Senior Advisor, Individual & Family Plans Financial Operational Risk Management
Job Description:
• Develop and implement strategic recommendations to mitigate financial risk and support total medical cost management and enterprise risk objectives.
• Analyze and interpret complex datasets to identify cost drivers, trends, and emerging risks across IFP segments, geographies, and populations.
• Serve as a key point of contact for segment analytics support, partnering with IFP leadership to inform product, network, and market strategies.
• Lead and support data-driven discussions with senior leaders, delivering clear insights and recommendations based on performance results.
• Collaborate cross-functionally with clinical, product, network, and finance partners to influence decision-making and drive performance improvement.
• Support and maintain savings scorecards, ensuring emerging risks and opportunities are identified, quantified, and communicated effectively.
• Translate ambiguity into structured plans, actionable insights, and measurable outcomes.
Requirements:
• Bachelor’s degree in business, analytics, or a related field (required)
• 5+ years of experience in data analytics, financial analysis, risk management, underwriting, or related healthcare experience
• 5+ years of Healthcare industry experience strongly preferred
• Prior experience supporting ACA or Medicaid health plans preferred
• Prior experience supporting Population Health / Total Cost of Care (TCOC) initiatives preferred
• Strong analytical and problem-solving skills with the ability to synthesize complex information into clear recommendations
• Excellent written and verbal communication skills, with experience presenting to leadership audiences.
• Demonstrated ability to work effectively in a matrixed organization and influence across teams.
• Proven change agent with the ability to drive outcomes in a fast-paced environment
• High level of professionalism, organizational awareness, and attention to detail.
Benefits:
• medical, vision, dental, and well-being and behavioral health programs
• 401(k)
• company paid life insurance
• tuition reimbursement
• a minimum of 18 days of paid time off per year
• paid holidays
Apply Now
Apply Now
• Develop and implement strategic recommendations to mitigate financial risk and support total medical cost management and enterprise risk objectives.
• Analyze and interpret complex datasets to identify cost drivers, trends, and emerging risks across IFP segments, geographies, and populations.
• Serve as a key point of contact for segment analytics support, partnering with IFP leadership to inform product, network, and market strategies.
• Lead and support data-driven discussions with senior leaders, delivering clear insights and recommendations based on performance results.
• Collaborate cross-functionally with clinical, product, network, and finance partners to influence decision-making and drive performance improvement.
• Support and maintain savings scorecards, ensuring emerging risks and opportunities are identified, quantified, and communicated effectively.
• Translate ambiguity into structured plans, actionable insights, and measurable outcomes.
Requirements:
• Bachelor’s degree in business, analytics, or a related field (required)
• 5+ years of experience in data analytics, financial analysis, risk management, underwriting, or related healthcare experience
• 5+ years of Healthcare industry experience strongly preferred
• Prior experience supporting ACA or Medicaid health plans preferred
• Prior experience supporting Population Health / Total Cost of Care (TCOC) initiatives preferred
• Strong analytical and problem-solving skills with the ability to synthesize complex information into clear recommendations
• Excellent written and verbal communication skills, with experience presenting to leadership audiences.
• Demonstrated ability to work effectively in a matrixed organization and influence across teams.
• Proven change agent with the ability to drive outcomes in a fast-paced environment
• High level of professionalism, organizational awareness, and attention to detail.
Benefits:
• medical, vision, dental, and well-being and behavioral health programs
• 401(k)
• company paid life insurance
• tuition reimbursement
• a minimum of 18 days of paid time off per year
• paid holidays
Apply Now
Apply Now