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This position drives financial performance insight across population health and value-based care contracts, including Medicare Advantage and shared-risk arrangements.
Job Responsibility
Analyze claims, CMS, and EHR (Epic) data to evaluate cost, utilization, and quality performance
Build and maintain financial models, proformas, and contract-level P&Ls to track performance vs. budget and forecast
Perform risk pool, settlement, and payor reconciliation activities
ensure accurate accruals and revenue recognition
Identify variance drivers, coding gaps, and revenue leakage within complex datasets
Support forecasting and run-out analysis tied to delayed reimbursement cycles
Partner with finance, operations, and clinical leaders to deliver actionable insights on total cost of care and performance improvement opportunities