Analyst, Value Based Payment Initiatives

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

***HYBRID POSITION - Long Island City, NY***

Position Purpose:

Value-based care is the leading strategy in healthcare transformation aimed at improving positive health outcomes, advancing quality and ensuring equity in healthcare delivery today. As a Provider Engagement Analyst of Value Based Payments, you will assist in the execution of the organization's Value-Based Payment strategies (VBP). This position will be responsible for working with the VBP team and other cross-functional departments in the management of multiple VBP partners.

The VBP Strategy:

Is consistent with the New York State goals for Value-Based Payment initiatives.

Incorporates incentives that encourage providers to improve the quality and effectiveness of the services they provide while simultaneously reducing their unnecessary use of delivery system resources.

Results in aggregate quality and financial outcomes that are consistent with the organization's objectives.

The Analyst Roles & Responsibilities:

Expand and improve Value-Based Payment (VBP) contracting relationships by refining existing VBP models aimed at reducing avoidable costs and improving health outcomes, in alignment with the New York State Department of Health and Center for Medicare and Medicaid Services' Value Based Payment programming. Support exploration of additional VBP models across the Fidelis product portfolio.

Build relationships as the engagement analyst with contracted Provider Groups, Independent Physician Associations (IPAs), Accountable Care Organizations (ACOs), Hospital and Health Systems and other contracting entities in identifying opportunities in financial and quality performance to support VBP partners in value-based payment arrangements.

Advance efforts in Social Determinants of Health strategies aimed addressing non-medical factors that influence health outcomes and equity across the delivery system.

Work with the Manager/Director/Vice President to develop strategies and action plans designed to eliminate any outlier utilization and/or quality of care patterns that prevent VBP partners from realizing successful outcomes through their Fidelis VBP relationship.

Attend internal and external VBP meetings (clinical, IT, legal, etc.) in order to resolve any issues related to the operation of those VBP arrangements. Assist in execution of the business plan objectives to drive success of VBP partnerships.

Recommend reporting enhancements based on VBP partner feedback and needs identified through regular use of the reporting tools

• Education/Experience: BS/BA Bachelor's degree required.
• Graduate education in health care administration or other related areas preferred.
• 1-3 years of relevant healthcare operation, customer-facing or policy experience.
• Ability to communicate with internal and external business partners effectively.
• Strong written and oral communication skills.
• Knowledge of population health management, medical expense and quality performance analysis
• Knowledge of Financial, Asset Management, and Expense modules.
• Health Equity experience strongly preferred

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Pay Range: $52,900.00 - $95,200.00 per year

Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.