Financial Analytics Lead

Seeking a Financial Analytics Lead with deep healthcare analytics expertise to lead valuation, forecasting, methodology development, and analytical decision support. This role centers on financial model ownership for Medicare Advantage and Risk Adjustment programs and provides insights that inform strategic and operational decision-making.

The ideal candidate combines advanced SQL-based analytics with deep financial modeling capabilities, including the ability to independently develop, build, modify, validate, and analyze financial models used to project risk-score-driven revenue and evaluate program performance. The role requires translating evolving business requirements, methodologies, and data into scalable analytical models and using those models to inform critical business decisions.

This position is an individual contributor role with significant responsibility for leading cross-functional efforts, mentoring team members, reviewing analytical work, and driving alignment across stakeholders. The role requires influence without formal direct reports.

• Lead the development, enhancement, validation, and ongoing performance of forecasting and valuation models.

• Translate Medicare Advantage, Risk Adjustment, operational, and financial requirements into model logic and analytical methodologies.

• Independently write complex SQL to manipulate and analyze data.

• Build and enhance forecasting model assumptions and methodologies.

• Evaluate Medicare Advantage and Risk Adjustment program performance.

• Lead analytical initiatives across multiple stakeholders.

• Influence business decisions without formal authority.

• Lead complex analytical initiatives from problem definition through implementation.

• Define analytical approaches, methodologies, assumptions, and success measures in situations with limited guidance or evolving business requirements.

• Mentor team members, review analytical work products, and promote analytical best practices across the team.

• Drive alignment among stakeholders while balancing competing priorities and business objectives.

• Translate ambiguous business challenges into actionable analytical solutions.

• Own recurring valuation, performance measurement, and reporting processes, ensuring outputs are accurate, scalable, and well documented.

• Validate source data, assumptions, calculations, and reporting outputs to ensure analytical accuracy.

• Investigate unexpected trends and analyze root causes.

• Reconcile findings across multiple data sources and methodologies.

• Establish quality control procedures for recurring financial and operational reporting.

• Independently develop, build, modify, validate, and analyze financial models used to project risk-score-driven revenue, estimate program value, and support forecasting and business decision-making.

• Translate Medicare Advantage risk adjustment methodologies, operational assumptions, emerging business requirements, and source data into financial model logic and analytical frameworks.

• Understand model architecture and calculation logic sufficiently to diagnose unexpected results, trace outcomes to underlying assumptions and data, and determine appropriate methodological or technical changes.

• Evaluate and enhance model assumptions, segmentation, aggregation, projection methodologies, and analytical techniques to improve estimation accuracy and decision usefulness.

• Assess the financial implications of changes in risk score performance, operational results, assumptions, methodology, and other relevant business drivers.

• Partner with business leaders, program owners, and analytical teams to align on objectives, assumptions, methodologies, and recommended actions.

• Help leaders and stakeholders understand valuation assumptions, risks, limitations, methodology changes, and performance trends.

• Collaborate closely with Finance, Operations, and Analytics teams while maintaining analytical objectivity and rigor.

• Influence decisions through data, business judgment, trusted stakeholder relationships, and effective communication.

• Bachelor's degree in Finance, Economics, Statistics, Mathematics, Business Analytics, Computer Science, or a related field.

• 7+ years of progressive experience in healthcare…