Managed Care Financial Analytics Director
Description
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