Value-Based Care Financial Architect

Hire Virtual Team (HVT) Global Solutions; Taguig; Hybrid; PHP 1,800,000 - 2,100,000; Full time

Job summary

Hire Virtual Team (HVT) Global Solutions is hiring a Value-Based Expert to lead healthcare financial strategy, value-based payment performance, and managed care initiatives. This hybrid role requires strong analytics and collaboration with clinical and finance teams.

You will develop models, dashboards, and forecasts, mentor analysts, and support negotiations with payers. Schedule is Monday-Friday; office presence 2x weekly.

Qualifications

• 5+ years in healthcare finance or payer analytics.
• Experience in value-based contract development, including performance measurement, attribution, quality metrics, reconciliation, and dispute resolution/appeals.
• Forecasting, auditing, and predictive analytics for contract performance management.
• Proven analytics driving measurable business actions.
• Strong communication translating data to insights for technical and non-technical audiences.

Responsibilities

• Prepare analyses for managed care contract negotiations and payer strategy.
• Design value-based payment models and attribution methodologies.
• Develop pro forma, sensitivity, and stress-test analyses for utilization and cost scenarios.
• Monitor contract and value-based program performance, identify risks and unfavorable trends.
• Develop monthly forecasts and financial reports on value-based performance.
• Conduct quarterly and annual reconciliations to ensure payer contract compliance.
• Develop analytical tools to monitor healthcare trends and forecast performance.
• Analyze payer data and market trends to support negotiation strategies and enterprise decisions.
• Create executive dashboards for clinical and financial stakeholders.
• Build scalable, repeatable analytic processes across value-based programs.
• Mentor Managed Care Analysts and guide process improvements.

Skills

SQL

Tableau

Power BI

Financial modeling

Payer analytics

Communication

Forecasting

Education

Bachelor's degree in STEM/related field

Master's degree preferred

Tools

SQL

Tableau

Power BI

Job description

Hire Virtual Team (HVT) Global Solutions is hiring a Value-Based Expert to lead healthcare financial strategy, value-based payment performance, and managed care initiatives. This hybrid role requires strong analytics and collaboration with clinical and finance teams.

You will develop models, dashboards, and forecasts, mentor analysts, and support negotiations with payers. Schedule is Monday-Friday; office presence 2x weekly.