Help lead CareMore’s financial and strategic objectives by leveraging medical claims and financial data
Deliver data-driven insights and recommendations that improve performance, support value-based care initiatives, and lower the total cost of care across the organization
Requirements
Analyze medical claims data to evaluate utilization patterns, cost drivers, quality performance, and population health trends across attributed member populations
Assess provider and network performance, including variation in utilization, cost, and outcomes, to support network strategy and provider engagement efforts
Support value-based care and risk-based arrangements by analyzing financial performance against benchmarks, targets, and capitation assumptions
Perform financial analysis, which includes ROI assessments, cost-benefit analysis, and variance analysis to enhance strategic decision-making
Develop financial models and reporting to support strategic initiatives, including network optimization, care management programs, and contract performance
Partner with clinical, care management, network, and operations teams to identify, size, and track opportunities to improve performance and reduce avoidable utilization
Translate complex analytical findings into clear, actionable insights for senior leadership and provider-facing teams