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Brief about the Team & Fractal:
Fractal Analytics is Leading Fortune 500 companies leverage Big Data, analytics and technology to drive smarter, faster and more accurate decisions in every aspect of their business. Fortune 500 companies recognize analytics is a competitive advantage to understand s and make better decisions. We deliver insight, innovation and impact to them through predictive analytics and visual storytelling
Brief about the role:
Healthcare Finance & Forecasting Consultant (Payer Ops)
Experience: 10–14 years (finance/analytics)
Domain: Payer operations finance—forecasting, unit cost modeling, budgeting, and ROI Build the economic backbone for transformation programs. Model unit costs (e.g., cost per claim/appeal), forecast volume/mix, and quantify savings from automation and AI. Partner with product and operations to create defensible business cases and benefits realization.
Key Responsibilities
• Financial Modeling & Forecasting
• Develop drivers-based forecasts for claims, A&G, enrollment volumes and staffing
• Model unit costs: labor minutes, variable non-labor (print/postage), and platform allocations
• Business Case & ROI
• Quantify automation impacts (minutes saved, FPY lift, re-touch reduction) • Create sensitivity scenarios; track actuals vs. plan in a benefits dashboard • Data & Analytics
• Define telemetry, cost attribution, and allocation methodologies • Partner with Data/IT to build reliable data pipelines and BI views
• Governance & Reporting
• Own monthly/quarterly performance readouts; support audits and compliance reporting Must-Have Qualifications
• Payer finance or healthcare analytics experience with strong Excel/SQL/BI
• Forecasting/statistics familiarity (time series, regression) and scenario modeling
• Ability to tie operational metrics (FPY, SLA, rework) to P&L outcomes
• Executive storytelling and stakeholder management
• Compliance: Working knowledge of HIPAA Privacy/Security, PHI/PII handling, audit readiness, data governance.
• Techno-Functional: Ability to translate business needs into technical designs across cloud, data, APIs, and interoperability.
• GenAI/Analytics: Practical experience with GenAI solutioning (e.g., RAG, prompt engineering, evaluation) and classical analytics (segmentation, anomaly detection).
• Cloud/Data Tools: Exposure to Azure/AWS/GCP, Snowflake/Databricks/BigQuery, SQL/PySpark, ETL/ELT (ADF/Glue), APIs (REST/GraphQL), Kafka, Tableau, Power BI.
• Consulting & BA: Proven proposal/RFP experience, SOW/MSA inputs, stakeholder management, requirements elicitation, UAT planning. Preferred Qualifications
• Experience with cloud data warehouses (Snowflake/BigQuery/Databricks) • Knowledge of cost accounting and activity-based costing in payer ops • Certifications: CFA/FRM (optional), Azure/AWS data certs
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Hiring Related QueriesIndia: [email protected]
Outside India: [email protected]
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Skills Required
- Payer finance or healthcare analytics experience
- Strong Excel/SQL/BI skills
- Familiarity with forecasting/statistics
- Ability to tie operational metrics to P&L outcomes
- Working knowledge of HIPAA Privacy/Security
- Ability to translate business needs into technical designs
- Practical experience with GenAI solutions and classical analytics
- Exposure to cloud/data tools
- Proven proposal/RFP experience
Fractal Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Fractal and has not been reviewed or approved by Fractal.
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Healthcare Strength — Health coverage includes medical, dental, and vision along with tax‑advantaged accounts and EAP in the U.S., indicating a broad core package. Feedback suggests core protections exist across regions, though specifics can vary by location.
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Leave & Time Off Breadth — Time‑off programs include generous PTO, paid holidays and sick time, paid volunteer time, and sabbaticals in some areas. Some accounts also describe manager‑approved or flexible PTO approaches alongside hybrid/WFH latitude.
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Flexible Benefits — Work arrangements commonly include remote/hybrid options and flexible schedules. Flexibility is frequently highlighted as part of the overall value proposition.
Fractal Insights
What We Do
Fractal is one of the most prominent players in the Artificial Intelligence space. Fractal's mission is to power every human decision in the enterprise and brings AI, engineering, and design to help the world's most admired Fortune 500® companies. Fractal's products include Qure.ai to assist radiologists in making better diagnostic decisions, Crux Intelligence to assists CEOs, and senior executives make better tactical and strategic decisions, Theremin.ai to improve investment decisions, and Eugenie.ai to find anomalies in high-velocity data & Samya.ai to drive next-generation Enterprise Revenue Growth Management. Fractal has more than 3,000 employees across 16 global locations, including the United States, UK, Ukraine, India, Singapore, and Australia. Fractal has consistently been rated as India's best companies to work for, by The Great Place to Work® Institute, featured as a leader in Customer Analytics Service Providers Wave™ 2021, Computer Vision Consultancies Wave™ 2020 & Specialized Insights Service Providers Wave™ 2020 by Forrester Research, and recognized as an "Honorable Vendor" in 2021 Magic Quadrant™ for data & analytics by Gartner.
