Finance Consultant

Finance Consultant, Strategic Finance

The Finance Consultant, Strategic Finance will support CareMore's financial and strategic objectives by leveraging medical claims and financial data to deepen understanding of patient populations, utilization patterns, and network performance. This role will partner closely with clinical, network, operations, and leadership teams to deliver data-driven insights and recommendations that improve performance, support value-based care initiatives, and lower the total cost of care across CareMore.

Key Responsibilities

• Analyze medical claims data to evaluate utilization patterns, cost drivers, quality performance, and population health trends across attributed member populations
• Assess provider and network performance, including variation in utilization, cost, and outcomes, to support network strategy and provider engagement efforts
• Support value-based care and risk-based arrangements by analyzing financial performance against benchmarks, targets, and capitation assumptions
• Perform financial analysis, which includes ROI assessments, cost-benefit analysis, and variance analysis to enhance strategic decision-making
• Develop financial models and reports to support strategic initiatives, including network optimization, care management programs, and contract performance
• Partner with clinical, care management, network, and operations teams to identify, size, and track opportunities to improve performance and reduce avoidable utilization
• Translate complex analytical findings into clear, actionable insights for senior leadership and provider-facing teams

Qualifications

• Bachelor's degree in Finance, Economics, Healthcare Administration, Analytics, Statistics, or a related field
• 24 years of experience in healthcare analytics, financial analysis, consulting, or a related role, preferably in an IPA, health plan, MSO, or provider organization
• 2+ years of experience processing information and distilling it down to concrete business recommendations with supporting rationale
• Strong experience working with medical claims data and understanding drivers of utilization, cost, and quality in value-based care models
• Advanced proficiency in Excel; general understanding of SQL required; experience with data visualization tools (e.g., Tableau, Power BI) preferred
• Solid understanding of risk-based contracting, capitation, and total cost of care concepts
• Ability to synthesize complex data into strategic insights and practical recommendations
• Strong communication skills and comfort presenting to cross-functional stakeholders, including clinical and provider audiences
• Highly organized, self-directed, and able to manage multiple priorities in a fast-paced, collaborative environment

Compensation: $89,641.00 to $134,462.00