Senior Population Risk Performance Analyst (Value-Based Care)

Responsibilities 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. Qualifications Bachelor's degree or advanced degree in healthcare administration, business, public health, or related field. 5+ years of experience in related field (or 7+ years in lieu of a degree). 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. Preferred: Experience supporting Medicare Advantage and Commercial value‑based care programs. Preferred: Familiarity with total cost of care measurement and shared savings models. Preferred: Experience collaborating with actuarial, finance, or clinical economics teams. Preferred: Knowledge of attribution methodologies and population performance analytics. Preferred: Experience supporting provider settlement or reconciliation processes. Salary Range: $98,092.00 - $156,947.00 #J-18808-Ljbffr