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Parkland Health · 8 hours ago

Program Manager Healthcare Financial Analytics- Health Plan

Dallas, TX

Full-time

Hybrid

Senior Level

5+ years exp

Parkland Health is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. The Program Manager, Healthcare Financial Analytics is responsible for leading the development and enhancement of cost and utilization reporting, providing actionable insights to support financial planning and decision-making.

CommunitiesHealth CareHospitalMedicalNon ProfitWellness

H1B Sponsor Likely

Responsibilities

Develop and maintain recurring cost and utilization reports to support finance and executive leadership

Analyze medical and pharmacy claims data to identify trends, cost drivers, and opportunities for cost containment

Collaborate with actuarial and FP&A teams to support forecasting, budgeting, and premium deficiency reserve analysis

Serve as a backup for FSR preparation, including data validation, encounter reconciliation, and compliance with HHSC requirements

Support the development of risk adjustment analytics for Medicaid lines of business

Assist in the development of dashboards and tools to monitor performance against financial and operational benchmarks

Participate in cost-of-care initiatives and support ad hoc analyses related to provider reimbursement, utilization patterns, and program evaluation

Integrate health literacy principles into all communication including Members and Providers

Support strategies that meet clinical, quality and network improvement goals

Promote the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed

Ensure work is carried out in compliance with regulatory and/or accreditation standards as well as contractual requirements

Ensure data integrity and alignment between internal systems, data warehouse, and regulatory submissions

Stay current on regulatory changes, risk adjustment methodologies, and industry best practices

Promotes and supports a culturally welcoming and inclusive work environment

Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values

Adheres to organizational policies, procedures, and guidelines

Completes assigned training, self-appraisal, and annual health requirements timely

Adheres to hybrid work schedule requirements

Attends required meetings and town halls

Recognizes and communicates ethical and legal concerns through the established channels of communication

Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information

Maintains confidentiality at all times

Performs other work as requested that is reasonably related to the employee’s position, qualifications, and competencies

Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of PCHP

Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices

Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and customer requirements. Seeks advice and guidance as needed to ensure proper understanding

Qualification

Healthcare analyticsActuarial analysisFinancial planningSQLExcelData visualization toolsRisk adjustment methodologiesCommunication skillsOrganizational skillsProject management skills

Required

Bachelor's degree in Finance, Actuarial Science, Economics, Public Health, or a related field

Minimum five (5) years of experience in healthcare analytics, actuarial analysis, or financial planning within a managed care or health plan environment

Experience with cost and utilization reporting, claims data analysis, and risk adjustment methodologies required

Strong analytical and quantitative skills with the ability to interpret complex healthcare data

Proficiency in SQL, Excel, and data visualization tools (e.g., Power BI, Tableau)

Working knowledge of risk adjustment models (e.g., CDPS, HHS-HCC) and their financial impact

Ability to communicate technical findings to non-technical stakeholders

Detail-oriented with strong organizational and project management skills

Ability to work independently and collaboratively across departments

Preferred

Master's degree or professional certification (e.g., ASA, CPA, MHA)

Familiarity with Medicaid and ACA programs and regulatory reporting (e.g., FSR) strongly preferred

Company

Parkland Health

Parkland Health first opened its doors in 1894 and is now one of the largest public hospital systems in the country.

Founded in 1894

Dallas, Texas, USA

10001+ employees

https://www.parklandhealth.org

H1B Sponsorship

Parkland Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (2)

2024 (2)

2022 (2)