Location: Remote (U.S.) | California Preferred
Schedule: Full-Time | Exempt
About Our Client:
Our client is a mission-driven healthcare organization dedicated to improving access to high-quality, affordable care for the communities they serve. As a leader in managed care, they partner with providers and community organizations to deliver innovative healthcare solutions while maintaining a strong commitment to collaboration, accountability, and continuous improvement.
They are seeking an experienced healthcare finance professional to join their Financial Analysis team and play a key role in supporting provider reimbursement strategies, contract negotiations, and financial decision-making.
Position Overview:
The Sr. Healthcare Provider Contracting Analyst will serve as a strategic financial partner to Provider Contracting and leadership by performing complex financial modeling, reimbursement analysis, and provider contract evaluations across Medicaid Managed Care and Medicare Advantage lines of business.
This is a true healthcare finance role—not a data analyst position. The ideal candidate has a strong finance or accounting foundation and experience performing provider reimbursement analysis, financial modeling, and contract analysis within a managed care or health plan environment. This individual must be able to step into the role with minimal training and immediately contribute by analyzing financial reports, supporting provider contract negotiations, and presenting financial recommendations to leadership.
Key Responsibilities:
Financial Analysis & Modeling:
- Develop complex financial models supporting provider reimbursement and contract negotiations
- Analyze provider contracts, reimbursement methodologies, and financial performance
- Evaluate fee-for-service, capitation, value-based payment models, and alternative reimbursement arrangements
- Interpret financial reports and provide actionable recommendations to leadership
- Perform reimbursement analysis using healthcare claims and financial data
Provider Contracting Support:
- Partner closely with Provider Contracting to evaluate proposed reimbursement structures
- Support provider contract negotiations through financial analysis and modeling
- Assess the financial impact of new contracts, amendments, renewals, and reimbursement changes
- Provide analytical support to internal stakeholders throughout the contracting process
Data Analysis & Reporting:
- Utilize advanced SQL and Excel to analyze healthcare claims and financial datasets
- Develop reports and dashboards that support financial and operational decision-making
- Present complex financial findings to business leaders in a clear and meaningful way
- Ensure data accuracy and integrity across financial analyses
Cross-Functional Collaboration:
- Collaborate with Finance, Provider Contracting, Provider Relations, and Client Services teams
- Translate financial data into strategic business recommendations
- Identify opportunities to improve financial performance and reimbursement strategies
Qualifications:
- Bachelor's degree in Finance, Accounting, Economics, Healthcare Administration, or a related field
- Five or more years of healthcare financial analysis experience within a managed care organization, health plan, payer, or provider reimbursement environment
- Experience supporting Medicaid Managed Care and/or Medicare Advantage programs
- Strong finance or accounting background with experience interpreting financial statements and reimbursement reports
- Demonstrated experience performing financial modeling, provider reimbursement analysis, and provider contract financial analysis
- Experience supporting provider contract negotiations through financial analysis
- Advanced SQL experience used to support financial analysis and reporting
- Advanced Microsoft Excel skills, including financial modeling, forecasting, and scenario analysis
- Strong presentation and communication skills with the ability to explain financial data to business leaders
- Ability to work independently and contribute immediately with minimal training
Compensation & Benefits:
- Base salary range of $120,970–$181,455, depending on experience
- Comprehensive benefits package
- Remote opportunity within the United States (California preferred)
- Opportunity to join a collaborative, mission-driven organization focused on improving healthcare access and affordability