Senior Analyst VBC Performance
OnsiteMedicare AdvantagePredictive Modelling & MLExperience StudiesBusiness Intelligence & Reporting
Role Summary
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Senior health analytics role focused on Value-Based Care (VBC) performance in Miami, FL. You will build and update actuarial and predictive models, analyze payer claims and CMS data, and support financial planning for VBC contracts. Senior Analyst level requiring collaboration with Actuarial and Health Economics teams to drive insights and strategic recommendations.
JOB DESCRIPTION SUMMARY
- Analyze payer claims and CMS data to assess VBC contract performance
- Update and enhance predictive and actuarial models for VBC programs
- Use SQL, SAS, R, and Python for analytics and machine learning tasks
- Support revenue and external medical cost inputs for annual financial plans
- Onsite role in Miami, FL; travel up to 10% required
DOMAIN EXPERTISE
- Payer claims data analysis
- Value-based care contract performance analytics
- Actuarial modelling for VBC arrangements
- Experience studies and program impact analysis
KEY REQUIREMENTS
- Minimum 3 years of related experience
- Practical experience delivering outcomes using SQL, SAS, R, or Python
- Experience analyzing and validating payer claims data
- Experience with predictive or actuarial modelling for VBC performance
TECH STACK
- Excel
- PowerPoint
