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- Tasks: Analyse provider performance and support Medicare-focused VBP arrangements.
- Company: Centene is a national organisation transforming healthcare for 28 million members.
- Benefits: Enjoy competitive pay, health insurance, flexible work options, and tuition reimbursement.
- Why this job: Make a real impact on population health and financial sustainability in healthcare.
- Qualifications: BA/BS required; 1-3 years of healthcare experience preferred.
- Other info: Hybrid schedule available; commuting distance to Long Island City, NY preferred.
The predicted salary is between 44000 - 72000 ÂŁ per year.
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You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Value-based care is a key strategy in transforming healthcare to improve outcomes, advance quality, and promote equity. The Analyst, Value-Based Payment Initiatives (VBP) will support the expansion and performance of Medicare-focused VBP arrangements across New York, including Medicare Advantage and Dual Eligible Special Needs Plans (D-SNPs). This role is critical in analyzing provider performance, modeling contract terms, and generating insights to guide strategic decision-making. The Analyst will work closely with the VBP Manager, Director, and cross-functional teams to support contract implementation, performance tracking, and reporting needs. This includes identifying cost and quality trends, supporting provider engagement efforts, and ensuring alignment with CMS-aligned risk-based models. The Analyst will play a key role in helping the organization drive population health improvements and financial sustainability through Medicare VBP strategies.
- Partner with Contract management and Service Fund teams to implement monitoring of Medicare-specific VBP contracts, including models with upside/downside risk, shared savings, and global capitation.
- Analyze provider performance against contract benchmarks (e.g., total cost of care, Stars measures) and prepare routine reporting for internal and external stakeholders.
- Identify trends and performance drivers to support provider outreach efforts and inform opportunities for improvement or innovation in VBP strategies.
- Assist in building and refining Medicare contract models, incorporating CMS and NYSDOH guidelines related to risk adjustment, quality metrics, and financial benchmarks.
- Collaborate with internal teams (e.g., Actuarial, Clinical, Legal, and Provider Relations) to align on incentive structures, attribution methodologies, and provider engagement needs.
- Track changes in CMS policy, Stars metrics, and VBP guidance to help ensure analytical work and contract support align with current requirements.
- Prepare analyses, data visualizations, and summaries to support contract negotiations, governance discussions, and strategic planning led by the Medicare VBP Manager.
- Advance efforts in health-related social needs strategies aimed addressing non-medical factors that influence health outcomes and equity across the delivery system.
- Recommend reporting enhancements based on VBP partner feedback and needs identified through regular use of the reporting tools.
- Special projects as assigned or directed.
Education/Experience: BA/BS – Bachelors Degree Required. MBA/MHA/MPH Preferred. Graduate education in health care administration or other related areas preferred. Minimum of 1-3 years of relevant healthcare operation or policy experience. Ability to communicate with internal and external business partners effectively. Strong written and oral communication skills. Knowledge of population health management, medical expense and quality performance analysis preferred.
Please note: it is highly preferred the candidate be located within commuting distance of our Long Island City, NY office for a hybrid schedule of 2-3 days in office per week.
Pay Range: $55,100.00 – $99,000.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual\’s skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
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Provider Engagement Analyst, VBP (Medicare) employer: RemoteWorker US
Contact Detail:
RemoteWorker US Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Provider Engagement Analyst, VBP (Medicare)
✨Tip Number 1
Familiarise yourself with value-based payment models, especially those related to Medicare. Understanding the nuances of these models will not only help you in interviews but also demonstrate your commitment to improving healthcare outcomes.
✨Tip Number 2
Network with professionals in the healthcare analytics field. Attend relevant webinars or local meetups to connect with others who work in similar roles. This can provide insights into the role and may even lead to referrals.
✨Tip Number 3
Stay updated on CMS policies and Stars metrics. Being knowledgeable about current trends and changes in regulations will show that you are proactive and well-informed, which is crucial for a role focused on performance tracking.
✨Tip Number 4
Prepare to discuss specific examples of how you've used data analysis to drive improvements in previous roles. Highlighting your analytical skills and experience with performance metrics will set you apart from other candidates.
We think you need these skills to ace Provider Engagement Analyst, VBP (Medicare)
Some tips for your application 🫡
Understand the Role: Before applying, make sure you fully understand the responsibilities and requirements of the Provider Engagement Analyst position. Familiarise yourself with value-based care concepts and how they relate to Medicare.
Tailor Your CV: Customise your CV to highlight relevant experience in healthcare operations or policy. Emphasise any analytical skills and knowledge of population health management that align with the job description.
Craft a Compelling Cover Letter: Write a cover letter that showcases your passion for improving healthcare outcomes. Mention specific experiences that demonstrate your ability to analyse provider performance and support strategic decision-making.
Highlight Communication Skills: Since strong written and oral communication skills are essential for this role, provide examples in your application that illustrate your ability to communicate effectively with both internal and external stakeholders.
How to prepare for a job interview at RemoteWorker US
✨Understand Value-Based Care
Make sure you have a solid grasp of value-based care principles, especially as they relate to Medicare. Be prepared to discuss how these concepts can improve healthcare outcomes and promote equity.
✨Showcase Analytical Skills
Since the role involves analysing provider performance and generating insights, be ready to share examples of your analytical work. Highlight any experience with data visualisation tools or reporting methods that you've used in previous roles.
✨Familiarise Yourself with CMS Guidelines
Research the latest CMS policies and VBP guidance. Being knowledgeable about these regulations will demonstrate your commitment to staying updated and your ability to align your work with current requirements.
✨Prepare for Cross-Functional Collaboration
This position requires working closely with various teams. Think of examples where you've successfully collaborated with different departments, and be ready to discuss how you can facilitate communication and alignment in this role.
