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Senior Population Risk Performance Analyst – Value-Based Care

RiskRiskFull TimeRemoteTeam 501-1,000Since 1997H1B No SponsorCompany SiteLinkedIn

Location

North Carolina

Posted

1 day ago

Salary

$98.1K - $156.9K / year

Bachelor Degree5 yrs expExperience acceptedEnglishSQL

Job Description

• Apply population risk and actuarial models to normalize performance measurement across value-based care programs • Operationalize CMS-HCC, Milliman, and comparable population risk methodologies for performance evaluation and financial measurement • Support development and maintenance of risk-normalized total cost of care and quality performance metrics • Validate performance measurement methodologies used in shared savings, downside risk, and alternative payment models • Analyze population risk movement and evaluate impacts on program financial performance and provider outcomes • Partner with actuarial and finance teams to align modeling assumptions with contractual measurement logic • Identify and investigate performance variances driven by population acuity, attribution changes, coding variation, or data completeness • Support performance year reconciliation, settlement calculations, and financial exposure analysis • Define and document measurement methodologies, assumptions, and model governance controls • Collaborate with analytics and data engineering teams to integrate risk modeling logic into reporting and measurement pipelines • Provide analytical expertise supporting provider performance reviews and measurement inquiries • Translate complex modeling outcomes into clear insights for operational and executive stakeholders • Ensure consistency and repeatability of population measurement processes across programs and performance periods • Serve as subject matter expert for population risk interpretation supporting value-based care strategy and operations.

Job Requirements

  • Bachelor's degree or advanced degree in healthcare administration, business, public health, or related field
  • 5+ years of experience in related field
  • In lieu of degree, 7+ years of experience in related field
  • Demonstrated experience working with population risk models including CMS-HCC and Milliman methodologies (or equivalent)
  • Experience analyzing healthcare claims and eligibility datasets
  • Strong SQL and analytical data experience.

Benefits

  • Annual Incentive Bonus*
  • 401(k) with employer match
  • Paid Time Off (PTO)
  • Competitive health benefits and wellness programs

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