Finance Program Manager

Primary Function/General Purpose Of Position
The Finance Program Manager serves as a key financial, analytical, and technical resource supporting enterprise-wide financial planning, forecasting, analytics, and value-based performance management. This role manages and coordinates complex budgeting processes; leads financial system enhancements; performs advanced financial, operational, and claims-based analytics; and delivers data-driven insights that support strategic, operational, and value-based care decision-making.

The Finance Program Manager collaborates with corporate finance, local markets, population health entities, IT/analytics teams, physicians, and senior leadership. The position independently leads long-term projects, manages financial planning applications, and communicates effectively across all levels of the organization—particularly with leaders responsible for operating budgets and value-based contract performance.
Essential Job Functions

• Lead and optimize system-wide annual budget processes and quarterly reforecasts across markets, ministries, and entities.
• Provide monthly close support, accounting coordination, income statements, balance sheets, and long-term financial projections.
• Serve as expert and project lead for budgeting, forecasting, and financial planning.
• Implement financial system enhancements, optimize workflows, and standardize tools, methodologies, dashboards, and analytics processes.
• Analyze claims, eligibility, attribution, CMS/payer files, and contract datasets to identify trends, risk drivers, financial opportunities, and performance gaps.
• Develop and maintain executive dashboards and KPI reporting for leadership and governance.
• Support value-based contract modeling (MSSP, MA, shared savings, bundled payments) in partnership with Managed Care, Actuarial, Finance, and IT.
• Provide financial, utilization, and quality analytics to support improvement initiatives, vendor reviews, and strategic decisions.
• Conduct data validation, reconciliations, controls reviews, and audit preparation; collaborate with Internal Audit and external partners.
• Ensure adherence to HIPAA, PHI, and organizational data governance standards.
• Translate actuarial, contractual, and management guidance into actionable financial insights and strategic recommendations.
• Partner with Shared Services, Market Finance, data teams, and leadership to align financial reporting, performance management processes, and compliance requirements.
• Maintain strong customer-service relationships with CFOs, finance teams, and clinicians.
• Prepare and deliver high-quality presentations for senior leadership, boards, committees, and external stakeholders.
• Provide ad hoc analysis and proactive financial insights to support enterprise strategy and operational goals.

• CPA (Certified Public Accountant) (preferred)
• CBAP (Certified Business Analysis Professional – IIBA) (preferred)

• Bachelor’s degree in Accounting, Finance, Health Informatics, Data Analytics, or related field (required)
• Master’s degree in Business Administration, Finance, Health Informatics, or related discipline (preferred)

• 5 years’ experience in healthcare finance, accounting, actuarial/insurance analytics, value-based care analytics, or related fields (required)
• Experience working with healthcare claims, eligibility, and financial datasets (required)
• Proficiency in SQL, Tableau (or other BI tools), Excel, and relational databases (required)
• Experience with Medicare Advantage, MSSP, ACOs, CINs, risk-based payment models, or provider/payer financial reconciliation workflows (preferred)
• Experience with financial planning software

• Healthcare finance and accounting
• SQL querying, data extraction, and relational database navigation
• Claims, eligibility, attribution, and contract data analysis
• Tableau or equivalent data visualization tools
• Financial modeling, forecasting, and scenario planning
• KPI development, monitoring, and benchmarking
• Audit preparation, data validation, and quality assurance
• Healthcare performance metric analysis (cost, utilization, quality)
• Advanced Excel (pivot tables, lookups, formulas)
• HIPAA compliance and data governance standards
• Critical thinking, analytical reasoning, and problem solving
• Clear and concise communication, including translating data into actionable insights
• Strong attention to detail and accuracy
• Effective time management and ability to meet deadlines
• Collaboration and stakeholder engagement across complex teams
• Adaptability to evolving priorities and requirements
• Initiative, self-direction, and strong sense of accountability