Managed Care Financial Analytics Director

Job Description - Managed Care Financial Analytics Director (10035228) Job Description Managed Care Financial Analytics Director - ( 10035228 ) Description Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today. The Managed Care Financial Analytics Director leads the development of a dedicated analytics capability supporting payer negotiations, contract modeling, reimbursement strategy, payer performance management, and executive reporting across the enterprise. This is a highly strategic role responsible for transforming complex data into actionable insights that directly influence revenue performance, contract negotiations, and access to care. This leader partners closely across FP&A, IT/Data Governance, Revenue Cycle, Pharmacy, and Contract Administration to build scalable analytics solutions, guide value-based care strategy, and ensure City of Hope is reimbursed appropriately for its specialized care delivery. As a successful candidate, you will: Build and lead a managed care analytics function, establishing scalable processes, standards, and operating models Develop financial models to support payer negotiations, renewals, and pricing strategies Produce negotiation-ready insights including reimbursement analysis, revenue impact, and margin sensitivity Translate payer strategy into data-driven decisions impacting contracts, service lines, and network strategy Analyze value-based care performance, bundled payments, and total cost of care models Partner cross-functionally to ensure data accuracy, governance, and actionable reporting Deliver executive-level dashboards and reporting to guide enterprise decision-making Support live negotiations with real-time modeling and financial scenarios Identify underperformance, denial trends, and contract compliance risks Drive improvements in payer strategy, reimbursement structures, and financial outcomes Qualifications Your qualifications should include: Bachelor’s degree in business, economics, healthcare administration, or a related field 10+ years of experience in healthcare or financial analytics, with managed care expertise 5+ years of leadership experience building and managing analytics functions or teams Deep knowledge of healthcare finance, payer/provider reimbursement models, and contract structures Experience with managed care contracting, pricing strategy, and value-based care models Strong analytical, problem-solving, and communication skills with executive presence Expertise in contract interpretation, claims data, and healthcare coding methodologies Proficiency with analytics tools and platforms (e.g., SQL, Power BI, Tableau, Epic, or similar) Ability to influence cross-functional stakeholders and drive strategic initiatives City of Hope employees’ pay is based on the following criteria: work experience, qualifications, and work location. City of Hope is an equal opportunity employer. To learn more about our Comprehensive Benefits, please click here Primary Location : US-Nationwide-USA-Remote-US-Remote Job : Business Services Work Force Type : Remote Shift : Days Job Posting : Jun 16, 2026 Minimum Hourly Rate ($) : 64.477300 Maximum Hourly Rate ($) : 103.164000