acturhire
CompaniesBlog
Log in
CompaniesBlogBrowse JobsPost a Job
© 2026 Acturhire. All rights reserved.
acturhire
CompaniesBlog
Log in
Back to Search

Role Summary

Loading...

HIGHLIGHTS

Senior health-plan financial analyst (Lead Decision Support) based in Orange, CA with partial telework in California. Acts as a subject-matter expert on Medi‑Cal and Medicare Advantage finance, provider rate methodology, and provider contract modeling. Owns medical cost projections, develops financial models for contract negotiations, and builds dashboards from claims and enrollment data.

JOB DESCRIPTION SUMMARY

  • Lead financial analyses for a California Medicaid/Medicare health plan
  • Develop medical expense, revenue and enrollment projections
  • Model provider contracts and support negotiations
  • Build dashboards and reports using Excel, Tableau and SQL
  • Partial telework in California; at least 2 days/week in Orange, CA office

DOMAIN EXPERTISE

  • Managed care financial analysis
  • Provider contract modeling and provider rate analysis
  • Provider reimbursement pricing and managed care contracting

KEY REQUIREMENTS

  • Bachelor's degree in finance, economics, actuarial sciences or related field
  • 6+ years of financial analysis experience in managed care required
  • 3+ years provider contract modeling, rate analysis, or managed care contracting
  • Experience working with large claims, enrollment and provider data

TECH STACK

  • Excel
  • Tableau
  • PowerPoint
acturhire
CompaniesBlog
Log in

Role Summary

Loading...

HIGHLIGHTS

Senior health-plan financial analyst (Lead Decision Support) based in Orange, CA with partial telework in California. Acts as a subject-matter expert on Medi‑Cal and Medicare Advantage finance, provider rate methodology, and provider contract modeling. Owns medical cost projections, develops financial models for contract negotiations, and builds dashboards from claims and enrollment data.

JOB DESCRIPTION SUMMARY

  • Lead financial analyses for a California Medicaid/Medicare health plan
  • Develop medical expense, revenue and enrollment projections
  • Model provider contracts and support negotiations
  • Build dashboards and reports using Excel, Tableau and SQL
  • Partial telework in California; at least 2 days/week in Orange, CA office

DOMAIN EXPERTISE

  • Managed care financial analysis
  • Provider contract modeling and provider rate analysis
  • Provider reimbursement pricing and managed care contracting

KEY REQUIREMENTS

  • Bachelor's degree in finance, economics, actuarial sciences or related field
  • 6+ years of financial analysis experience in managed care required
  • 3+ years provider contract modeling, rate analysis, or managed care contracting
  • Experience working with large claims, enrollment and provider data

TECH STACK

  • Excel
  • Tableau
  • PowerPoint

Job Overview

Salary
$110k - $176k
Years of Experience
6+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health‑plan analyst with 6+ years in managed care and 3+ years of provider contract modeling, strong Excel and SQL/Tableau skills, and experience analyzing Medi‑Cal and Medicare Advantage data.

Benefits

401(k) PlanGenerous VacationTuition ReimbursementTraining BudgetHybrid WorkWellness ProgramFlexible Hours
Fresh Role
Premium Window
3d
3 days ago

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

Salary
$110k - $176k
Years of Experience
6+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health‑plan analyst with 6+ years in managed care and 3+ years of provider contract modeling, strong Excel and SQL/Tableau skills, and experience analyzing Medi‑Cal and Medicare Advantage data.

Benefits

401(k) PlanGenerous VacationTuition ReimbursementTraining BudgetHybrid WorkWellness ProgramFlexible Hours
Fresh Role
Premium Window
3d
3 days ago

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Similar Opportunities

C
1mo ago

Actuarial Analyst Sr

CalOptima Health • United States

$84k - $135k
C
3w ago

Director, Actuarial Services (Director IV)

CalOptima Health • United States

$204k - $327k
AIG
1mo ago

Actuary & AVP - Lexington Property Pricing

AIG • PA-Philadelphia

Salary not specified

Similar Opportunities

C
1mo ago

Actuarial Analyst Sr

CalOptima Health • United States

$84k - $135k
C
3w ago

Director, Actuarial Services (Director IV)

CalOptima Health • United States

$204k - $327k
AIG
1mo ago

Actuary & AVP - Lexington Property Pricing

AIG • PA-Philadelphia

Salary not specified
Health/Insurer/IC Level
C

Lead Decision Support (Principal Financial Analyst)

CalOptima Health•United States•3d ago
HybridMedicaidMedicare AdvantagePricing & RatingPredictive Modelling & MLBusiness Intelligence & Reporting