Senior Manager, Value-Based Contract Performance Analytics

Mass General Brigham•Somerville, MA

1d•Remote

About The Position

The Senior Manager of Value-Based Contract Performance Analytics serves as the domain owner for cost, utilization, and risk performance analytics supporting value-based healthcare contracts within Population Health Finance. This role is responsible for developing and maintaining scalable analytic datasets, performance reporting, and drill-down analytics across all lines of business, including Medicare (Traditional and Medicare Advantage), Medicaid, and Commercial risk arrangements. The role supports a broad and growing portfolio of value-based payment models by identifying and quantifying key drivers of financial performance, including cost trends, utilization patterns, benchmark gaps, and risk score dynamics. The position operates under the strategic direction of the Director of Value-Based Performance, who defines analytic priorities and areas of focus. This role is accountable for executing those priorities through rigorous data analysis, dataset development, and performance reporting. This role partners closely with finance, actuarial, clinical, and operational teams to translate complex healthcare data into actionable insights that inform performance improvement, financial forecasting, and evaluation of value-based payment models and provider contract economics.

Requirements

Bachelor’s Degree in Data Analytics, Finance, Economics, Healthcare Administration, or related field required.
8–10+ years of experience in healthcare analytics, medical economics, or related field.
Experience working with Medicare (Traditional and Medicare Advantage), Medicaid, and/or Commercial populations strongly preferred.
Demonstrated experience analyzing healthcare claims data and identifying cost and utilization drivers.
Strong experience in SQL-based data analysis and dataset development.
5 –7 years of previous supervisory or leadership experience required.
Strong understanding of healthcare cost and utilization drivers across Medicare, Medicaid, and Commercial populations.
Familiarity with value-based care models and performance metrics.
Advanced SQL proficiency and experience building analytic datasets.
Strong data analysis skills with experience working with large healthcare datasets.
Ability to structure and execute complex analyses with minimal oversight.
Ability to translate complex data into clear, actionable insights.
Strong communication skills with the ability to explain findings to both technical and non-technical audiences.
Ability to operate within a defined strategic framework and support leadership decision-making.

Nice To Haves

Master’s Degree preferred.
Understanding of risk adjustment methodologies (e.g., CMS-HCC) preferred.
Experience with data visualization tools such as Tableau or Power BI.

Responsibilities

Perform detailed cost and utilization drill-down analyses across Medicare (Traditional and Medicare Advantage), Medicaid, and Commercial populations.
Analyze trends in utilization, site of care, and service mix to identify key drivers of cost performance.
Conduct risk score and coding pattern analysis to evaluate risk capture performance and trends.
Quantify benchmark gaps and performance relative to targets across lines of business.
Decompose financial performance into key drivers including utilization, unit cost, risk score, and population mix.
Partner with finance and modeling teams to align analytic outputs with financial projections.
Inform financial modeling and forecasting activities by providing analytic inputs related to cost, utilization, risk, and reimbursement dynamics across value-based contracts.
Identify and quantify opportunities for performance improvement across contracts.
Evaluate performance in the context of value-based payment models, including shared savings, downside risk, and benchmark methodologies.
Analyze the financial implications of utilization, risk score, and cost trends on contract performance and reimbursement outcomes.
Develop and maintain scalable analytic datasets to support cost, utilization, and risk performance analytics.
Write and optimize SQL queries to support recurring reporting and ad hoc analyses.
Ensure data accuracy, consistency, and alignment with financial and operational reporting.
Develop and maintain dashboards and reports that track cost, utilization, and risk performance across contracts and lines of business.
Ensure reporting is consistent, interpretable, and aligned with finance and operational needs.
Support ongoing monitoring of performance trends and emerging issues.
Partner with finance, actuarial, clinical, and operations teams to support performance improvement initiatives.
Provide analytic support to inform strategic decisions, financial projections, and evaluation of contract performance.
Translate analytic findings into clear, actionable insights for stakeholders.
Execute against analytic priorities defined by Finance leadership.
Escalate questions related to prioritization, interpretation, and executive-facing narrative to Director.
Maintain documentation and consistency in analytic methodologies.