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$77k–$116k/yr
Full-time
bachelor degree, professional certificate
Posted 10d ago
~40 hrs/week
Remote in Fort Myers, Florida, United States
Responsibilities
The Sr. Financial Analyst manages incentive pool calculations, audit preparedness, and financial reporting for value-based care arrangements. They also collaborate with accounting and treasury departments to ensure accurate revenue tracking and payment integrity.
Requirements
Candidates must hold a bachelor's degree in finance or accounting and possess 2-3 years of experience in healthcare finance. Proficiency in financial analytics, claims data, and contract-driven financial management is required.
Full job description
Job Description Summary
The Sr. Financial Analyst serves as the key financial liaison with risk affiliated entities, ensuring accurate financial execution, compliance, and transparency. This role is responsible for overseeing Incentive Pool calculations, payment integrity, audit preparedness, and financial reporting related to Medicare Advantage, ACO, and value-based arrangements.
How will you make an impact & Requirements
Responsibilities
Track and validate all Incentive Pool calculations, including attributed revenue, medical expense, incentive payments, and initial startup costs.
Provide verification support for contractual audit rights and maintain line-item expense transparency for items in excess of reasonable thresholds.
Provide monthly reporting around Financial performance and operational metrics associated with Medicare Advantage and Medicare ACO contracts. Operational metrics include address rate, recapture rate, and admits per 1000 (admission, discharge, and keep metrics).
Ensure timely incentive payment calculations, annual reconciliations, and performance reporting as outlined contractually.
Document and manage offsetting of surpluses/deficits under Incentive Pool.
Support decision-making and documentation for renegotiation events.
Ensure accurate tracking of IBNR reserves, Payor Adjustments, and retroactive adjustments in accordance with contractual requirements.
Track and reconcile incentive payments tied to burden of illness. Collaborate with Accounting on monthly journal entries for incentive activity and coordinate with Treasury for timely payments.
Oversee receipt and accounting of risk-based and shared-savings revenue. Reconcile direct fee-for-service receipts, ensuring clear segregation between FFS and value-based revenue streams.
Manage responses to third-party payor and government audits. Provide detailed supporting schedules and reconciliations for any financial audits requested.
Manage invoicing, cash flow, and ongoing communication with for employee lease arrangements.
Continuously evaluate financial performance to identify early indicators of performance variance. Support senior leadership in evaluating performance.
Qualifications
Bachelor’s degree in finance, accounting, or a related field required; CPA preferred.
Minimum 2-3 years of progressive experience in healthcare finance, preferably within managed care, ACO, or health system settings.
Experience with financial analytics, financial statements, and claims data.
Demonstrated experience in contract-driven financial management and audit compliance.
Strong knowledge of capitation, shared savings, and risk-adjustment methodologies a plus.
Strong strategic thinking, problem-solving, and leadership abilities.
Ability to navigate complex relationships across the organization.
Ability to work independently in a fast-paced, cross-functional environment.
Compensation Range:
$77,417.00
to
$116,126.00
The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.
Trusted providers. Comprehensive care. | Primary & specialty healthcare across FL, TX, GA & NC.
Industry
Hospitals and Health Care
Company size
1,001-5,000 employees
Founded
2008
Headquarters
Fort Myers, Florida
LinkedIn followers
15,368
Founded in Port Charlotte, Florida, in 2008 and headquartered in Fort Myers, Millennium Physician Group (MPG) has grown into one of the nation’s largest comprehensive, physician-led medical groups, with more than 900 healthcare providers and 200+ locations across Florida, Texas, North Carolina, and Georgia.
Our care is built around primary care and complemented by a broad range of services, including specialty care, walk-in centers, radiology and lab services, physical therapy, telehealth, wellness programs, home health, hospital care, and more. By bringing more services and providers together, we make it easier for patients to access coordinated care throughout their healthcare journey.
As a nationally recognized leader in value-based care, MPG is committed to creating a connected, personalized healthcare experience centered on the needs of every patient.
Same Trusted Providers. More Care.
More trusted providers, more services, more locations, and more ways to support your health; all connected through one comprehensive healthcare network.
Millennium Physician Group, Your Connection to a Healthier Life.
Offices: 6321 Daniels Pkwy, Suite 200, Fort Myers, Florida 33919, US
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