Value-Based Analyst

About the position

Responsibilities: Perform advanced reimbursement, financial impact, and performance analyses to support managed care contracting and payer strategy. Support the design of value-based payment models, including shared savings, quality metrics, and risk arrangements. Provide real-time analytical insights and recommendations during payer negotiations and escalations. Monitor contract and value-based program performance, identifying underpayments, compliance gaps, unfavorable trends, and financial risk. Prepare monthly forecasts and financial reports covering value-based performance, reconciliation, and variance analysis. Conduct quarterly and annual reconciliation audits to ensure payer compliance with contract terms. Leverage payer data, market trends, and industry insights to inform negotiation strategy and enterprise decisions. Deliver monthly leadership reporting and ad-hoc analyses to support budgeting, performance monitoring, initiative development, and scenario modeling. Qualifications: 3+ years of progressive experience in managed care analytics, healthcare finance, payer analytics, medical economics, or related healthcare consulting Education: Degree background with data analytics/Analysis Should have strong background in health care economics Need to have strong audit background - no need to be the lead auditor - more on understanding of audit Complete forecast - interpretation of IBNR, setting accruals using historical performance Monthly closing activities, financial packages, interpret new regulations Flexibility to do Adhoc Able to handle large set of data and create and translate numbers/analysis to non-finance stakeholders Creation of dashboards Tools:Tableau , Microsoft Suite Shift: Night Shift Location: BGC, Taguig Arrangement: Hybrid (3 days RTO & 2 days WFH per week)

Place of work