Amazon One Medical Senior Health is reimagining how primary care is delivered and financed for America's aging population. We're building a full-risk, value-based business serving roughly 50,000 Medicare members across 11 markets, and we need the single-threaded owner of our topline: the finance professional who will forecast, report, and drive accountability for our member growth and revenue across every market.
This is a high-judgment role where you'll build the rolling forecast mechanism that ties member volume, retention, and revenue-per-member together, lead our quarterly and annual planning cycles, and craft the topline narrative that leadership uses to steer the business. Because responsibility for growth is spread across acquisition, clinical, payer, and product teams, your job is to bring those perspectives into one coherent view and help hold the organization accountable to shared targets. You'll also shape what drives the topline by partnering with Product and Tech to scope roadmap features, identify the growth levers they move, and quantify their financial impact on the P&L. If you thrive on bringing clarity to a fast-growing, early-stage business and translating complex inputs into simple, scalable mechanisms that connect directly to strategy, this role is for you.
Key job responsibilities
- Develop and own the end-to-end membership forecasting process, building rolling forecast mechanisms that connect member growth, retention, and revenue-per-member across all 11 markets
- Lead quarterly and annual planning cycles for topline revenue, creating the financial narrative that leadership uses to steer the business and hold cross-functional teams accountable to shared targets
- Partner with Product and Tech teams to scope roadmap features, identify growth levers, and quantify their financial impact on the P&L
- Research technical, operational, and financial details to understand business drivers and key performance indicators, detecting multi-month trends in retention, enrollment, and risk-adjustment that materially move the business
- Provide strategic analysis and recommendations to senior leaders that influence data-driven decision making on customer acquisition and retention strategies, translating complex data into actionable insights
A day in the life
You'll be analyzing membership trends at the most granular level, examining retention patterns, enrollment performance, and shifts across markets. You'll spend time partnering with acquisition, clinical, and product teams to incorporate their insights into your topline forecast, ensuring the financial model reflects reality on the ground. You will have working sessions with Product to value a new feature's impact on member growth, or prepare a narrative for leadership that highlights an emerging risk-adjustment gap and the mitigation plan. Throughout the day, you'll balance strategic modeling work with real-time business partnership, moving between building scalable financial mechanisms and translating complex trends into simple stories that drive action.
About the team
The Amazon One Medical Seniors Finance team serves as the financial engine for a full-risk, value-based care business supporting roughly 50,000 Medicare Advantage members across 11 markets. Led by the Senior Finance Manager acting as CFO to the Seniors General Manager, the team is organized around the P&L itself, so every line of the equation has an accountable finance owner. That structure spans a topline owner who forecasts member growth and revenue, a cost of care partner who translates clinical levers into P&L dollars, a strategy and growth lead who owns payor economics, and consolidation and planning roles that keep the P&L trustworthy.
The team works closely with actuarial, financial planning and analysis, and central partners, bringing rigor, clarity, and a shared narrative to a fast-growing, early-stage business where getting the economics right is the difference between scaling profitably and not. You'll join a team that values collaboration, analytical precision, and the ability to bring structure to ambiguity while supporting a mission that's transforming care for America's aging population.
Basic Qualifications
- 5+ years of tax, finance or a related analytical field experience
- 5+ years of multiple finance and accounting roles experience
- 6+ years of applying key financial performance indicators (KPIs) to analyses experience
- 6+ years of building financial and operational reports/data sets that inform business decision-making experience
- 6+ years of creating process improvements with automation and analysis experience
- 6+ years of participating in continuous improvement projects in your team to scale and improve controllership with measurable results experience
- Bachelor's degree in finance, accounting or related field, or Bachelor's degree and 5+ years of finance or a related analytical field experience
Preferred Qualifications
- 6+ years of identifying incomplete or inaccurate data, identifying the root cause and creating/implementing an escalation plan experience
- 6+ years of solving complex business challenges by delivering accurate and timely financial models, analysis, and recommendations that have a proven impact on business (e.g., financial savings, operational improvements, or customer benefits) experience
- MBA, or CPA
- Knowledge of SQL/ETL
- Experience working with large-scale data mining and reporting tools (examples: SQL, MS Access, Essbase, Cognos) and other financial systems (examples: Oracle, SAP, Lawson, JD Edwards)
- Experience delivering forecasting, budgeting, and variance analysis, and data interpretation of results
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.
Los Angeles County applicants: Job duties for this position include: work safely and cooperatively with other employees, supervisors, and staff; adhere to standards of excellence despite stressful conditions; communicate effectively and respectfully with employees, supervisors, and staff to ensure exceptional customer service; and follow all federal, state, and local laws and Company policies. Criminal history may have a direct, adverse, and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company’s reputation. Pursuant to the Los Angeles County Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
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The base salary range for this position is listed below. Your Amazon package will include sign-on payments and restricted stock units (RSUs). Final compensation will be determined based on factors including experience, qualifications, and location. Amazon also offers comprehensive benefits including health insurance (medical, dental, vision, prescription, Basic Life & AD&D insurance and option for Supplemental life plans, EAP, Mental Health Support, Medical Advice Line, Flexible Spending Accounts, Adoption and Surrogacy Reimbursement coverage), 401(k) matching, paid time off, and parental leave. Learn more about our benefits at https://amazon.jobs/en/benefits.
USA, CA, San Francisco - 104,900.00 - 179,500.00 USD annually
USA, MA, Boston - 95,400.00 - 163,200.00 USD annually