Sr. Financial Analyst, Health Plan Finance (Hybrid)

Pay Range: $96,000 - $120,000 / year

Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.

Benefits Information:

We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives. Our pay and benefit plans have been designed to promote employee health in all respects – physical, financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include:

· Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours

· Best-in-class well-being programs

· Annual, no-cost health assessment program Blueprint for Wellness®

· healthyMINDS mental health program

· Vacation and Health/Flex Time

· 6 Holidays plus 1 "MyDay" off

· FinFit financial coaching and services

· 401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service

· Employee stock purchase plan

· Life and disability insurance, plus buy-up option

· Flexible Spending Accounts

· Annual incentive plans

· Matching gifts program

· Education assistance through MyQuest for Education

· Career advancement opportunities

· and so much more!

The Sr. Financial Analyst supports the financial and operational evaluation of prospective Health Plan contracts, providing consultation and recommendations to insure growth and profitability of third-party payors. Towards this goal, works closely with Health Plan Sales, Regional Finance and Health Plans Finance Contract Support Manager.  Partners with representatives of the Health Plan sales organization in response to contract proposals for regional and national contracts.  This position typically becomes available upon internal rotation or promotion. 

• Performs all financial analyses required for prospective third-party contracts including the compilation of fee schedules, revenue projections, synergy analyses and “what-if” scenarios
• Ownership of full Profit & Loss statements along with related financial measures.  Understanding of the drivers and inputs to each financial line item and/or financial measure
• Calculates specific CAP PMPM rates and develops CPT based fee schedules for key regional and national contracts
• Develops utilization and membership corridors and integrates such corridors into contracts where applicable to protect the Company from downstream risk with capitated arrangements
• Supports the development of standard premium priced tests, capitation carve-outs and overall pricing guidelines
• Works closely with the Clinical Franchise department to ensure that pricing guidelines for high value and new test campaigns are considered in prospective contracts
• Serves as a content expert to regional leadership regarding third party contracts and pricing strategies
• Interfaces directly with regional leadership regarding the price, volume, and cost implications associated with new and existing third-party contracts
• Develops methods to streamline the pricing review and authorization process for third-party contracts
• Responsible for the completion of financial elements, and overall review of negotiation approval documents
• Interacts with Legal department during contract review and approval
• Performs specific test campaign analyses to determine the prospective revenue and volume impact for key test initiatives
• Partners with Billing function to review, disseminate, and recommend enhancements to third-party data used to build financial models
• Supports the annual budget process providing details and insights on known and potential contract changes in the coming year
• Ad-hoc projects as needed

• Bachelor’s degree
• A minimum of three years relevant financial analysis / financial modeling experience
• Strong understanding of the healthcare industry and health plans specifically (product types, trends, etc.)
• Strong financial and analytical skills
• Innovative thinker comfortable with ambiguity to complete tasks
• Ability to work effectively cross-functionally in a matrix environment and build/maintain relationships
• Excellent verbal and written communication skills
• Ability to work effectively both independently and within a team
• Strong PC skills (Excel, Access, PowerPoint, Word)
  • Proficiency in Excel is non-negotiable (VLookups, Sumifs, Iferror, etc)
• Other PC skills preferred (Power BI, SQL, Python)