Finance Operations Senior Manager (Value-Based)
Core
Finance leader responsible for provider risk and reinsurance arrangements, including contracting, accounting, settlement, forecasting, and reporting to support value-based care objectives.
Role type
Senior Manager, Finance Operations (Health Insurance)
Builds
Provider risk sharing and reinsurance processes and reporting for healthcare members.
Domain
Health Insurance / Value-Based Care
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
healthcare services experience, health insurance experience, value-based care contracts, finance and accounting, analytics, stakeholder partnering, policy and procedure design, audit and regulatory compliance, contract negotiation, reconciliation, cash stewardship
Preferred skills
Medicare Advantage experience, intercompany risk provider agreements
Technologies
analytical tools
Responsibilities
Partner with stakeholders to ensure policies, controls, and reporting for provider risk and reinsurance; own monthly financial closing including settlement, invoicing, and forecasting; facilitate information exchange for third-party provider reporting; influence strategy on risk agreements; execute end-to-end contracting, monitoring, and dispute resolution; ensure effective control activities for accurate accounting and compliance; lead continuous improvement of processes and technology; support provider relationship building; satisfy audit and regulatory inquiries.
Seniority
Senior, hands-on IC