Agilon Health

Compensation

Full Description

Company: AHI agilon health, inc. Job Posting Location: Remote - USA Job Title: Director, Financial Data Coordination Job Description: The Director, Financial Data Coordination (FDC) is accountable for the end-to-end coordination, integrity, and governance of the financial data assets that power Agilon’s revenue estimation and financial settlement processes—particularly within the Finance Data Pipeline (FDP). This role leads the development, validation, documentation, and operational cadence for contractual and settlement-related financial data inputs (e.g., POP rates and other contractual features, capitated expense inputs and payer adjustments, and final settlement tracking), ensuring completeness, accuracy, and auditability. The Director serves as the primary cross-functional integrator between Contracting, Payer Data Management, Technology Group, Actuarial Services, and Accounting to ensure that critical financial information—often originating outside traditional “clean” data flows—is captured in a controlled manner, translated into a consistent ontology, and delivered to downstream consumers for revenue estimates, close, and compliance. The role includes ownership of SOX-relevant controls and sign-off activities associated with these data assets. Essential Job Functions: 1) Leadership & Program Ownership (FDC operating model) • Owns the strategy, operating model, and day-to-day execution of the Financial Data Coordination function, including team capacity planning, prioritization, and performance management. • Establishes and maintains a scalable process framework for intake, validation, documentation, governance, and delivery of financial data assets supporting revenue estimates and settlement. • Drives development of team capabilities across financial data governance, contractual interpretation, payer settlement workflows, and cross functional program execution. 2) Finance Data Pipeline Data Assets (Revenue Estimate Inputs) • Accountable for sourcing, validating, and maintaining the financial data assets required to generate revenue estimates within the FDP, including but not limited to POP rates and other contractual features. • Defines data quality expectations (completeness, accuracy, timeliness, lineage) and ensures they are met prior to downstream consumption by Finance/Actuarial and incorporation into reporting cycles. • Partners with FDP stakeholders to translate business requirements into robust, testable data specifications and measurable service-level expectations. 3) SOX Controls, Validation, and Sign-Off • Owns the control framework and operational execution for SOX-relevant validation and sign-off tied to revenue estimate inputs and settlement related financial data assets. • Ensures appropriate evidence, documentation, review procedures, and approvals are consistently produced and retained to support internal/external audit requirements. • Identifies control gaps and leads remediation plans, including process improvements, system enhancements, and retraining as needed. 4) Capitated Expenses, Payer Adjustments, and Non-Standard Financial Flows • Leads coordination and validation of capitated expense inputs and manual adjustments from payers, ensuring correct interpretation, appropriate documentation, and alignment with contractual terms. • Builds a controlled approach to incorporate “non-standard” financial flows—where information may be partially non-data or unstructured—into a repeatable process that feeds Ursa-Finance reliably. • Captures and maintains an ontology / taxonomy of these non-standard flows to enable consistent interpretation and integration into the evolving Ursa-Finance pipeline. 5) Final Settlement Tracking & Financial Settlement Documentation • Owns the tracking, documentation, and maintenance of the non-data information required for financial settlement (e.g., settlement terms, payer communications, reconciliation artifacts, exception logs). • Ensures final settlement processes are traceable and coordinated across stakeholders, aligning settlement details with revenue estimate assumptions and accounting outcomes. • Maintains a comprehensive view of settlement status, risks, and exceptions, escalating issues with clear recommendations and decision ready options. 6) ACO-lite / Care Coordination Payment Data Asset Delivery • Accountable for ensuring alternate data assets (e.g., accurate member months) supporting ACO-lite / Care Coordination Payment contracts— excluded from the Ursa-Finance pipeline as not “at-risk”—are sourced correctly, validated, and delivered to Actuarial and other stakeholders. • Establishes controls and monitoring for the accuracy and timeliness of these alternate data deliveries, including reconciliation processes and documented assumptions. 7) Cross-Functional Integration & Stakeholder Management • Acts as the “bridge” across Contracting, FDP/TG, Actuarial Services, and Accounting to ensure information flow is complete, consistent, and timely across revenue estimation, close, and settlement cycles. • Facilitates governance forums (e.g., recurring cadence meetings) to manage pipeline readiness, changes to contract terms impacting data, issue triage, and prioritization. • Translates complex contractual and settlement realities into clear requirements, risks, and impacts for technical and financial audiences. 8) Continuous Improvement & Delivery in a Developing Pipeline • Leads delivery in a “nascent” and evolving environment—driving clarity where requirements and tooling are still developing. • Partners with FDP/TG to define enhancements, prioritize backlog items, and implement solutions that reduce manual effort, improve auditability, and strengthen reliability. • Establishes KPIs for FDC performance (e.g., on-time delivery, validation pass rate, exception aging, audit evidence completeness, settlement cycle times) and drives measurable improvement. 9) Executive Communication & Decision Support • Produces clear, executive-ready updates on the health of key financial data assets, settlement posture, major risks, and remediation plans. • Proactively identifies trends and root causes of recurring issues and recommends changes to upstream processes, contracts, or downstream consumption. Other Job Functions: • Understand, adhere to, and implement the Company’s policies and procedures. • Demonstrate excellent internal customer service and responsiveness across Finance, Actuarial, Contracting, FDP/TG, and Accounting stakeholders. • Take ownership of professional development and maintain current knowledge of managed care revenue, settlements, and data governance best practices. • Other duties as assigned. Required Qualifications: Minimum Experience • 8+ years progressive experience in healthcare finance, managed care finance, revenue operations, actuarial/finance data operations, or related disciplines. • 4+ years leading teams and/or complex cross-functional programs (direct people leadership and/or matrix leadership). • Demonstrated experience owning or operating financial data controls and/or SOX-adjacent validation and evidence processes. • Proven ability to translate contractual terms and settlement mechanics into operational workflows and data requirements. • Strong analytical capability; able to identify root causes, quantify impact, and drive resolution under close timelines. • Advanced Excel skills; comfort working with data pipelines, data definitions, and validation logic (technical fluency without requiring engineering-level coding). Education/Licensure: • Bachelor’s degree (minimum) in Finance, Accounting, Economics, Business, Analytics, or related field (Master’s preferred but not required). Location: Remote - MA Pay Range: $129,700.00 - $162,100.00 Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications. PASSION & PURPOSE The passion to change the way healthcare is delivered permeates everyone and everything at agilon health. Working together we can use our expertise to make a difference in the lives of patients and physicians alike. We can bring the joy back to practicing medicine for physicians and improve the care experience for patients across the country. PRIVACY & TRUST We value your privacy and trust as much and are committed to protecting your personal information and respecting your choices. We use technology and best practices to ensure that your data is secure and compliant with applicable laws and regulations. We also provide you with clear and transparent information about how we collect, use, and share your data, and how you can access, update, or delete it. You can read our full privacy policy click here Beware of recruitment scams - our company will never ask for payment or personal financial information during the hiring process; if you believe you've been contacted fraudulently, please reach out to our official recruiting team immediately at Talent.Acquisition@agilonhealth.com. Equal Opportunity Employer agilon health is committed to excellence through diversity. We are an equal opportunity employer and we will not discriminate against employees or qualified applicants for employment regardless of race; color; religion; genetic information; national origin; sex; pregnancy, childbirth, or related medical conditions; age; disability; citizenship status; uniform service member status; or any other protected class under federal, state, or local law. We strive to develop leaders and build future talent pools to help us meet the needs of our customers. If you need assistance or an accommodation due to a disability, you may email us at Talent.Acquisition@agilonhealth.com.