At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.
Primary Function/General Purpose of Position
The Program Manager, Population Health Finance & Performance Analytics provides centralized financial, operational, and contractual analytics across all Population Health entities. This role supports both financial planning functions (budgeting, forecasting, accounting support) and performance analytics functions (claims/eligibility analysis, value-based contract performance, trend reporting), with the ability for individual hires to specialize in one or both domains. As a key member of the Population Health finance analytics team, the Program Manager delivers data-driven insights that enable leadership to make informed decisions that improve financial performance, quality outcomes, and value-based care results.
***This is a remote/work from home position. Hire must be able to live/work in the continental US due to our VPN access, and are required to work eastern time zone hours.
Essential Job Functions
? Provide financial planning support including monthly close activities, accounting coordination, annual budgets, quarterly reforecasts, and related adjustments across Population Health entities.
Analyze claims, eligibility, attribution, CMS/payer files, and contractual data to identify performance trends, risks, opportunities, and financial drivers for value-based care programs (e.g., MSSP, MA, shared savings, bundled payments).
Develop and maintain executive dashboards for leadership and governance, including performance trends, value-based population growth, cost/utilization metrics, and network integrity.
Support financial forecasting, scenario modeling, and contract performance projections in collaboration with Managed Care, Actuarial, Finance, and IT analytics teams.
Conduct routine data validation, reconciliations, internal controls reviews, and audit preparation; partner with Internal Audit and third parties as needed.
Translate actuarial, contract, and management guidance into financial insights that support program decision-making and operational strategies.
Partner with internal data teams to align financial reporting with KPI tracking, performance management processes, and contractual compliance requirements.
Provide financial, utilization, and claims analytics to support performance improvement initiatives, vendor reviews, and strategic decision-making.
Ensure adherence to HIPAA, PHI protection, data governance standards, and secure data handling practices.
Prepare high-quality reporting and presentations for boards, committees, and executive leadership, and deliver ad hoc analyses as requested.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
Education
Bachelor's degree in Accounting, Finance, Health Informatics, Data Analytics, or related field (required)
Master's degree in Business Administration, Finance, Health Informatics, or related discipline (preferred)
Licensing/Certification
N/A
Work Experience
3+ years' experience in healthcare finance, accounting, actuarial/insurance analytics, value-based care analytics, or related fields (required)
3+ years' experience working with healthcare claims, eligibility, and financial datasets (required)
Knowledge of Medicare Shared Savings Programs (MSSP) and Medicare Advantage shared risk contracts (required)
Proficiency in SQL, Tableau (or other BI tools), Excel, and relational databases (preferred)
Experience working in Milliman MedInsight (preferred)
Skills
Hard/Tech/Clinical Skills:
Healthcare finance and accounting
SQL querying, data extraction, and relational database navigation
Claims, eligibility, attribution, and contract data analysis
Tableau or equivalent data visualization tools
Financial modeling, forecasting, and scenario planning
KPI development, monitoring, and benchmarking
Audit preparation, data validation, and quality assurance
Healthcare performance metric analysis (cost, utilization, quality)
Advanced Excel (pivot tables, lookups, formulas)
HIPAA compliance and data governance standards
Soft/Interpersonal Skills:
Critical thinking, analytical reasoning, and problem solving
Clear and concise communication, including translating data into actionable insights
Strong attention to detail and accuracy
Effective time management and ability to meet deadlines
Collaboration and stakeholder engagement across complex teams
Adaptability to evolving priorities and requirements
Initiative, self-direction, and strong sense of accountability
As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
What we offer
Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
Tuition assistance, professional development and continuing education support
Benefits may vary based on the market and employment status.
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com
