• Analyze financial, utilization, and performance data to identify opportunities to drive improvements in quality and/or reductions in total cost of care • Analyze utilization data to reconcile provider disputes • Design and contribute to the development of the provider reporting packages to help providers understand their overall performance • Contribute to the development of data models to attribute members to providers for new and enhancements to existing value-based programs and to evaluate program effectiveness • Perform quality assurance checks with peers and lead Business Intelligence associates to ensure development of the program meets business requirements • Partner with finance team to conduct impact analysis and modeling for new VBP models • Collaborate with cross functional and matrixed teams to operationalize and roll out new VBP models • Monitor VBP model performance KPIs to identify opportunities to enhance model design based on internal and external feedback and performance data • Design and develop Return on Investment (ROI) Analyses for new Value Based Payments (VBP) using multiple data sources, including prior authorizations, healthcare claims, Admit/Discharge/Transfer (ADT) data, HEDIS data, etc. • Ensure data integrity in program administration for new value-based programs • Troubleshoot data integrity issues and offer solutions to solve challenges