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CareMore Health · 21 hours ago

Finance Consultant

Cerritos, CA

Full-time

Onsite

Entry, Mid Level

$90K/yr - $134K/yr

2+ years exp

CareMore Health is a healthcare organization focused on improving patient care and outcomes. The Finance Consultant, Strategic Finance will leverage medical claims and financial data to provide insights that enhance performance and support value-based care initiatives.

Health CareMedicalPersonal HealthService Industry

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 reports 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

Qualification

Healthcare analyticsFinancial analysisMedical claims dataExcel proficiencySQL understandingData visualization toolsHighly organizedSelf-directedCommunication skills

Required

Bachelor's degree in Finance, Economics, Healthcare Administration, Analytics, Statistics, or a related field

2–4 years of experience in healthcare analytics, financial analysis, consulting, or a related role, preferably in an IPA, health plan, MSO, or provider organization

2+ years of experience processing information and distilling it down to concrete business recommendations with supporting rationale

Strong experience working with medical claims data and understanding drivers of utilization, cost, and quality in value-based care models

Advanced proficiency in Excel; general understanding of SQL required

Solid understanding of risk-based contracting, capitation, and total cost of care concepts

Ability to synthesize complex data into strategic insights and practical recommendations

Strong communication skills and comfort presenting to cross-functional stakeholders, including clinical and provider audiences

Highly organized, self-directed, and able to manage multiple priorities in a fast-paced, collaborative environment