Value-Based Analyst

Responsibilities:

• Perform advanced reimbursement, financial impact, and performance analyses to support managed care contracting and payer strategy.
• Support the design of value-based payment models, including shared savings, quality metrics, and risk arrangements.
• Provide real-time analytical insights and recommendations during payer negotiations and escalations.
• Monitor contract and value-based program performance, identifying underpayments, compliance gaps, unfavorable trends, and financial risk.
• Prepare monthly forecasts and financial reports covering value-based performance, reconciliation, and variance analysis.
• Conduct quarterly and annual reconciliation audits to ensure payer compliance with contract terms.
• Leverage payer data, market trends, and industry insights to inform negotiation strategy and enterprise decisions.
• Deliver mo...