Job Summary The purview of Novant Health’s Payor Intelligence team is the performance strategy for approximately $6B of annual net patient service revenue, as well as upside/downside VBC revenue risk. Payor Intelligence manages a unified payor dataset to develop population-level and program-specific performance insights and creates negotiation analytics and strategy for revenue from commercial and government contracts including performance and value-based care incentives. The Payor Intelligence team provides thought leadership and financial analysis for various existing and emerging payment arrangements including population risk models, episodic contracts and other strategic projects. Payor Intelligence’s responsibilities are constantly evolving and currently represent key components of Novant Health’s strategic goals. The Senior Analyst, Population Performance reports to the Manager, Population Performance, and supports population health analysis to drive operational and clinical improvement. This position requires a wide range of expertise and experience in population health and value-based care, as well as a high degree of familiarity with existing and emerging population health management trends. Responsibilities • Compile and distribute stakeholder-facing reports included within the population performance analytical library, focusing on performance across six domains: Quality, Total Cost of Care, Network Integrity, Social Determinants of Health, Risk Adjustment, and Attribution. • Reconcile and validate data and reporting to ensure data integrity and reasonableness. Document, communicate, and escalate identified issues, as needed. • Identify emerging trends in population performance and report findings to inform operational strategies. • Utilize internal data systems as well as external data to develop analyses and impact assessments to drive performance improvement. • Support stakeholder use of self-service dashboards and tools to inform population performance opportunity identification. • Maintain a working knowledge of Medicare, Medicaid, and commercial insurance products and value-based care incentive models. Qualifications Education: 4 Year / Bachelors Degree, required. Graduate Degree, preferred. Experience: Minimum 3 years of healthcare experience, with a specific focus in provider risk performance, required. Additional Skills (required): Excellent analytical skills and ability to manipulate large data sets from multiple systems using MS Office, SQL, SAS, or other database management tool. Familiarity with current common coding practices including CPT4, ICD10CM, and DRGs as well as current Medicare reimbursement methodologies. Familiarity with the analysis of payor claims data. Demonstrated project and/or process management skills. Ability to manage multiple projects, prioritizing to meet critical deadlines. Knowledge of healthcare finance, managed care, provider incentives, and risk contracting required. Understanding of healthcare expense risk for populations, its components (unit price and frequency), and drivers. Familiarity with provider billing and collections processes. Job Opening ID 104921