Value Based Care Analytics Manager Intermediate

The Value-Based Care Analytics Manager, Intermediate develops, executes, and presents advanced analysis for clinical, financial and operational performance leveraging healthcare claims, clinical, operational and related data sources. This role plays an important part in day-to-day reporting and evaluation of the enterprise?s value-based care and risk-based programs. This role requires entry-level knowledge of healthcare claims and claims analytics, clinical quality and quality metrics, clinical coding, care team operations and initiatives as well as analytics tools and techniques for the analysis of this data. This role is part of our Value-Based Care Institute (VBCI) products and analytics team and works with moderate direct supervision.

Data Analysis & Performance Monitoring

o Analyze claims, clinical, and operational data to assess performance in value-based contracts.

o Monitor key performance indicators (KPIs) such as total cost of care, quality measures, risk scores, utilization, and shared savings metrics.

o Respond to ad hoc value-based care analytics requests.

Quality & Outcomes Analytics

o Measure and evaluate quality performance against HEDIS, STAR ratings, CMS quality programs, and custom metrics.

o Collaborate with clinical teams to identify gaps in care and improvement opportunities.

Cross-Functional Collaboration

o Supports work across a variety of teams and stakeholders.

o Prepares components for reporting and presentations.

EDUCATION :

• ? Formal training or work experience in data analytics, data analysis, or data science. A bachelor?s degree is considered to meet 3 years of experience; a master?s degree is considered to meet an additional 1 year of experience, and a doctorate degree is considered to meet an additional 2 years of experience. Other relevant formal training in data analytics and / or healthcare analysis and operations may be considered on a case-by-case basis.

EXPERIENCE :

Preferred Experience :

LICENSURE / CERTIFICATION / REGISTRY / LISTING :

Equal Opportunity Employer At Cone Health, we strive to create a welcoming atmosphere that celebrates a diverse and unique workforce. We believe in offering equal opportunities for employment to all applicants and employees, regardless of their race, religion, age, sex, sexual orientation, gender identity, veteran's status, ethnicity, national origin, disability, color, or any other characteristic protected by law. Our hiring and employment choices are based on each individual's qualifications, skills and performance. We believe that by embracing the diversity of our team, we can better serve our patients, communities and each other.