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Charles City

    Manager, Financial Modeling - Charles City, United States - COPE Health Solutions

    COPE Health Solutions
    COPE Health Solutions Charles City, United States

    1 week ago

    Default job background
    Description
    The

    Manager

    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

    .

    #J-18808-Ljbffr

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