Sr. Financial Analyst

Description

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

The Financial Analyst is responsible for compiling, analyzing, and interpreting financial and statistical data to support managed care decision-making, contract analysis, and strategic planning. This role works closely with finance leadership and department managers to assess reimbursement models, monitor payment accuracy, and support financial reporting.

Essential Functions

Develops and maintains profitability testing and reimbursement models for insurance plans and contracts.

Analyzes utilization and financial data for presentation to Medical Directors, Case Management, and department leadership.

Verifies the accuracy of managed care payments and identifies variances or underpayments.

Assists with the review and negotiation of managed care contract language and terms in collaboration with the CFO.

Supports comparative data analysis using regional and severity-adjusted benchmarks (e.g. PLM or other sources).

Provides data and recommendations to finance leadership for decision support and planning.

Prepares financial reports and reimbursement analyses for executive leadership and department heads.

Ensures financial data integrity and supports compliance with regulatory and contractual requirements.

Knowledge/Skills/Abilities/Expectations

Strong analytical and problem-solving skills with attention to detail.

Proficient in Microsoft Excel and financial modeling tools.

Working knowledge of healthcare reimbursement methodologies and contract terms.

Ability to work independently and communicate complex information clearly.

Familiarity with financial reporting systems and databases.

Capable of working in a fast-paced, high-pressure environment with minimal supervision

Qualifications

Education

Bachelor’s Degree in Business, Finance, Accounting, or a related field (Required)

Licenses/Certifications

Certified Public Accountant (CPA) or Certified in Healthcare Finance Mgmt. Accounting (HFMA) Upon Hire (Preferred) Or

Certified Management Accountant (CMA) Upon Hire (Preferred)

Experience

3+ years relevant experience in financial analysis, healthcare reimbursement, or cost accounting (Required) And

Prior Experience in managed care contracting or payer analytics (Preferred)