Analyst, Value Based Payment Initiatives Job in Fidelis Care

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose:

Value-based care is the leading strategy in healthcare transformation and population health management aimed at improving positive health outcomes, advancing quality and ensuring equity in healthcare delivery today. As a data analyst of Value Based Payment initiatives, you will use your analytical skills to assist in the execution of the organization’s Value Based Payment (VBP) strategies. This position will be responsible for working with the VBP team and other cross-functional departments in the management of multiple VBP relationships.

In this Data Analyst, Value Based Payment(Data Analyst II) role, you will:

Provide analytical support to enhance VBP model strategies and contracting relationships aimed at reducing avoidable costs and improving health outcomes, in alignment with the New York State Department of Health and Center for Medicare and Medicaid Services’ Value Based Payment programming. Support exploration of additional VBP models across the Fidelis product portfolio.
Serve as the lead data analyst for contracted Provider Groups, Independent Physician Associations (IPAs), Accountable Care Organizations (ACOs), Hospital and Health Systems and other contracting entities providing utilization insights on population health segments to inform recommendations on opportunities for cost and quality improvement.
Advance expanded efforts in Social Determinants of Health strategies aimed addressing non-medical factors that influence health outcomes and equity across the delivery system.
Create and build reporting for multiple data platforms for Fidelis product populations for internal use in Fidelis business decisions and to share with VBP partners. Work closely with the internal IT team to resolve any issues related to the operation of these data platforms.
Communicate areas of opportunities identified through various reporting efforts with VBP partners. Recommend reporting enhancements based on VBP partner feedback and needs identified through regular use of existing reporting tools.
Work environment: This is a hybrid position (office and remote)

The VBP Strategy:

Is consistent with the New York State Value-Based Payment initiatives.
Incorporates incentives that encourage providers to improve the quality and effectiveness of the services they provide while simultaneously reducing their unnecessary use of delivery system resources.
Results in aggregate quality and financial outcomes that are consistent with the organization’s objectives.

Our Comprehensive Benefits Package:

Flexible work solutions including remote options, hybrid work schedules and dress flexibility
Competitive pay
Paid Time Off including paid holidays
Health insurance coverage for you and dependents
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and development

Education/Experience:

Bachelor’s degree’s related field or equivalent experience.
2+ years of statistical analysis or data analysis experience. Advanced knowledge of Business Objects, SQL, and Microsoft Applications, including Excel and Access.
Proficiency in Microsoft Excel and SQL required.
SAS experience and knowledge of Tableau or an equivalent data utilization tool is preferred.
Knowledge of population health management, medical expense and quality performance analysis.

About Us: Centene Corporation, a FORTUNE 25 company, is the leading national healthcare enterprise committed to helping people live healthier lives. We are revolutionizing the world of healthcare through digital transformation. Our world class teams use collective innovation to turn visions into action and challenge what is possible. We are an industry leader with a local focus and a global vison:

Listed on FORTUNE magazine’s World’s Most Admired Companies List for 2nd consecutive year.
Ranked No.2 on the FORTUNE 500 Measure Up Initiative, a new benchmark to identify companies building inclusive and fair workplaces.
National footprint in all 50 states, serving 1 in 15 individuals in the U.S.

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.

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