Sr. Managed Care Financial Analyst

The Senior Managed Care Financial Analyst leads the financial oversight and performance reporting of delegated risk and value-based care arrangements for LaSalle Medical Associates and LaSalle Health Plan. Reporting to the Director of Healthcare Analytics, the Senior Managed Care Financial Analyst is accountable for the accuracy and timeliness of the full financial lifecycle of delegated risk arrangements, including capitation, medical cost, shared savings/losses, quality bonuses, risk pools, risk corridors, and stop-loss.

The Senior Managed Care Financial Analyst leads the financial oversight and performance reporting of delegated risk and value-based care arrangements for LaSalle Medical Associates and LaSalle Health Plan. Reporting to the Director of Healthcare Analytics, the Senior Managed Care Financial Analyst is accountable for the accuracy and timeliness of the full financial lifecycle of delegated risk arrangements, including capitation, medical cost, shared savings/losses, quality bonuses, risk pools, risk corridors, and stop-loss.

The Senior Managed Care Financial Analyst is responsible for ensuring alignment with delegated agreements, capitation arrangements, and regulatory, contractual, and organizational requirements. This position collaborates closely with other departments and senior leadership to optimize financial outcomes across capitation, shared savings, and fee-for-service models.

The Senior Managed Care Financial Analyst is essential to the successful operation of a Management Services Organization (“MSO”), serving as the financial steward of the organization’s delegated risk and value-based care arrangements. MSOs operate in complex reimbursement environments—capitation, shared savings, risk adjustment, and quality incentives—where even small inaccuracies in data, payments, or assumptions can have significant financial consequences. This role ensures the organization maintains financial stability, meets regulatory obligations, and operates effectively under these reimbursement models.

Minimum:
Bachelor’s degree in Healthcare Administration, Business Administration, Public Health, Finance, or related field.

Minimum: 5 years of progressive experience in healthcare finance, managed care analytics, or reimbursement within an MSO, Independent Physician Association (“IPA”), health plan, Accountable Care Organization (“ACO”), or large medical group. Hands‑on experience with capitation, medical expense analysis, risk adjustment (RAF/HCC), and value‑based payment structures. Experience working with claims, encounter data, capitation files, eligibility files, and payer reporting. Background in financial modeling, budgeting, forecasting, and variance analysis.

Preferred: 7+ years of managed care experience in delegated‑risk environments (Medicare Advantage, Medicaid managed care, and Commercial Health Maintenance Organization (“HMO”). Experience leading or mentoring analysts or finance teams. Advanced expertise in financial modeling, capitation structures, and medical cost performance management. Demonstrated success leading cross‑functional teams in MSO or risk‑bearing settings.

Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration for this position.

• Deep understanding of managed care financial models, including capitation, PMPM revenue, shared savings, risk sharing, IBNR, risk adjustment, medical utilization and medical loss ratio (MLR) dynamics.
• Working knowledge of healthcare claims and encounter data, eligibility files, risk score methodologies…