Sr Value Programs Financial Analyst

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health?

Exemption Status:
Exempt Hiring Range: $75,379.20 - $ (based on a full time schedule of 40 hours per week). Please note that the final offer will vary based on scheduled hours. Compensation for part-time or reduced schedules will be prorated based on scheduled weekly hours, experience, skills, qualifications, and internal equity considerations.

Schedule Details:
Monday through Friday Scheduled

Hours:

8

Shift: 1 - Day Shift, 8 Hours (United States of America)

Hours:

40 Cost Center: 99940 - 5822 Performance Reporting This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other.

And everyone, in their own unique way, plays an important part, every day.

Reporting to the Manager of Value Based Care Financial Performance, the Sr Value Based Programs Financial Analyst is a key subject matter expert responsible for advanced financial, utilization, and healthcare data analysis supporting value-based programs. The role analyzes claims, financial, clinical, and statistical data to evaluate total medical expense (TME), utilization trends, risk adjustment, cost drivers, and value-based contract performance while ensuring data accuracy.

The Sr Financial Analyst develops actionable insights, executive-ready reporting, financial projections, savings/loss analyses, and performance forecasts, and works with actuarial partners to develop, evaluate, and interpret savings/loss projections and financial forecasts supporting value-based programs. This position works closely with the Office of Clinical Integration (OCI) leadership, analytics, finance, and operational team to translate complex data into clear recommendations that improve value-based program financial performance.

• Leads the development and refinement of financial reports, executive summaries, and dashboards to track the performance of value-based programs.
• Reviews and enhances existing reports, procedures, and systems to optimize reporting processes and ensure accuracy.
• Prepares analytic reports to summarize total medical expenses (TME), utilization trends, risk adjustment data, value-based contract performance, and cost drivers to help identify areas for improvement.
• Track performance against financial targets, conduct variance analyses, and recommend actionable solutions.
• Develop financial projections, financial modeling, gain sharing calculations, and, under guidance, collaborate with actuarial partners on saving/loss projections, forecasting assumptions, and financial models supporting value-based programs.
• Perform ad hoc analyses, feasibility studies, and market evaluations for special projects, and strategies initiatives.
• Presents findings and analyses as needed for various ACO and UMMH committees.
• Works with Data Scientists and other team members to ensure accurate and timely financial/utilization reporting, leveraging clinical data from EMR systems, claims data, and other sources.
• Provides the data teams with the specifications for new metrics and reporting needs.
• Ensures all work is fully documented and project specifications are created following the analytics team standards, oversee documentations from junior analysts.
• Mentor junior analysts and provides guidance on analytical tools and techniques.

• License/Certification/
  
  Education:
  
  Required:
  
  Master’s degree with a major or concentration in Health Care Administration, Math, Data Science, Economics, Finance, or related field.
• Experience/
  
  Skills:
  
  Required:
  
  Minimum of 5 years of relevant work experience in healthcare finance, value-based care analytics, managed care analytics, or healthcare analytics. Excellent analytical and presentation skills. Familiarity with healthcare data systems, including EMR platforms (e.g. Epic/Clarity) and claims data A working knowledge of computer-aided data analysis, financial forecasting, and value-based program…