Value Based Payor Performance Analyst, Full Time, First Shift
About The Position
Under minimal supervision, the Value Based Performance Analyst is responsible for contract-level performance management, financial analysis, external quality reporting, and compliance oversight for UC Health commercial and government value-based care arrangements. The analyst interprets payer performance methodologies and contractual requirements; validates and reconciles payer-reported quality, utilization, attribution, and financial results; and forecasts incentive attainment, shared savings, and revenue at risk. This role serves as a key analytical liaison between Managed Care, Finance, Population Health, Quality, operational leaders, and payer partners to ensure accurate external reporting, resolve performance discrepancies, maintain audit-ready documentation, and provide leadership with actionable contract performance insights.
Requirements
- Bachelor's Degree
- 3-5 years equivalent experience in value-based contracting, payor performance, healthcare finance, managed care analytics, quality reporting, or healthcare reimbursement
Responsibilities
- Monitors the performance of assigned value-based care contracts, including quality, utilization, patient attribution, and financial results.
- Tracks contract requirements, incentive opportunities, shared savings, and potential financial risks.
- Analyzes and forecasts contract performance, identifying trends, risks, and opportunities for improvement.
- Reviews payer calculations and compares them with UC Health's data to ensure accuracy.
- Prepares, validates, and submits required quality reports, scorecards, and supporting documentation to payers and regulatory programs.
- Interprets quality measure requirements, reporting guidelines, and contract provisions to ensure compliance.
- Maintains reporting schedules, documentation, and audit-ready records.
- Serves as a key contact for payer questions related to quality reporting and performance results.
- Monitors reporting deadlines, performance obligations, and compliance requirements for value-based care programs.
- Identifies reporting issues, compliance risks, and performance concerns, escalating significant issues to leadership.
- Tracks changes in payer and regulatory requirements and evaluates their impact on operations and financial performance.
- Reconciles payer performance reports with internal data, investigating and resolving discrepancies.
- Collaborates with Managed Care leadership and payers to address data, quality, attribution, and reimbursement issues.
- Tracks disputed items through resolution and quantifies the financial impact of variances.
- Develops performance dashboards, scorecards, and executive reports that summarize quality, utilization, financial results, and compliance status.
- Provides leadership with insights on performance drivers, risks, and opportunities to improve contract outcomes.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
