Business Analyst - Value Based Care

CommUnityCare Health Centers•Austin, TX

4d•Hybrid

About The Position

The Business Analyst – Value-Based Care serves as a key member of the Business Intelligence team supporting the Population Health and Value-Based Care data needs of the organization. This position focuses on supporting data-driven decision-making to improve quality, patient outcomes, and financial performance under risk-based and shared savings arrangements as well as strategic plans around Population Health Management. This role will leverage Epic EMR data, claims data, and value-based care reporting systems to provide actionable insights for clinical, operational, and executive leaders. The analyst will be responsible for supporting panel attribution, performance reporting, quality metric tracking, risk adjustment analysis, and the development of dashboards and tools that support care teams in achieving value based care (VBC) targets including analytics associated with Epic’s Healthy Planet. This is a "Hybrid" position. Individuals in this position may work both at an approved off-site location and onsite at a primary location or multiple locations based on business needs.

Requirements

Bachelor's Degree in Data Analytics, Statistics, Health Informatics, Public Health, Health IT, or related field.
3 years experience in healthcare analytics, business intellignece, or data reporting
2 years experience with Epic EMR (Clarity, Caboodle, Reporting Workbench, or SlicerDicer).

Nice To Haves

Master's or higher degree in Data Analytics, Statistics, Health Informatics, Public Health, Health IT.
2 years of demonstrated knowledge of value-based care models (ACO, MSSP, PCMH, MIPS, Medicaid APMs, risk-sharing, bundled payments).
2 years experience with healthcare quality management (HEDIS, CMS measures, STAR ratings).
2 years experience with SQL, data extraction, and Epic reporting databases.
2 years experience translating complex datea into actionable insights for clinicians and executives.
1 year working in a Federally Qualified Health Center, health plan, or integrated delivery system.
1 year working with social determinants of health (SDOH) data and integration into population health analytics.

Responsibilities

Extract, analyze, and validate data from Epic EMR (Clarity, Caboodle, SlicerDicer) and payer claims to produce reports that measure quality, cost, utilization, and patient outcomes.
Develop, maintain, and optimize dashboards for VBC performance (e.g., HEDIS, CMS ACO measures, STAR ratings, MIPS, MSSP, Medicaid APMs).
Monitor attribution lists and panel sizes; reconcile payer rosters with internal data.
Perform risk adjustment, cost of care, and population segmentation analyses.
Translate data findings into actionable recommendations for care managers, providers, and leadership.
Partner with Population Health, Quality, Care Management, and Clinical Leadership to track progress against contractual VBC goals (quality, utilization, MLR, shared savings).
Support predictive modeling and stratification to identify high-risk/high-cost patients for care management.
Provide analysis to guide strategic initiatives such as chronic disease management, SDOH interventions, and patient engagement.
Contribute to payer reporting, audit responses, and financial reconciliation processes.
Serve as a subject matter expert on Epic reporting tools and VBC data needs.
Act as liaison between analytics, clinical operations, and payer partners to ensure data integrity and alignment.
Present findings in clear, concise formats for technical and non-technical audiences (dashboards, presentations, written reports).