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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.

Responsibilities And Duties:

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

Minimum Qualifications:

Bachelor's Degree (Required), Master's Degree

Additional Job Description:

SPECIALIZED KNOWLEDGE

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).

Familiarity with shared savings contracts and value-based care models.

Proficiency in financial modeling tools (e.g., Excel, SQL).

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

Managed Care

Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment