Managed Care Financial Analytics Director

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

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

Originally posted on Himalayas