Job Description Summary

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How will you make an impact & Requirements

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Responsibilities

• Develop and execute regional financial strategies in close dyad partnership with Operational and Clinical leadership.
• Develop and present Regional Business reviews to Executive Leadership.
• Proactively identify trends and areas of opportunity within organic membership growth, clinical documentation, quality, and medical management. 
• Collaborate with Healthcare Economic partners to deep dive medical expense trend and opportunities impacting assigned regions.
• Work closely with Finance partners to monitor Work RVU productivity, patient throughput, and revenue trends.
• Analyze and optimize performance in Medicare Advantage and other risk-sharing arrangements.
• Monitor key financial and operational metrics such as medical loss ratio (MLR), per-member-per-month (PMPM) costs, Work RVU production, and staffing levels.
• Identify opportunities to improve cost efficiency while maintaining high-quality patient care.
• Collaborate with clinical leadership to align financial goals with patient outcomes and population health initiatives.
• Provide insights on patient panel risk stratification, physician productivity, and care model efficiency.
• Ensure adherence to financial and compliance requirements under CMS, Medicare Advantage, and other value-based contracts.
• Implement strong internal controls to safeguard financial integrity.
• Educate physicians and operational leaders on financial drivers in value-based care.
• Demonstrate excellent guest service to internal team members and patients.
• Perform other related duties as assigned.

Qualifications

• Bachelor’s degree in finance, Business Administration, or a related field (master’s preferred).
• 5+ years of financial experience in a value-based healthcare organization, preferably in primary care or population health.
• Strong knowledge of capitation, shared savings, and risk-adjustment methodologies.
• Experience with financial analytics, financial statements, and claims data.
• Proficiency in healthcare financial systems and value-based performance tools.
• Strong strategic thinking, problem-solving, presentation, and leadership abilities.
• Excellent communication skills to engage physicians, operational teams, and executive leaders.
• Ability to navigate complex relationships across the organization.
• Ability to positively impact key Performance Indicators such as Medical Loss Ratio (MLR) optimization, Total Cost of Care (TCOC) reduction, Provider financial performance in value-based contracts, PMPM revenue and expense management and Compliance with value-based contract terms.
• Ability to work independently in a fast-paced, cross-functional environment.