Value-Based Care Performance Strategist

UC Health; Cincinnati, Northern (OH, KY); Hybrid; USD 90,000 - 120,000; Full time

Job summary

UC Health is seeking a Value Based Performance Analyst to manage contract-level performance, conduct financial analysis, and oversee external quality reporting for value-based care arrangements. The role requires collaboration with Managed Care, Finance, Population Health, Quality, and payer partners to ensure accurate reporting and resolution of discrepancies.

The analyst will maintain audit-ready documentation, monitor deadlines, forecast incentive attainment and shared savings, and provide

Qualifications

• Minimum requirements include a Bachelor's degree and 3–5 years of experience in value-based contracting or related fields.
• Experience with payer performance, analytics, and quality reporting is preferred.
• Ability to forecast incentive attainment, shared savings, and revenue at risk.

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.

Skills

Value-based contracting

Payor performance

Healthcare finance

Managed care analytics

Quality reporting

Healthcare reimbursement

Education

Bachelor's Degree

Job description

UC Health is seeking a Value Based Performance Analyst to manage contract-level performance, conduct financial analysis, and oversee external quality reporting for value-based care arrangements. The role requires collaboration with Managed Care, Finance, Population Health, Quality, and payer partners to ensure accurate reporting and resolution of discrepancies.

The analyst will maintain audit-ready documentation, monitor deadlines, forecast incentive attainment and shared savings, and provide