to support payer negotiations, renewals, and pricing strategies • Produce negotiation-ready insights including reimbursement analysis, revenue impact, and margin sensitivity • Translate payer strategy into data-driven decisions impacting contracts, service lines, and network strategy • Analyze value-based care performance, bundled payments, and total cost of care models • Partner cross-functionally to ensure data accuracy, governance, and actionable reporting • Deliver executive-level dashboards and reporting to guide enterprise decision-making • Support live negotiations with real-time modeling and financial scenarios • Identify underperformance, denial trends, and contract compliance risks • Drive improvements in payer strategy, reimbursement structures, and financial outcomes

🎯 Requirements

• Bachelor’s degree in business, economics, healthcare administration, or a related field • 10+ years of experience in healthcare or financial analytics, with managed care expertise • 5+ years of leadership experience building and managing analytics functions or teams • Deep knowledge of healthcare finance, payer/provider reimbursement models, and contract structures • Experience with managed care contracting, pricing strategy, and value-based care models • Strong analytical, problem-solving, and communication skills with executive presence • Expertise in contract interpretation, claims data, and healthcare coding methodologies • Proficiency with analytics tools and platforms (e.g., SQL, Power BI, Tableau, Epic, or similar) • Ability to influence cross-functional stakeholders and drive strategic initiatives.

🏖️ Benefits

• Comprehensive Benefits