Key Behaviors:

• Acts as an Enterprise Owner: Takes full accountability for the financial performance of value-based contracts, not just reporting outcomes
• Drives Decision-Making: Proactively shapes strategic decisions rather than reacting to them
• Maintains Analytical Rigor: Grounds all conclusions in data validation and first-principles thinking
• Operates with Executive Presence: Communicates complex topics clearly and confidently to senior stakeholders and the Board
• Balances Strategy and Execution: Moves seamlessly between high-level strategy and hands-on analytical work
• Exercises Sound Judgment Under Uncertainty: Makes informed decisions in complex, ambiguous, and risk-laden environments
• Partners Cross-Functionally: Collaborates effectively with payer, clinical, actuarial, and operational leaders
• Challenges Constructively: Provides independent, data-driven perspectives even when they may be unpopular
• Builds Scalable Thinking: Establishes repeatable frameworks for financial and economic analysis
• Develops Talent: Coaches and elevates team performance despite a lean structure

Competencies:

Value-Based Care Financial Expertise

• Demonstrates deep understanding of payer-provider risk arrangements, including capitation, shared savings, and downside risk models
• Owns contract-level profitability, PMPM performance, and medical cost ratio analysis
• Evaluates and optimizes financial performance across value-based contracts

Strategic Financial Leadership (FP&A)

• Leads enterprise forecasting, budgeting, and long-range planning processes
• Integrates contract-level economics into consolidated financial strategy
• Influences executive and Board-level decision-making with actionable insights

Risk Assessment & Actuarial Thinking

• Applies actuarial principles to evaluate medical cost trends, utilization, and risk exposure
• Assesses margin volatility and downside risk across populations
• Partners effectively with actuarial and analytics teams to refine assumptions and models

Advanced Analytics & Data Fluency

• Engages directly with data using SQL and other analytical tools
• Validates financial insights through detailed data interrogation
• Establishes standards for rigorous, repeatable analysis

Executive Communication & Influence

• Translates complex healthcare and financial concepts into clear, concise narratives
• Communicates effectively with executives, Board members, and external stakeholders
• Frames trade-offs between growth, margin, risk, and outcomes

Business Partnership & Cross-Functional Leadership

• Collaborates with payer, clinical, and operational leaders to inform strategy
• Influences contract negotiations, pricing, and risk participation decisions
• Aligns financial strategy with operational and clinical realities

Accountability & Ownership

• Demonstrates full ownership of financial outcomes and strategic direction
• Moves beyond analysis to drive execution and results
• Maintains high standards for accuracy, integrity, and impact

Team Leadership & Development

• Leads and develops a high-performing team of analysts
• Sets clear expectations for analytical rigor and business impact
• Builds capability within a lean organizational structure

Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.

Originally posted on Himalayas