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Managed Care Financial Analyst Jobs (NOW HIRING)

The Director will be responsible for overseeing administration, review, and financial analyses of managed care contracts for the healthcare system, performing financial reporting and financial ...

Director, Managed Care

Fremont, CA · On-site

$196K - $294K/yr

The Director will be responsible for overseeing administration, review, and financial analyses of managed care contracts for the healthcare system, performing financial reporting and financial ...

... management services in Emergency Medicine, Hospital Medicine, Anesthesia, and Revenue Cycle ... This role requires strong analytical skills, healthcare financial knowledge, and the ability to ...

$64K - $88K/yr

Newport News, VA (local candidates) Overview The Regional Financial Analyst serves as the Finance ... Certified Healthcare Financial Professional (CHFP) - Healthcare Financial Management Association ...

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Managed Care Financial Analyst information

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$38.5K

$88.1K

$118K

How much do managed care financial analyst jobs pay per year?

As of Jul 31, 2026, the average yearly pay for managed care financial analyst in the United States is $88,111.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,000.00 and $110,500.00 per year, depending on experience, location, and employer.

What are some common challenges Managed Care Financial Analysts face when working with large datasets from multiple healthcare providers?

Managed Care Financial Analysts often work with data from various healthcare providers, which can present challenges such as inconsistencies in data formats, incomplete information, and the need for data normalization. Analysts must meticulously validate and reconcile data to ensure accuracy in financial modeling and contract analysis. Effective communication with IT and provider teams is essential to resolve discrepancies and maintain data integrity, helping support sound financial decision-making and streamlined reporting.

What is the difference between Managed Care Financial Analyst vs Healthcare Data Analyst?

AspectManaged Care Financial AnalystHealthcare Data Analyst
CredentialsBachelor's in Finance, Economics, or Healthcare Administration; often certifications like CPC or FACHEBachelor's in Data Science, Statistics, or Healthcare Informatics; certifications like CAP or CPC
Work EnvironmentHealthcare insurance companies, managed care organizations, healthcare providersHospitals, clinics, healthcare IT firms, insurance companies
Employer & Industry UsagePrimarily in managed care and insurance sectorsAcross healthcare providers and analytics firms
Comparison Search IntentUnderstanding financial analysis in managed careAnalyzing healthcare data for insights

The Managed Care Financial Analyst focuses on financial modeling, budgeting, and cost analysis within managed care organizations, while the Healthcare Data Analyst emphasizes data collection, analysis, and reporting to improve healthcare outcomes. Both roles require analytical skills and healthcare knowledge but differ in their primary focus—financial versus data insights.

What does a Financial Analyst do in healthcare?

A Managed Care Financial Analyst in healthcare evaluates financial data related to insurance plans, provider reimbursements, and healthcare costs to support budgeting, forecasting, and financial decision-making. They analyze claims data, monitor financial performance, and use tools like Excel and financial modeling to ensure cost efficiency and compliance within healthcare organizations.

What are the key skills and qualifications needed to thrive as a Managed Care Financial Analyst, and why are they important?

To thrive as a Managed Care Financial Analyst, you need strong analytical abilities, a solid understanding of healthcare reimbursement models, and a degree in finance, accounting, or a related field. Proficiency with data analysis tools such as Excel, SQL, and financial modeling software, as well as familiarity with healthcare claims systems, is typically required. Outstanding attention to detail, problem-solving skills, and effective communication are crucial soft skills for interpreting complex data and collaborating with stakeholders. These skills are vital for driving accurate financial analysis, supporting contract negotiations, and ensuring the financial sustainability of healthcare organizations.

What does a Managed Care Financial Analyst do?

A Managed Care Financial Analyst evaluates and manages the financial aspects of managed care contracts within healthcare organizations. They analyze cost structures, reimbursement rates, and utilization data to help ensure contracts are financially viable and align with organizational goals. Their work supports decision-making on contract negotiations, forecasting, and financial reporting related to managed care agreements. Analysts also identify trends and areas for cost savings, ensuring the organization remains competitive and compliant with industry regulations.

Is AI replacing financial analysts?

