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Financial Analyst for Managed Care
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Full-time
- Contractual arrangements include but are not limited to Medicaid, Commercial, Medicare Advantage, Medicare Accountable Care Organization (ACO) Reach, ACO – Medicaid, Capitation and global shared savings/risk.
- This role will partner with the Contracting team, CIN team and the Clinical teams on evaluating VBC shared savings/risk contracts, incentive programs and distribution, incentive funds flow, calculating and modeling projected financial risk performance (such as risk corridor scenarios, stoploss/reinsurance, feasibility, and scenario analyses).
- to support enterprise-wide alignment and reporting around VBC programs.
- Performs sophisticated VBC risk analyses including developing contractual risk models, financial and operational models and performance monitoring and evaluations.
- Responsible for VBC and CIN risk corridor and feasibility analysis, financial forecasts of upside/downside risk, determination of Stop-Loss, among other risk-based contract terms.
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