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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 ...

Overview The Director, Managed Care Contracting is responsible for utilizing business and industry ... Works with CFO, Vice President of Finance, Finance Directors and financial analysts to analyze ...

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

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

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Managed Care Financial Analyst information

See salary details

$38.5K

$88.1K

$118K

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

As of Aug 25, 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 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.

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 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.

More about Managed Care Financial Analyst jobs
Infographic showing various Managed Care Financial Analyst job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 71% Full Time, 20% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $88,111 per year, or $42.4 per hour.

Finance Manager / Managed Care Financial Analyst

Nutex Health, Inc.

Alhambra, CA • On-site

$110 - $140/hr

Other

Posted 7 days ago


Job description

## Finance Manager / Managed Care Financial AnalystApplylocations: Remote - Californiatime type: Full timeposted on: Posted Yesterdayjob requisition id: JR100263Finance Manager / Managed Care Financial AnalystThe purpose of the **Finance Manager / Managed Care Financial Analyst** is to support the financial operations of the IPA/MSO by managing capitation reconciliations, IBNR analysis, claims payment oversight, utilization financial reporting, and risk-based healthcare financial operations. This position is responsible for monitoring financial performance across health plans, providers, and delegated arrangements while ensuring accurate reporting, payment processing, and analysis related to managed care operations, risk pools, and healthcare expenditures. The role supports leadership with financial modeling, forecasting, reconciliation, and operational finance activities to improve organizational performance and financial stability.**JOB TYPE & WORK ENVIRONMENT*** On-stie -- Alhambra, CA* Full-time**EXPERIENCE REQUIREMENTS**Required Experience* 3–4 years of healthcare finance or managed care financial operations experience required.* Experience in an MSO, IPA, medical group, managed care organization, health plan, or delegated healthcare environment.* Experience managing or analyzing IBNR reports and healthcare claims financial data.* Experience processing and reconciling capitation payments and provider payment reports.* Experience reviewing healthcare claims payments, utilization reports, and financial variances.* Experience with healthcare financial reporting, budgeting, forecasting, and reconciliation processes.* Experience working with Medicare Advantage, Medi-Cal, or managed care financial operations.* Experience analyzing healthcare claims, encounters, eligibility, and membership data.* Experience using Microsoft Excel, financial reporting tools, and healthcare databases.* Experience communicating with health plans, providers, finance teams, and operational departments.* Understanding of healthcare reimbursement methodologies, risk arrangements, and delegated models.Preferred Experience* Experience with QuickCap, healthcare claims systems, or managed care platforms.* Experience with IBNR forecasting and reserve analysis.* Experience with risk pool settlements and financial reconciliations.* Experience supporting health plan audits and financial reporting requests.* Experience with SQL, Power BI, Tableau, or healthcare analytics platforms.* Experience supporting capitation and shared savings models.* Experience in delegated risk environments and value-based care organizations.**KNOWLEDGE, SKILLS & ABILITIES*** Strong understanding of healthcare finance, managed care operations, and IPA/MSO financial workflows.* Strong knowledge of capitation payments, IBNR, claims payments, utilization reporting, and healthcare reimbursement methodologies.* Understanding of Medicare Advantage, Medi-Cal, delegated risk, and value-based payment models.* Strong analytical, financial modeling, and problem-solving skills.* Ability to identify financial variances, trends, and operational risks.* Excellent organization, time management, and attention to detail.* Ability to manage multiple priorities and deadlines in a fast-paced healthcare environment.* Strong written and verbal communication skills.* Advanced proficiency in Microsoft Excel including pivot tables, VLOOKUPs, formulas, and financial reporting functions.* Proficiency in Outlook, Word, healthcare financial systems, and reporting platforms.* Ability to work independently and collaboratively with operational, claims, and executive leadership teams.* Ability to maintain confidentiality and comply with HIPAA and healthcare financial data requirements.**EDUCATION*** Bachelor’s degree in Finance, Accounting, Healthcare Administration, Business Administration, or a related field required.**PREFERRED CERTIFICATIONS*** Certified Healthcare Financial Professional (CHFP) preferred.* Certified Public Accountant (CPA) preferred.* HFMA certifications preferred.* Advanced Microsoft Excel or financial analytics certifications preferred. #J-18808-Ljbffr