Sr. Medical Economics Analyst

Position Overview

We are seeking an experienced Sr. Medical Economics Analyst to join our value-based care (VBC) team in our Accountable Care Organization (ACO). This role requires a seasoned professional with 3-5 years of data analytics experience who can navigate the complex landscape of Medicare risk models, value-based care arrangements, and population health analytics. The ideal candidate will play a critical role in optimizing our organization's performance under CMS total cost of care models while ensuring sustainable financial outcomes.

Key Responsibilities

• Develop and maintain sophisticated risk-adjusted provider group performance models using CMS-HCC methodology.
• Analyze VBC performance under various CMS and CMMI total cost-of-care models.
• Monitor and forecast financial performance across assigned patient populations.