• Lead opportunity analyses for prospective VBC contracts, including financial modeling, risk assessment, contract structure development, contract evaluation and supporting negotiations with partners
• Conduct performance analyses of existing VBC contracts across financial, operational, and clinical dimensions
• Personally execute sophisticated statistical analyses and predictive modeling to support contract optimization and risk management
• Oversee preparation and validation of medical claims reconciliations with VBC partners
• Develop and maintain advanced analytical models for contract performance monitoring and forecasting
• Engage with external actuarial consultant supporting VBC strategy and contracts

• Manage and develop a team of two analysts: Senior Analyst - Medical Economics and Junior Analyst
• Provide technical mentorship and guidance on complex analytical challenges
• Coordinate team capacity and prioritize analytical projects to maximize business impact
• Foster analytical excellence and ensure quality standards across all team deliverables
• Balance individual contributor responsibilities with effective team management

• Serve as primary analytical representative in meetings with payer partners and external stakeholders
• Present complex analytical findings to diverse audiences, including payer executives and clinical leadership
• Collaborate with payer data teams on reconciliation processes and performance reporting
• Support contract negotiations by providing data-driven insights and risk assessments

Internal Partnership and Communication

• Work closely with VBC leadership including President of VBC and Chief Payer Relations Officer
• Translate analytical findings into actionable insights for operational and strategic decision-making
• Support business development efforts through comprehensive opportunity assessments
• Collaborate with clinical and operations teams to quantify program effectiveness and identify improvement opportunities
• Provide analytical input to inform VBC strategy development led by the Chief Data Officer

Technical Excellence and Innovation

• Maintain expertise in healthcare claims data, risk adjustment methodologies, and VBC financial models
• Stay current with industry trends in value-based care analytics and payment model evolution
• Ensure analytical approaches align with organizational standards while meeting VBC-specific requirements
• Document methodologies and maintain reproducible analytical processes
• Contribute to enterprise analytical capabilities through knowledge sharing and best practice development

Required Experience and Skills

• Healthcare Analytics: 7+ years of experience in healthcare data and analytics, with minimum 4+ years focused on value-based care, managed care, or health plan analytics
• Claims Data Expertise: Deep experience working with large medical and pharmacy claims datasets, including data normalization, reconciliation, and quality assessment
• Actuarial Concepts: Strong understanding of risk adjustment, IBNR, and other actuarial methodologies applicable to VBC contracts
• Technical Proficiency: Advanced SQL skills (Snowflake preferred), Python for statistical analysis, Power BI development, and sophisticated Excel modeling
• Leadership Experience: 3+ years managing analytical teams with demonstrated ability to develop talent while maintaining hands-on technical contribution.
• External focus: Experience with external facing customers in the business development and account management process as the primary analytics representative.

• Bachelor's Degree: Actuarial Science, Mathematics, Statistics, Economics, Data Science, Healthcare Administration, or related quantitative field required
• Advanced Degree: Master's degree in relevant field preferred