Senior Population Risk Performance Analyst (value-based Care)

Bluecrossnc

Base: $98,092.00 - $156,947.00; bonus/equity: annu...
Hybrid
Population risk models
Value-based care programs
Cms-hcc methodologies
Bluecrossnc is seeking a Senior Population Risk Performance Analyst to enhance value-based care performance measurement through advanced analytical and modeling expertise. The role focuses on applying population risk models to ensure accurate financial and quality metrics, requiring strong collaboration with actuarial and finance teams

Job Summary

  • This role is responsible for providing advanced analytical and modeling expertise supporting value-based care performance measurement and population risk normalization.
  • The Sr. Population Risk Performance Analyst applies population risk models to attributed member populations to ensure accurate, consistent, and defensible financial and quality performance measurement across value-based care programs.
  • This position partners closely with actuarial, finance, clinical economics, and value-based care operations teams to ensure performance outcomes appropriately reflect population acuity and contractual measurement intent.

Matching Summary

Match Score: 85

Bluecrossnc is seeking a Senior Population Risk Performance Analyst to enhance value-based care performance measurement through advanced analytical and modeling expertise. The role focuses on applying population risk models to ensure accurate financial and quality metrics, requiring strong collaboration with actuarial and finance teams.

Salary

Base: $98,092.00 - $156,947.00; Bonus/Equity: Annual Incentive Bonus*; Benefits: 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs

Skills & Requirements

Must-have

  • Population risk models
  • Value-based care programs
  • CMS-HCC methodologies
  • Healthcare claims analysis
  • SQL and analytical data experience

Nice-to-have

  • Provider settlement processes
  • Total cost of care measurement
  • Shared savings models
  • Population performance analytics

Key Requirements

  • 5+ years of experience in related field
  • 7+ years of experience in related field (in lieu of degree)
  • Bachelor's degree or advanced degree
  • Demonstrated experience with population risk models
  • Experience analyzing healthcare claims and eligibility datasets

Work Rights

Not specified

Tailored Resume

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