Senior Population Risk Performance Analyst (Value-Based Care)

This role is responsible for providing advanced analytical and modeling expertise supporting value-based care performance measurement and population risk normalization.

Requirements

• 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.

Benefits

• Annual Incentive Bonus
• 401(k) with employer match
• Paid Time Off (PTO)
• Competitive health benefits and wellness programs