Advisor, Value-Based Analytics & Strategic Deal ...
MSCCN - Columbus, OH
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Job Summary We are seeking a data-driven strategist with a deep understanding of how health plans manage spend, utilization, and risk. In this individual contributor role, you will be the primary architect of our value-based contracting engine. You will bridge the gap between health plan utilization data and strategic financial partnerships. Your primary focus will be to transform complex datasets into sophisticated capitated and risk-based deal models. This role is critical to our growth, as you will provide the financial evidence and strategic modeling necessary to secure innovative partnerships with national and regional health plans. Responsibilities + Deal Modeling & Architecture u2013 Design and build sophisticated financial models to support the transition from Fee-for-Service (FFS) to capitated (PMPM) and shared risk arrangements with health plans. + DME-Specific Actuarial Trends u2013 Apply adjustments to historical claims data that account for DME-specific variables and HCPCS-level inflation trends to ensure model accuracy. + Risk Scoring & Stratification u2013 Develop and implement member-level risk scoring models, allowing the organization to identify high-utilizers and price risk accurately within a population. Conduct sensitivity analyses and
Created: 2026-01-26