Job Description
Job Description Summary Role Summary The Manager, Strategic Finance will help lead CareMore’s financial and strategic objectives by leveraging medical claims and financial data to deepen understanding of patient populations, utilization patterns, and network performance. This role will partner closely with clinical, network, operations, and leadership teams to deliver data-driven insights and recommendations that improve performance, support value-based care initiatives, and lower the total cost of care across the organization. How will you make an impact & Requirements Key Responsibilities Analyze medical claims data to evaluate utilization patterns, cost drivers, quality performance, and population health trends across attributed member populations Assess provider and network performance, including variation in utilization, cost, and outcomes, to support network strategy and provider engagement efforts Support value-based care and risk-based arrangements by analyzing financial performance against benchmarks, targets, and capitation assumptions Perform financial analysis, which includes ROI assessments, cost-benefit analysis, and variance analysis to enhance strategic decision-making Develop financial models and reporting to support strategic initiatives, including network optimization, care management programs, and contract performance Partner with clinical, care management, network, and operations teams to identify, size, and track opportunities to improve performance and reduce avoidable utilization Translate complex analytical findings into clear, actionable insights for senior leadership and provider-facing teams Compensation: $119,313.00 to $178,968.00 Originally posted on Himalayas
