Note: The job is a remote job and is open to candidates in USA. Mercy Health is a healthcare organization focused on delivering high-quality care to its communities. The Finance Program Manager leads enterprise-wide financial planning, forecasting, budgeting, system enhancements, and advanced financial and claims-based analytics. The role provides data-driven insights, supports value-based contract modeling, and partners with finance, clinical, technology, and leadership teams.
Responsibilities
- Lead and optimize system-wide annual budget processes and quarterly reforecasts across markets, ministries, and entities
- Provide monthly close support, accounting coordination, income statements, balance sheets, and long-term financial projections
- Serve as expert and project lead for budgeting, forecasting, and financial planning
- Implement financial system enhancements, optimize workflows, and standardize tools, methodologies, dashboards, and analytics processes
- Analyze claims, eligibility, attribution, CMS/payer files, and contract datasets to identify trends, risk drivers, financial opportunities, and performance gaps
- Develop and maintain executive dashboards and KPI reporting for leadership and governance
- Support value-based contract modeling (MSSP, MA, shared savings, bundled payments) in partnership with Managed Care, Actuarial, Finance, and IT
- Provide financial, utilization, and quality analytics to support improvement initiatives, vendor reviews, and strategic decisions
- Conduct data validation, reconciliations, controls reviews, and audit preparation; collaborate with Internal Audit and external partners
- Ensure adherence to HIPAA, PHI, and organizational data governance standards
- Translate actuarial, contractual, and management guidance into actionable financial insights and strategic recommendations
- Partner with Shared Services, Market Finance, data teams, and leadership to align financial reporting, performance management processes, and compliance requirements
- Maintain strong customer-service relationships with CFOs, finance teams, and clinicians
- Prepare and deliver high-quality presentations for senior leadership, boards, committees, and external stakeholders
- Provide ad hoc analysis and proactive financial insights to support enterprise strategy and operational goals
Skills
- Bachelor's degree in Accounting, Finance, Health Informatics, Data Analytics, or related field (required)
- 5 years' experience in healthcare finance, accounting, actuarial/insurance analytics, value-based care analytics, or related fields (required)
- Experience working with healthcare claims, eligibility, and financial datasets (required)
- Proficiency in SQL, Tableau (or other BI tools), Excel, and relational databases (required)
- Experience with financial planning software
- Healthcare finance and accounting
- SQL querying, data extraction, and relational database navigation
- Claims, eligibility, attribution, and contract data analysis
- Tableau or equivalent data visualization tools
- Financial modeling, forecasting, and scenario planning
- KPI development, monitoring, and benchmarking
- Audit preparation, data validation, and quality assurance
- Healthcare performance metric analysis (cost, utilization, quality)
- Advanced Excel (pivot tables, lookups, formulas)
- HIPAA compliance and data governance standards
- Critical thinking, analytical reasoning, and problem solving
- Clear and concise communication, including translating data into actionable insights
- Strong attention to detail and accuracy
- Effective time management and ability to meet deadlines
- Collaboration and stakeholder engagement across complex teams
- Adaptability to evolving priorities and requirements
- Initiative, self-direction, and strong sense of accountability
- CPA (Certified Public Accountant) (preferred)
- CBAP (Certified Business Analysis Professional – IIBA) (preferred)
- Master's degree in Business Administration, Finance, Health Informatics, or related discipline (preferred)
- Experience with Medicare Advantage, MSSP, ACOs, CINs, risk-based payment models, or provider/payer financial reconciliation workflows (preferred)
Benefits
- Incentives
- Referral bonuses
- 403(b) with employer contributions (when eligible)
- Medical, dental, vision, and prescription coverage
- HSA/FSA options
- Life insurance
- Mental health resources and discounts
- Paid time off
- Parental and FMLA leave
- Short- and long-term disability
- Backup care for children and elders
- Tuition assistance
- Professional development and continuing education support
- Work at home
Company Overview