Job Description

Job Description

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, proforma development, contract performance evaluation, and reconciliation activities across traditional and value-based payment models, informing negotiation strategy, contract compliance assessments, financial performance and enterprise decision-making in partnership with managed care leadership.


KEY RESPONSIBILITIES


You will:

  • Prepare advanced reimbursement, financial impact, and performance analyses to support managed care contract negotiations and payer strategy.

  • Design and evaluate value-based payment models, including shared savings, quality metrics, risk corridors, and attribution methodologies.

  • Conduct pro forma and sensitivity analyses to estimate the financial value of pr...

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