Job Summary This position plays a key role in driving financial performance, revenue optimization, and operational efficiency. It is responsible for developing data-driven financial models, analyzing key business metrics, and supporting decision-making to enhance profitability, cost containment, operational efficiency and streamline business operations. The role critically evaluates information gathered from multiple sources, reconciles conflicts, decomposes high-level information into details, abstracts from low-level information to a general understanding, and distinguishes user requests from the underlying true needs. It will improve revenue cycle management, optimize cost structures, support the development, implementation and monitoring of operational Key-Performance-Indicators (KPIs), support medical director and clinical liaison initiatives by providing actionable insights that directly impact the organization’s financial and operational success in a timely manner. Essential Functions Business Intelligence and Reporting: Design and implement automated operational KPIs, operational and financial dashboards using Business Intelligence tools to enable real-time decision-making for leadership, including standardization of reports, frequency and data quality validation to assure accuracy. Physician and Provider Financial Support: Provide insights on provider medical cost trends and opportunities, financial reconciliation trends, outcomes and recommendations, PCP compensation results, forecast and corrective-action-plans, flash reports, productivity and operational analysis, and modeling to improve physician compliance, performance, engagement and retention. Cross-Functional Collaboration: Work closely with finance, operations, IT, and clinical teams to align data insights with business strategy and ensure effective implementation of recommendations, acting as liaison between business operations, segments, PCP offices and health plans. Strategic Initiative Support: Lead and support business transformation projects, ensuring that data-driven recommendations translate into measurable financial and operational improvements and results on a timely manner, participating in special programs or large projects of the corporation with many deadlines. Advanced Financial Modeling and Forecasting: Develop predictive models and scenario analyses to support financial planning and performance at PCP and AMP (Alianza) level, budget management, and strategic decision-making. Financial and Operational Data Analysis: Conduct deep-dive analysis on revenue cycle performance, claims processing, cost structures, and reimbursement trends to identify opportunities for financial optimization in PCP practice management and administration. Technology and Process Automation: Develop, implement or assist in the adoption of AI-driven or optimized financial models, automation tools and process improvements to enhance operational efficiency and PCP practice management. Ensure compliance of regulatory or business reports of the AMP. Oral and written presentations on analysis data, business intelligence tools, dashboards, reports and initiatives to internal or external audiences including health plans. Education Bachelor's Degree in Business Administration or Finance Experience Bachelor’s degree in Business Administration, Finance, Public Health, Economics, Data Analytics, Statistics, Biostatistics, Demography, Epidemiology, Health Program evaluation or Computer Science preferable, or a related field, with 3+ years of experience in financial analysis, healthcare data analytics or revenue cycle management, preferably in a healthcare setting. Relevant certifications (e.g., CHFP, FHFMA, CPA, or Data Science certifications) are preferred. Licenses and Certifications CPA – Certified Public Accountant (preferable) Competencies Action Oriented Collaborates Customer Delight Instills Trust Manages Ambiguity It is company policy to seek qualified applicants for positions throughout the company without distinction of race, color, national origin, religion, sex, gender identity, real or perceived sexual orientation, civil status, social condition, political ideologies, age, physical or mental disability, veteran status or any other characteristic protected by law. Drug-free company. Equality Employment Opportunity/Affirmative Action for People with Disabilities/Veterans. Employer with E-Verify to verify the eligibility of employment of all new employees. We encourage Veterans and Disabled to Apply. #J-18808-Ljbffr