Data Analytics / Actuarial

Hybrid - Taguig 3-5 Yrs Exp Bachelor Full-time

Job Description

Government Mandated Benefits

13th Month Pay

Insurance Health & Wellness

Health Insurance, Life Insurance, HMO

Company Equipment, Retirement Plan

Professional Development

Job Training, Professional Development

The Managed Care Value-Based Expert provides subject-matter expertise and advanced analytical support for managed care contracting and value-based payment arrangements. The role leads complex financial modeling, contract performance evaluation, reconciliation activities, and forecasting to support negotiation strategy, compliance, financial performance, and enterprise decision-making.

Essential Job Functions

• Prepare advanced reimbursement, financial impact, and performance analyses to support managed care contract negotiations and payer strategy
• Design and evaluate value-based payment models, includin...