Value Based Analyst

Location: BGC

Thank you for considering a career at Bon Secours Mercy Health!

Scheduled Weekly Hours

40

Work Shift

9pm to 6am (Philippines)

Job Summary

This position is an individual contributor within the Managed Care team in Global Business Services (GBS). The Managed Care Value-Based Analyst provides subject-matter expertise and analytical support for managed care value-based payment arrangements. The role conducts financial modeling, contract performance forecasting, and reconciliation activities across value-based payment models, informing negotiation strategy, contract performance assessments, and enterprise decision-making in partnership with managed care leadership.

Essential Functions

Prepare reimbursement, financial impact, and performance analyses to support managed care contract negotiations and payer strategy.

Assist in structuring value-based payment models, including shared savings, quality metrics, and risk corridors.

Provide real-time analytical support and data-driven recommendations during payer negotiations and escalation discussions.

Monitor and analyze contract and value-based program performance, identify underpayments, compliance gaps, unfavorable payment trends, and financial risks.

Develop monthly forecasts and financial packages summarizing value-based performance, payment reconciliation, and variance analysis.

Conduct quarterly and annual reconciliation audits for value-based programs, validating payer adherence to contract terms

Synthesize insights from payer data, market trends, and industry developments to inform negotiation strategy and enterprise decision-making.

Develop monthly reporting package on value-based program performance to inform leadership and in support of budgeting, performance montiorting and opportunity identifications. Conduct ad-hoc analysis in support of initatitive development, process improvements, and what-if scenarios for new program terms.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Education

Bachelor’s degree in Information Systems, Business Administration, Finance, Accounting, Healthcare Administration, Economics, Analytics, or related discipline (required)

Master’s degree in Business Administration (MBA), Healthcare Administration (MHA), Public Health (MPH), Finance, or related field (preferred)

Required Licensing & Certifications

Certified Healthcare Financial Professional (CHFP) — Healthcare Financial Management Association (HFMA) (preferred)

Certified Professional in Healthcare Quality (CPHQ) — National Association for Healthcare Quality (NAHQ) (preferred)

Experience

3 years of progressive experience in managed care analytics, healthcare finance, payer analytics, medical economics, or related healthcare consulting (required)

Demonstrated experience supporting value-based contract development, including performance measurement, attribution/quality metrics, reconciliation, and dispute resolution/appeals processes (required)

Experience developing and delivering forecasting, variance analysis, and reimbursement impact modeling to support negotiation and contract performance management (required)

Experience in developing tableau reports (required)

Experience working cross-functionally with managed care leadership, finance, legal/compliance, and operational stakeholders to interpret payer policies and contract requirements (preferred)

Skills & Abilities

• Deep expertise in managed care contract structures, reimbursement methodologies, and value-based payment models.
• Advanced analytical and problem-solving skills to evaluate complex financial, quality, and attribution data across payer arrangements.
• Proficiency in advanced financial modeling and scenario analysis using Microsoft Excel, including forecasting and variance analysis.
• Strong SQL skills and experience leveraging large, multi-source datasets for reimbursement and performance analytics.
• Ability to interpret complex contract language and assess financial, operational, and compliance impacts.
• Experience developing reconciliation methodologies and validating value-based payment settlements and performance outcomes.
• Familiarity with data visualization and reporting tools (e.g., Power BI, Tableau) to communicate insights effectively.
• Strong written and verbal communication skills, with the ability to translate complex analytical findings for non-technical stakeholders.
• High level of organization, attention to detail, and ability to manage multiple complex analyses independently.
• Demonstrated ability to maintain confidentiality of patient, payer, and organizational data in compliance with policy and regulation.
• SQL proficiency with experience extracting, validating, and analyzing large healthcare claims, reimbursement, and/or value-based performance datasets.

Training

N/A

As a Bon Secours Mercy Health associate, you’re part of a Mission that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer

• Comprehensive HMO medical coverage, retirement plan and group life and accident insurance
• One-time Work From Home allowance, connectivity allowance, wellness allowance and role-specific allowances
• Paid vacation and sick leave
• Government-mandated benefits: SSS, PhilHealth and Pag-IBIG contributions
• Flexible working model with hybrid, onsite or virtual arrangements (based on role and business need)
• Mission-driven culture events, community outreach and service opportunities
• Learning and development programs, mentorship and clear career growth pathways
• Modern, collaborative office spaces and regular engagement and culture-building activities
• Benefits may vary based on employment terms and role.

Department

Revenue Management - Managed Care - BSMH Global Business Systems

It is our policy to comply with all applicable Philippine labor laws and regulations and to uphold equal employment opportunity in all aspects of recruitment and employment.

All applicants will be considered for employment based on merit, qualifications, and business requirements, without regard to race, color, ethnicity, religion, sex, sexual orientation, gender identity or expression, civil status, age, disability, genetic information, nationality, or any other status protected under Philippine law.

We are committed to providing an inclusive workplace free from unlawful discrimination and harassment.

If you are a person with a disability and require reasonable accommodation as part of the application or selection process, please contact the Talent Acquisition Team at [email protected]. We will work with you to provide appropriate assistance in accordance with applicable laws and company policy.