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Health Insurance Financial Planning & Analytics Analyst IV

Remote, USA Full-time Posted 2025-04-16

This position will support our FP&A team within Finance. Prior experience in FP&A within Health Insurance/Managed Care is highly preferred.

Job Summary:

The Financial Planning Analyst IV will be responsible for developing pricing strategies and conducting financial analysis related to administrative expenses for new business opportunities, mergers, and acquisitions (M&A), as well as through the Request for Proposal (RFP) process. You will work closely with cross-functional teams to support decision-making related to administrative costs. The ideal candidate will possess strong analytical skills, a solid understanding of managed care and healthcare pricing models, and the ability to work in a fast-paced, dynamic environment.

Essential Functions:
?? Develop and maintain new business proforma pricing models, ensuring all financial inputs are accurate and well-documented.
?? Collaborate with cross-functional departments to gather, validate and challenge necessary staffing and vendor spend needs ensuring assumptions are in conformance with Company policies or other contractual commitments.
?? Collaborate with M&A teams to evaluate financial aspects of potential transactions, including assessing pricing structures, cost synergies, and profitability.
?? Analyze the financial implications of integrating new business through M&A, ensuring alignment with company goals and pricing guidelines.
?? Perform detailed reconciliations of financial data to identify discrepancies and ensure data integrity.
?? Assist in the preparation of budgets and long-term financial forecasts related to pricing strategies.
?? Ensure compliance with company policies and financial regulations in all pricing-related activities.
?? Prepare and present comprehensive reports that clearly communicate findings and recommendations to management.
?? Perform any other job duties as requested.

Education and Experience:
?? Bachelor's degree in Finance, Accounting, Economics, or related field (advanced degree preferred).
?? Business related post-graduate degree is preferred and provides credit for one year of related experience
?? Six (6) years of related experience in finance is required
?? Managed Care or healthcare experience is preferred

Competencies, Knowledge and Skills:
?? Strong proficiency in financial modeling, Excel, and data analysis tools.
?? Solid understanding of M&A processes, financial due diligence, and pricing strategies.
?? Experience with RFP processes and pricing for managed care.
?? Strong attention to detail, analytical skills, and the ability to interpret complex financial data.
?? Excellent communication skills with the ability to present financial concepts to non-financial stakeholders.
?? Ability to work collaboratively in a cross-functional team environment and manage multiple projects simultaneously.
?? Familiar with a variety of financial concepts, practices and procedures
?? Ability to work independently
?? Detail oriented
?? Intermediate proficiency level with Microsoft Office
?? Knowledge of relational database software and/or business intelligence (BI) tools is preferred but not required.

Licensure and Certification:
?? Certified Public Accountant (CPA), Certified Management Accountant (CMA), Association for Financial Professionals (AFP) FP&A, or related certification is preferred and provides credit for one year of related experience

Working Conditions:
?? General office environment; may be required to sit or stand for extended periods of time
?? May be required to travel occasionally

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