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Financial Specialist Remote
Aledade, Inc. | Bethesda | www.jobvertise.com |
The Financial Specialist will support success across Aledades Medicare Advantage value-based contracts. Under the direction of the Manager of Medicare Advantage Financial Performance, the Financial Specialist will analyze financial performance in Aledades Medicare Advantage value-based contracts by performing complex quantitative analysis on health care cost, utilization and risk adjustment data.
In addition this analyst will perform analysis and modeling to support negotiations with payer partners and strategize on ACO performance improvements for field teams.
Primary Duties:
• Develop modeling for financial projections for MA VBC ACOs. Manipulate and navigate reports through SQL to extract complex healthcare information (e.g., drug costs, provider names, pharmacy, etc.). Develop financial models to calculate patient costs for various medical things related to the aforementioned healthcare data above.
• Develop and maintain MA financial reporting tools. This includes syncing data from inputs to ensure data integrity. These MA financial modeling tools are crucial for market leadership and other members of the team to understand trends in our data. The majority of this time will be translating data into Google Sheets, refreshing/updating transition data to Tableau and monitoring data integrity with complex information
• Support performance and field teams on ACO performance and strategize on improvement opportunities. Strategize means coming up with recommendations on practices, areas of improvement and other areas related to Aledades performance based on independent research that is vetted by their manager - they should be able to synthesize, understand, recommend and have it reviewed. This work also includes evaluating pilots and other performance opportunities.
• Support payer partnership negotiations by modeling performance and creating recommendations for financial terms. This looks like assisting the SPP department on MA analytical modeling - this includes analyzing contracts, being the primary contact for modeling when they need a recommendation for contract negotiations or status.
Minimum Qualifications:
• Excellent quantitative analysis skills with 5 years experience in healthcare analytics (payer / provider / vendor)
• 4 years of Intermediate data manipulation skills (SQL/SAS/R)
• 4 years of advanced spreadsheet skills (Excel / Google sheets)
Preferred Qualifications:
• 3-5 experience in Medicare Advantage economics (bidding, P&L management, policy)
• Ability to create and translate complex analysis to executive presentations for senior leadership
• Experience with value based care
• Actuarial skills (pricing / forecasting)
Physical Requirements:
• Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
Who We Are:
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape
• independent primary care.
We were founded in 2014, and since then, we've become the largest network of independent primary care in the country
• helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.
Additionally, by creating value-based contracts across a wide variety of payers, we aim to flip the script on the traditional fee-for-service model.
Our work strengthens continuity of care, aligns incentives, and ensures primary care physicians are paid for what they do best
• keeping patients healthy.
If you want to help create a health care system that is good for patients, good for practices and good for society
• and if you're eager to join a collaborative, inclusive and remote-first culture
• you've come to the right place.
What Does This Mean for You?
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents, and domestic partners Robust time off plan 21 days of PTO in your first year 2 Paid Volunteer Days & 11 paid holidays
12 weeks paid Parental Leave for all new parents
6 weeks paid sabbatical after 6 years of service
Educational Assistant Program & Clinical Employee Reimbursement Program
401(K) with up to 4% match
Stock options
And much more!
At Aledade, we dont just accept differences, we celebrate them! We strive to attract, develop, and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer.
Employment policies and decisions at Aledade are based on merit, qualifications, performance, and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants
In addition this analyst will perform analysis and modeling to support negotiations with payer partners and strategize on ACO performance improvements for field teams.
Primary Duties:
• Develop modeling for financial projections for MA VBC ACOs. Manipulate and navigate reports through SQL to extract complex healthcare information (e.g., drug costs, provider names, pharmacy, etc.). Develop financial models to calculate patient costs for various medical things related to the aforementioned healthcare data above.
• Develop and maintain MA financial reporting tools. This includes syncing data from inputs to ensure data integrity. These MA financial modeling tools are crucial for market leadership and other members of the team to understand trends in our data. The majority of this time will be translating data into Google Sheets, refreshing/updating transition data to Tableau and monitoring data integrity with complex information
• Support performance and field teams on ACO performance and strategize on improvement opportunities. Strategize means coming up with recommendations on practices, areas of improvement and other areas related to Aledades performance based on independent research that is vetted by their manager - they should be able to synthesize, understand, recommend and have it reviewed. This work also includes evaluating pilots and other performance opportunities.
• Support payer partnership negotiations by modeling performance and creating recommendations for financial terms. This looks like assisting the SPP department on MA analytical modeling - this includes analyzing contracts, being the primary contact for modeling when they need a recommendation for contract negotiations or status.
Minimum Qualifications:
• Excellent quantitative analysis skills with 5 years experience in healthcare analytics (payer / provider / vendor)
• 4 years of Intermediate data manipulation skills (SQL/SAS/R)
• 4 years of advanced spreadsheet skills (Excel / Google sheets)
Preferred Qualifications:
• 3-5 experience in Medicare Advantage economics (bidding, P&L management, policy)
• Ability to create and translate complex analysis to executive presentations for senior leadership
• Experience with value based care
• Actuarial skills (pricing / forecasting)
Physical Requirements:
• Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
Who We Are:
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape
• independent primary care.
We were founded in 2014, and since then, we've become the largest network of independent primary care in the country
• helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.
Additionally, by creating value-based contracts across a wide variety of payers, we aim to flip the script on the traditional fee-for-service model.
Our work strengthens continuity of care, aligns incentives, and ensures primary care physicians are paid for what they do best
• keeping patients healthy.
If you want to help create a health care system that is good for patients, good for practices and good for society
• and if you're eager to join a collaborative, inclusive and remote-first culture
• you've come to the right place.
What Does This Mean for You?
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents, and domestic partners Robust time off plan 21 days of PTO in your first year 2 Paid Volunteer Days & 11 paid holidays
12 weeks paid Parental Leave for all new parents
6 weeks paid sabbatical after 6 years of service
Educational Assistant Program & Clinical Employee Reimbursement Program
401(K) with up to 4% match
Stock options
And much more!
At Aledade, we dont just accept differences, we celebrate them! We strive to attract, develop, and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer.
Employment policies and decisions at Aledade are based on merit, qualifications, performance, and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants
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