Value Based Analyst

Work Set-Up: Hybrid (2 days WFH, 3 days Onsite)

Schedule: Nighshift, US Hours

Salary: Competetive

Location: BGC, Taguig

Key Responsibilities:

• Design and deliver expected-vs-actual reimbursement analyses, integrating large financial and claims datasets to identify trends, variances, and financial risk.
• Develop and maintain payer parity and benchmarking analyses, leveraging internal performance data and external market intelligence.
• Lead monthly gross and net revenue trend analysis, identifying key drivers, risks, and opportunities and escalating insights to leadership.
• Develop and refine intramonth and forward-looking revenue forecasts, partnering with stakeholders to improve accuracy and reliability.
• Analyze service line and payer-specific financial performance, translating findings into actionable insights to support strategic decisions.
• Define and validate analytical assumptions and methodologies used in contract modeling, forecasting, and performance evaluation.
• Design and enhance contract modeling tools, including rate escalators, carve-outs, quality incentives, and value-based payment components.
• Partner with Managed Care and Finance leadership to support payer negotiations through scenario modeling, financial impact analysis, and risk assessment.
• Present complex analytical findings and recommendations to finance, strategy, and managed care leaders in a clear, executive-ready format.

Qualifications:

• Bachelor’s degree in Finance, Accounting, Economics, Data Analytics, Health Administration, or a related field.
• At least 5 years of progressive experience in healthcare financial analysis, managed care analytics, payer reimbursement, or medical economics.
• Demonstrated experience with payer reimbursement methodologies, such as DRG, APC, fee schedules, and value-based models.
• Proven experience in financial modeling, forecasting, and scenario analysis to support decision-making.
• Experience with analytical and financial systems such as SQL, Power BI, Tableau, Epic, Strata, or EPSi.
• A master’s degree in Business Administration, Health Administration, or a related discipline is preferred.
• Relevant certifications, such as CHFP or CPHQ, are an advantage.
• Prior revenue cycle or payer-facing experience is preferred.