AI is transforming the role of Managed Care Financial Analysts by automating routine data analysis and reporting tasks, allowing analysts to focus on strategic decision-making. While AI tools can enhance efficiency, human expertise remains essential for interpreting complex healthcare financial data and ensuring accurate financial planning. The role continues to evolve with technology, emphasizing skills in data analysis, healthcare finance, and proficiency with AI-enabled tools.

Is a Financial Analyst a high paying job?

Financial Analysts, including those in managed care, typically earn competitive salaries that vary by experience, location, and industry. Entry-level positions may have moderate pay, while experienced analysts with certifications like CFA can earn higher salaries, making it a financially rewarding career for many professionals.

Is FP&A an entry level job?

Financial Planning and Analysis (FP&A) roles can be entry-level or require several years of experience, depending on the company and specific position. Entry-level FP&A jobs typically require a bachelor's degree in finance, accounting, or a related field, along with strong analytical skills and proficiency in Excel and financial modeling. For a Managed Care Financial Analyst, relevant experience or certifications may be needed for higher-level roles, but entry-level positions are often available for recent graduates.
More about Managed Care Financial Analyst jobs
Infographic showing various Managed Care Financial Analyst job openings in the United States as of July 2026, with employment types broken down into 6% Locum Tenens, 83% Full Time, 6% Part Time, 1% Temporary, and 4% Contract. Highlights an 83% Physical, 7% Hybrid, and 10% Remote job distribution, with an average salary of $88,111 per year, or $42.4 per hour.

Financial Analyst, Managed Care

Independent Living Systems

Miami, FL • On-site

Full-time

Re-posted 12 days ago


Independent Living Systems rating

6.5

Company rating: 6.5 out of 10

Based on 9 frontline employees who took The Breakroom Quiz


Job description

We are seeking a Financial Analyst, Managed Care to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role:

The Financial Analyst, Managed Care is primarily responsible for the accurate preparation, analysis, and administration of monthly capitation payments to provider partners. In addition to capitation-focused responsibilities, the role may also support traditional financial analyst functions such as financial analysis, reporting, reconciliations, and variance analysis to support broader finance and operational initiatives. This role works closely with cross-functional teams to ensure payments are timely, contractually accurate, and supported by underlying enrollment and encounter activity. The Financial Analyst, Managed Care also monitors payment trends, identifies anomalies or variances, and conducts detailed investigations to resolve issues and mitigate financial risk.

Minimum Qualifications:

  • Bachelor’s degree in Finance, Accounting, Economics, Healthcare Administration, or a related field.
  • 2 years of experience in financial analysis, preferably within the healthcare or managed care industry.
  • Strong analytical skills with the ability to identify trends, outliers, and data inconsistencies.
  • Excellent attention to detail and ability to work with large, complex data sets Advanced proficiency in Excel (pivot tables, lookups, formulas); experience with databases or reporting tools preferred.
  • Strong communication skills and ability to partner effectively with cross‑functional teams.
  • Relevant experience may substitute for educational requirement on a year-for-year basis.

Preferred Qualifications:

  • Experience working with Medicaid, Medicare Advantage, or other managed care programs.
  • SQL, Power BI, Tableau, or other analytics tool experience a plus.
  • Solid understanding of capitation models, provider contracts, and healthcare payment structures.
  • Familiarity with eligibility files, encounter data, and payment reconciliation.
  • Experience supporting audits or regulatory reporting.

Responsibilities:

  • Demonstrate commitment to Our Mission and models ILS Experience Standards of Excellence.
  • Prepare, validate, and process monthly capitation payments, reconciling calculations to enrollment, eligibility, and encounter data in accordance with contractual deadlines.
  • Partner with finance and operational teams to resolve payment inquiries, discrepancies, and communicate payment methodology or adjustments.
  • Monitor capitation payments for anomalies, unusual trends, or variances; investigate root causes and recommend corrective actions.
  • Perform financial analysis, reconciliations, and variance analysis related to provider payments, medical expense, and managed care metrics.
  • Support contract changes, audits, reporting requests, and collaborate with IT, Encounter/Data teams, and Finance while maintaining payment documentation.
  • Perform other duties as assigned.




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