Managed Care Financial Analytics Director

Foundation

Director of Managed Care Financial Analytics at City of Hope, leading analytics for payer negotiations and performance management. Transforming complex data into actionable insights for healthcare finance.

Posted 6/17/2026full-timeRemote • 🇺🇸 United StatesLead💰 $64 - $103 per hourWebsite

Tech Stack

Tools & technologies

SQLTableau

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

Comprehensive Benefits

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

financial modelingreimbursement analysisrevenue impact analysismargin sensitivity analysisvalue-based care performancebundled paymentstotal cost of care modelscontract interpretationclaims data analysishealthcare coding methodologies

Soft Skills

analytical skillsproblem-solving skillscommunication skillsexecutive presenceinfluencing skillscross-functional collaborationleadership skillsstrategic thinkingdata governanceactionable reporting