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Manager, Financial Modeling - Charles City, United States - COPE Health Solutions
Description
TheManager
is responsible for
developing financial models and leading analytics for client engagements, utilizing a combination of health system, payer and market data
.
This role will be working with a cross-functional team in a centralized firm role, supporting multiple accounts, and is responsible for working closely across firm and client leadership to meet the population health analytic needs of our clients
.
FLSA Status
Exempt
Salary Range
$125,000- $165,000
Reports To
Director
Direct Reports
Yes
Location
Remote with travel
Travel
Up to 50%
Work Type
Regular
Schedule
Full Time
Position Description
:
Generate quantitative analyses and financial models analyzing
available data and
the drivers of health care trends
, providing forecasts and detailed assumptions with relation to Medical Loss Ratio, Out-of-Network utilization, RAF scores, premium revenue and membership growth)
Build
or configure
financial models
, financial statements, budgets
and analytical reports
based on client and team specifications
Build, update and optimize financial, analytic, network
analytics
related tools as needed, making
enhancements
to
existing
product toolkits under the guidance of the VP of Operations
Deliver effective decision-making support by analyzing complex financial information, forecasting business, industry and economic conditions and presenting implications and
proposed
solutions to clients and company leadership
Build models that inform
future clinical, financial, and operational performance
, based on standard set of KPI
s
Manage
validation
and documentation processes
for team's work outputs
to ensure reliability of models,
reproducible
results and replication of the production process
Lead the implementation of
use cases and models to project and test
key client needs
with respect to population health and financial modeling
Collaborate with in-house analytics and financial modeling teams to inform further development of existing product tools and/or offerings
Manage client deliverable from scope development to output generation, with responsibility of informing the firm's leadership of issues affecting timeline and outputs
Qualifications
:
Bachelor's
degree
with a quantitative, healthcare, busin
ess or technical focus required, Graduate degree preferred
5
7
years of professional experience performing
financial modeling and/or
analytics at a health plan, consulting firm or
health
system
/provider group
in a client services capacity
Experience working with
m
edical and
p
harmaceutical claims, member eligibility and provider files
preferred
Awareness of population health analytics and health care data (e.g., CPT/HCPS, ICD9/ICD10, revenue codes, DRGs, risk scores), Medicare and Medicaid value-based care arrangements and dual-risk and capitation models
preferred
Proficiency in
SQL is a plus
A
bility to effectively manage and communicate with technical contributors and business colleagues
to translate business requirements to technical specifications
Understanding
of Medicare, Medicaid and/or Commercial health plan and payment
methodolog
ies
(e.g., APC, RVU, PPS)
Familiarity of data visualization and
b
usiness
i
ntelligence platforms (e.g., Tableau,
PowerBI
)
Knowledge of predictive modeling and ability to communicate its complexity to end users/clients
Ability to facilitate strategic discussions around areas of expertise with diverse stakeholders (executives, physicians and analysts) regarding data management, population health analytics and infrastructure
Flexibility to work late nights and weekends as needed
Ability to travel
consistent with firm policies and client preferences
Benefits:
As a firm passionate about health care, we're deeply committed to the health and wellness of our own team members.
We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities, and a paid parental leave program.
You can learn more about our benefits offerings here:.
What We Do:
COPE Health Solutions is a national mission-driven consulting firm that partners with health systems and payor clients.
We provide our clients with the tools, services and advice they need to thrive in the current complex and uncertain pluralistic payment environment and achieve visionary, organizationally relevant results.
Our firm has expertise in all aspects of population health, strategy, delivery system development, payment systems reform, workforce development and population health management support services, including peerless analytics and performance improvement.
We are driven by our passion to help transform health care delivery, align financial incentives to support population health management and build the workforce needed as health care moves to value-based care.
Our multidisciplinary team of health care experts provides our clients with the experience, capabilities, and tools needed to plan for, design, implement and support both the development and execution of strategy and developing solutions to some of the industry's most complex problems.
We partner with our clients through aligned mission and financial incentives to pursue performance excellence in a challenging and rapidly evolving health care environment.
To Apply:To apply for this position or for more information about COPE Health Solutions, visit us at
.
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