accountable for the strategic alignment, operational success, and performance management of Medicare Advantage Value-Based Contracts (VBC)
serve as the analytics partner for VBC contracts, working with both internal and external partners
provide medical cost and outcomes focused analytical research, financial modeling, and business decision support
understand the terms of the VBC arrangements to answer questions, address issues, and provide analytical support
establish and maintain productive, professional relationships with the most complex/high value initiatives and/or highest risk and revenue generating provider systems
educate internal and external parties as needed to ensure compliance with contract terms and expectations
influence workflow development and strategies to integrate data and reporting
manage relationships and identify/implement solutions to problems
drive provider performance and partner with local market to ensure pathways to performance against business and team objectives
leverage reporting/data to monitor contract performance against financial, clinical, cost, and efficiency targets
perform complex financial assessments
identify areas where improvements need to be made
advocate for and drive strategy consultation on actions/tactics to make those improvements
advise network partners on value-based negotiations, deal terms, and best practices

Bachelor's degree or equivalent experience
7+ years of experience in healthcare analytics and managed care
Extensive knowledge of VBC strategies, provider contracting, and regulatory impacts
Advanced communication and presentation skills
Knowledge of marketplace healthcare delivery and understanding of provider relationships.

Senior Manager, Value Based Contracts Analytics

Key skills