Finance Manager / Managed Care Financial Analyst

Alhambra EP, LLC is seeking a Finance Manager / Managed Care Financial Analyst to support the financial operations of an IPA/MSO in Alhambra, CA. This onsite, full-time role focuses on managed care financial workflows, including capitation reconciliation, IBNR analysis, and claims payment oversight, with reporting and analysis that help leadership manage financial performance across plans, providers, and delegated arrangements.

In this position, you will track risk-based healthcare performance, support operational finance activities, and contribute to financial stability through forecasting, modeling, and reconciliation work.

What you’ll do

• Support IPA/MSO financial operations by managing capitation reconciliations, IBNR analysis, claims payment oversight, utilization financial reporting, and risk-based healthcare financial operations.
• Monitor financial performance across health plans, providers, and delegated arrangements, ensuring accurate reporting, payment processing, and analysis tied to managed care operations, risk pools, and healthcare expenditures.
• Assist leadership with financial modeling, forecasting, reconciliation, and operational finance activities that support organizational performance and financial stability.

Minimum qualifications

• 3–4 years of healthcare finance or managed care financial operations experience required.
• Experience in an MSO, IPA, medical group, managed care organization, health plan, or delegated healthcare environment.
• Hands-on experience managing or analyzing IBNR reports and healthcare claims financial data.
• Experience processing and reconciling capitation payments and provider payment reports.
• Experience reviewing healthcare claims payments, utilization reports, and financial variances.
• Experience with healthcare financial reporting, including budgeting, forecasting, and reconciliation processes.
• Experience with Medicare Advantage, Medi-Cal, or other managed care financial operations.
• Experience analyzing claims, encounters, eligibility, and membership data.
• Advanced Microsoft Excel skills, including pivot tables, VLOOKUP, formulas, and financial reporting functions; plus experience using financial reporting tools and healthcare databases.
• Experience communicating with health plans, providers, finance teams, and operational departments.
• Understanding of healthcare reimbursement methodologies, risk arrangements, and delegated models.
• Strong understanding of capitation payments, IBNR, claims payments, utilization reporting, and healthcare reimbursement methodologies.
• Understanding of Medicare Advantage, Medi-Cal, delegated risk, and value-based payment models.
• Strong analytical, financial modeling, and problem-solving skills, including the ability to identify financial variances, trends, and operational risks.
• Excellent organization, time management, and attention to detail, including the ability to manage multiple priorities and deadlines in a fast-paced healthcare environment.
• Strong written and verbal communication skills.
• Ability to maintain confidentiality and comply with HIPAA and healthcare financial data requirements.

Preferred background

• Experience with QuickCap, healthcare claims systems, or managed care platforms.
• Experience with IBNR forecasting and reserve analysis.
• Experience with risk pool settlements and financial reconciliations.
• Experience supporting health plan audits and financial reporting requests.
• Experience supporting analytics using SQL, Power BI, Tableau, or other healthcare analytics platforms.
• Experience supporting capitation and shared savings models.
• Experience in delegated risk environments and value-based care organizations.

Education

• Bachelor’s degree in Finance, Accounting, Healthcare Administration, Business Administration, or a related field.

Tools and technologies

• Microsoft Excel, Outlook, Word
• QuickCap, SQL
• Power BI, Tableau
• HIPAA

Compensation and work setting

• Salary: USD 95,000 - 140,000 per year
• Location: Alhambra, CA (onsite)
• Work type: Full-time

Preferred certifications

• Certified Healthcare Financial Professional (CHFP) preferred
• Certified Public Accountant (CPA) preferred
• HFMA certifications preferred
• Advanced Microsoft Excel or financial analytics certifications preferred