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Managed Care Financial Analytics Director jobs in United States
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City of Hope · 3 weeks ago

Managed Care Financial Analytics Director

positionUnited States
timeFull-time
remoteRemote
seniorityDirector/Executive
money$64.48/hr - $103.16/hr
date10+ years exp
City of Hope is a transformative organization dedicated to changing lives in the fight against cancer and other illnesses. The Managed Care Financial Analytics Director is responsible for leading analytics capabilities that support payer negotiations and reimbursement strategies, transforming complex data into actionable insights to influence revenue performance.
Non ProfitEducationHealthcareAssociationHealth Care
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Comp. & Benefits

Responsibilities

Build and lead a managed care analytics function, establishing scalable processes, standards, and operating models
Develop financial models to support payer negotiations, renewals, and pricing strategies
Produce negotiation-ready insights including reimbursement analysis, revenue impact, and margin sensitivity
Translate payer strategy into data-driven decisions impacting contracts, service lines, and network strategy
Analyze value-based care performance, bundled payments, and total cost of care models
Partner cross-functionally to ensure data accuracy, governance, and actionable reporting
Deliver executive-level dashboards and reporting to guide enterprise decision-making
Support live negotiations with real-time modeling and financial scenarios
Identify underperformance, denial trends, and contract compliance risks
Drive improvements in payer strategy, reimbursement structures, and financial outcomes

Qualification

Healthcare financePayer/provider reimbursement modelsManaged care contractingPricing strategyValue-based care modelsContract interpretationClaims data analysisHealthcare coding methodologiesSQLPower BITableauEpic

Required

Bachelor's degree in business, economics, healthcare administration, or a related field
10+ years of experience in healthcare or financial analytics, with managed care expertise
5+ years of leadership experience building and managing analytics functions or teams
Deep knowledge of healthcare finance, payer/provider reimbursement models, and contract structures
Experience with managed care contracting, pricing strategy, and value-based care models
Strong analytical, problem-solving, and communication skills with executive presence
Expertise in contract interpretation, claims data, and healthcare coding methodologies
Proficiency with analytics tools and platforms (e.g., SQL, Power BI, Tableau, Epic, or similar)
Ability to influence cross-functional stakeholders and drive strategic initiatives

Company

City of Hope

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City of Hope is a cancer research and treatment non-profit organization specializing in diabetes and other life-threatening illnesses.
dateFounded in 1913
location
Duarte, California, USA
people-size10001+ employees
web-link
http://www.cityofhope.org

Funding

Current Stage
Late Stage
Total Funding
$10.3M
Key Investors
California Institute for Regenerative Medicine
2024-05-20Grant· $5.4M
2022-02-22Grant· $4.9M

Leadership Team

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Nisha Morris
System Senior Vice President, Chief Marketing and Communications Officer
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Vanessa Almendro Navarro
SVP, Chief Commercialization Officer
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Recent News

BioSpace
City of Hope Shows Outreach to Bone Marrow Transplant Survivors and Their Primary Care Doctors Can Markedly Cut Skin Cancer Risk
2026-08-06
BioSpace
City of Hope Opens National Lung Cancer Clinical Trial Seeking to Predict Immunotherapy Success
2026-07-22
BioSpace
Omios Biologics Selected for the Paris Saclay Cancer Cluster BOOST Program, Accelerating Clinical Development of its Precision Oncolytic Virus Platform
2026-07-02
Company data provided by crunchbase