Managed Care Value-Based Analyst

Bon Secours Mercy Health; Taguig; Hybrid; PHP 900,000 - 1,300,000; Full time

Benefits offered by this job

Comprehensive HMO medical coverage

Work From Home allowance

Paid vacation and sick leave

Flexible working model

Job summary

Bon Secours Mercy Health Global Business Services – Manila is seeking a Managed Care Value-Based Analyst to analyze value-based payment arrangements, forecast contract performance and support strategic initiatives with financial and operational insights.

In a global services environment, you will partner with managed care, finance, compliance and operations to evaluate payer contracts, monitor reimbursement, build dashboards and deliver data-driven recommendations for U.S. value-based programs.

Qualifications

• Advanced analytical and problem solving of complex financial and healthcare data.
• Experience with value-based contracts including performance measurement and reconciliation.
• Experience creating dashboards and reports for managed care analytics.
• Proficiency in Excel modeling, forecasting and scenario analysis.
• Strong SQL skills for large healthcare claims datasets.

Responsibilities

• Analyze reimbursement methodologies, financial impact and contract performance to support negotiations.
• Evaluate value-based payment arrangements including shared savings and risk-sharing models.
• Provide analytical insights and recommendations in payer negotiations and contract discussions.
• Monitor program performance and identify underpayments, variances and compliance risks.
• Develop forecasting models and variance analyses for contract outcomes.
• Prepare monthly financial and operational reporting packages for leadership.

Skills

Tableau

SQL

Excel

Payer analytics

Forecasting

Education

Bachelor’s degree

Master’s degree

Tools

Tableau

Power BI

Excel

SQL

Job description

Who we are

At Bon Secours Mercy Health Global Business Services – Manila, we believe your best is yet to come. Based in the Philippines, we partner with U.S.-based teams to deliver strategic insights, operational excellence and specialized expertise that advance our Mission. Join a global team focused on meaningful healthcare impact.

Job Summary

The Managed Care Value-Based Analyst is responsible for analyzing value-based payment arrangements, forecasting contract performance and supporting managed care strategy through financial and operational insights.

Operating within a Global Business Services environment, this role collaborates with managed care, finance, compliance and operational teams to evaluate payer contracts, monitor reimbursement performance and support data-driven decision‑making across U.S. healthcare value‑based programs.

What you'll do

• Analyze reimbursement methodologies, financial impact and contract performance to support managed care negotiations and payer strategy.
• Support the design and evaluation of value‑based payment arrangements including shared savings models, quality incentive programs and risk‑sharing agreements.
• Provide analytical insights and recommendations during payer negotiations and contract discussions.
• Monitor value‑based program performance and identify underpayments, reimbursement variances, compliance risks and financial improvement opportunities.
• Develop forecasting models and variance analyses to evaluate contract outcomes and financial performance.
• Prepare monthly financial and operational reporting packages for leadership teams.
• Conduct quarterly and annual reconciliation reviews to validate payer compliance with contractual payment terms.
• Analyze payer claims data, market trends and industry developments to support strategic decision‑making.
• Build and maintain dashboards and reporting tools to track key performance indicators and value‑based metrics.
• Perform ad hoc analyses to support process improvement initiatives, budgeting activities and scenario modelling for new contract terms.
• Collaborate with cross‑functional stakeholders to interpret payer policies, reimbursement requirements and contract provisions.
• Ensure accuracy, integrity and confidentiality of healthcare and payer data in accordance with organisational policies and regulatory requirements.

What you'll bring

Experience

• 3+ years of experience in managed care analytics, healthcare finance, payer analytics, medical economics or healthcare consulting required.
• Experience supporting value‑based contract development including performance measurement, attribution methodologies, quality metrics, reconciliation processes and payment dispute resolution required.
• Experience developing forecasting models, reimbursement analyses and variance reporting required.
• Experience creating Tableau dashboards and reports required.
• Experience partnering with managed care, finance, legal, compliance and operational stakeholders preferred.

Education

• Bachelor’s degree in Information Systems, Business Administration, Finance, Accounting, Healthcare Administration, Economics, Analytics or a related field required.
• Master’s degree in Business Administration, Healthcare Administration, Public Health, Finance or a related field preferred.

Certifications

• Certified Healthcare Financial Professional (CHFP) – Healthcare Financial Management Association preferred.
• Certified Professional in Healthcare Quality (CPHQ) – National Association for Healthcare Quality preferred.

Knowledge, Skills and Abilities

• Knowledge of managed care contracts, reimbursement methodologies and value‑based payment models.
• Advanced analytical and problem‑solving skills with the ability to interpret complex financial and healthcare data.
• Advanced Microsoft Excel skills including financial modelling, forecasting and scenario analysis.
• Strong Structured Query Language (SQL) skills with experience analysing large healthcare claims and reimbursement datasets.
• Ability to interpret complex contractual language and assess financial, operational and compliance impacts.
• Experience validating value‑based payment settlements and reconciliation methodologies.
• Proficiency in data visualisation and reporting tools such as Tableau and Microsoft Power BI.
• Strong written and verbal communication skills with the ability to present findings to technical and non‑technical audiences.
• Excellent organisational skills and attention to detail.
• Ability to manage multiple priorities and deliver high‑quality analysis within deadlines.
• Commitment to maintaining confidentiality of patient, payer and organisational information.

What we offer

• Comprehensive HMO medical coverage, retirement plan and group life and accident insurance
• One‑time Work From Home allowance, connectivity allowance and wellness allowance
• Paid vacation and sick leave
• Government‑mandated benefits: SSS, PhilHealth and Pag‑IBIG contributions
• Flexible working model based on role and business need
• Mission‑driven culture events, outreach and service opportunities
• Learning and development programmes, mentorship and career growth pathways
• Collaborative office spaces and engagement activities

Benefits may vary based on employment terms and role.