The Value-Based Care Analytics Developer, Senior designs, builds and optimizes data and analytics solutions that support the organization?s enterprise priorities and promotes its value-based care initiatives. This role develops analytical tools, data pipelines, and reporting solutions that drive insight into cost, quality, utilization, and risk under shared savings, capitation, and performance-based payment models. This role demands technical proficiency in modern data platforms and analytics tools to power data-driven decision-making and benefits from healthcare domain knowledge across clinical, operational, and financial domains. This role works collaboratively with our analytics product managers and analytics managers to understand user needs and build analytics products and solutions that are self-service, automated, and scalable. This role supports other team members in their learning and development, works closely across the enterprise with key stakeholders, engages with CMS and national and regional payors, and regularly presents solutions, findings and recommendations to operational teams and leaders. This role is part of our Value-Based Care Institute (VBCI) products and analytics team and works with moderate supervision.

Analytics Development
o\tDevelop and maintain analytics products and solutions (datasets, reporting, dashboards) that are used to deliver insights to claims, clinical, and operational data to assess performance in value-based contracts including for monitoring key performance indicators (KPIs) such as total cost of care, quality measures, risk scores, utilization, and shared savings metrics.
o\tMonitor and optimize the performance of data management processes and analytics products and solutions. Ensure automation and alerting in performance monitoring.
Advanced Analytics Support
o\tDevelop and maintain analytics frameworks that support key value-based capabilities including member attribution, benchmarking, performance, stratification, and risk adjustment
o\tUnderstand and leverage a variety of data sources as required, support data management and data pipeline automation in partnership with data engineering and services teams and third-party vendors including payors as needed.
Cross-Functional Collaboration
o\tWork closely with value-based care analysts, analytics product managers, data science, and health economists to develop execute on user stories.
o\tPartner with IT and data governance teams to ensure data quality, integrity, and compliance with applicable governance and organizational standards and policies
EDUCATION:Minimum of 7 years of experience. A bachelor?s degree is considered to meet this requirement. Other formal training in data analytics may be considered on a case-by-case basis.
EXPERIENCE:Experience Requirements:
?\tFormal training or work experience in data analytics, data analysis, or data science.
?\tProven experience using data and analytics tools. Strong working experience using SQL and at least one analytics or visualization tool (PowerBI, Tableau, SigmaComputing, or other).
?\tExperience working in a modern cloud environment (Snowflake and/or Databricks) and with modern data management tools
?\tExperience working with healthcare data types including claims data, payor revenue/premium data, payor supplemental data, clinical data including clinical quality metrics (HEDIS) and risk adjustment (HCCs), social determinants of health (SDOH), and operational data and KPIs.
?\tKnowledge of and experience with electronic health records (EHRs, such as Epic, Cerner, eCW, Allscripts, Athena) and population health management platforms (such as Epic?s Value Based Care, Innovaccer, Arcadia, Lightbeam or other care management or population health platforms)
?\tUnderstanding of clinical workflows and clinical operations as they relate to value-based care and population health
?\tGenuine desire and curiosity to build analytics applications that wow users and reduce their burden in accessing and using data.
?\tDeep commitment to continuous learning as part of a cross-functional team that includes clinical and non-clinical stakeholders.
?\tExperience working within an agile delivery environment (DevOps)
Preferred Experience
?\tKnowledge of and experience with healthcare claims data and related claims analytics tools (such as Milliman?s MedInsight, MedeAnalytics, Tuva or claims analytics tools)
LICENSURE/CERTIFICATION/REGISTRY/LISTING:
Equal Opportunity Employer At Cone Health, we strive to create a welcoming atmosphere that celebrates a diverse and unique workforce. We believe in offering equal opportunities for employment to all applicants and employees, regardless of their race, religion, age, sex, sexual orientation, gender identity, veteran's status, ethnicity, national origin, disability, color, or any other characteristic protected by law. Our hiring and employment choices are based on each individual's qualifications, skills and performance. We believe that by embracing the diversity of our team, we can better serve our patients, communities and each other.