Value-Based Care Data Analyst

Community Care Plan; Town of Florida (NY); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Community Care Plan seeks a Value-Based Care Analyst in Sunrise, FL to support the Medical Economics department with data analysis and performance reporting across Medicaid and Marketplace programs.

The role analyzes healthcare claims, encounters, and membership data to identify improvements in provider performance, documentation, and population health outcomes, delivering dashboards and reports to guide decision-making.

Qualifications

• Bachelor's degree in Health Informatics, Healthcare Administration, Data Analytics, Economics, Public Health, or related field.
• Minimum 3 years of healthcare analytics experience.
• Strong proficiency in SQL, Excel, and data analysis tools.
• Experience working with healthcare claims, encounter, or clinical datasets.

Responsibilities

• Analyze healthcare claims, encounter, and membership data to identify trends in utilization, cost drivers, provider performance, and population health outcomes across Medicaid and Marketplace populations.
• Develop and maintain analytical reports, dashboards, and data tools used to monitor provider performance, healthcare utilization patterns, and value-based program metrics.
• Evaluate population risk trends, disease burden, and documentation patterns that may impact healthcare outcomes and financial performance.
• Identify variations in provider performance and highlight opportunities for improvement based on analysis of healthcare data.
• Prepare provider-level performance reports and analytical summaries to support provider engagement and performance improvement discussions.
• Participate in meetings with provider groups to review performance data, explain analytical findings, and respond to questions regarding performance trends.
• Support monitoring and evaluation of value-based payment arrangements by analyzing provider performance against defined quality, utilization, and financial metrics.
• Conduct ad hoc analyses to support Medical Economics initiatives, including evaluation of healthcare cost drivers, utilization trends, and population risk characteristics.
• Collaborate with analytics, clinical, and provider relations teams to ensure accurate interpretation and communication of healthcare performance data.
• Maintain data accuracy and integrity through validation, quality assurance processes, and ongoing monitoring of analytical outputs.

Skills

SQL

Excel

Data analysis tools

Education

Bachelor's degree

Job description

Community Care Plan seeks a Value-Based Care Analyst in Sunrise, FL to support the Medical Economics department with data analysis and performance reporting across Medicaid and Marketplace programs.

The role analyzes healthcare claims, encounters, and membership data to identify improvements in provider performance, documentation, and population health outcomes, delivering dashboards and reports to guide decision-making.