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Payer Contracting Analyst Value Based Care (Days, Local Remote)
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- is responsible for analyzing and modeling Value Based Care (VBC) and population health risk agreements on behalf of the Office of Managed Care (OMC) and the UChicago Medicine Clinically Integrated Network (CIN), including but not limited to Medicare Advantage, Medicare CMMI Accountable Care Organizations (ACOs) for shared savings (MSSP and ACO Reach), Commercial ACOs, Bundled Payments, Capitation, Direct to Employer (DTE), and global risk agreements.
- Partners with the Contracting team (FFS and VBC), CIN and the clinical teams on evaluating VBC 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).
- Collaborates with interdisciplinary teams across the care continuum Decision Support, Financial Planning, Budgetary, etc to support enterprise wide alignment and reporting around VBC programs.
- 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.
- Work closely with the VP Payer Contracting and Director Value Based Payment Models to support all VBC contract negotiations for Managed Care Commercial payers, Direct-To-Employer, Medicare Advantage payers and Medicaid payers to analyze, model and negotiate VBC contract risk terms for UCM hospitals and physicians.
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