Provider Engagement Analyst, VBP (Medicare) Position Available In Providence, Rhode Island

Job Description:

You could be the one who changes everything for our 28 millionmembers as a clinical professional on our Medical Management/HealthServices team. Centene is a diversified, national organizationoffering competitive benefits including a fresh perspective onworkplace flexibility.

Position Purpose:

Value-based care is a keystrategy in transforming healthcare to improve outcomes, advancequality, and promote equity. The Analyst, Value-Based PaymentInitiatives (VBP) will support the expansion and performance ofMedicare-focused VBP arrangements across New York, includingMedicare Advantage and Dual Eligible Special Needs Plans (D-SNPs).This role is critical in analyzing provider performance, modelingcontract terms, and generating insights to guide strategicdecision-making. The Analyst will work closely with the VBPManager, Director, and cross-functional teams to support contractimplementation, performance tracking, and reporting needs. Thisincludes identifying cost and quality trends, supporting providerengagement efforts, and ensuring alignment with CMS-alignedrisk-based models. The Analyst will play a key role in helping theorganization drive population health improvements and financialsustainability through Medicare VBP strategies.

• Partner withContract management and Service Fund teams to implement monitoringof Medicare-specific VBP contracts, including models withupside/downside risk, shared savings, and global capitation.
• Analyze provider performance against contract benchmarks (e.g.,total cost of care, Stars measures) and prepare routine reportingfor internal and external stakeholders.
• Identify trends andperformance drivers to support provider outreach efforts and informopportunities for improvement or innovation in VBP strategies.
• Assist in building and refining Medicare contract models,incorporating CMS and NYSDOH guidelines related to risk adjustment,quality metrics, and financial benchmarks.
• Collaborate withinternal teams (e.g., Actuarial, Clinical, Legal, and ProviderRelations) to align on incentive structures, attributionmethodologies, and provider engagement needs.
• Track changes inCMS policy, Stars metrics, and VBP guidance to help ensureanalytical work and contract support align with currentrequirements.
• Prepare analyses, data visualizations, andsummaries to support contract negotiations, governance discussions,and strategic planning led by the Medicare VBP Manager.
• Advanceefforts in health-related social needs strategies aimed addressingnon-medical factors that influence health outcomes and equityacross the delivery system.
• Recommend reporting enhancementsbased on VBP partner feedback and needs identified through regularuse of the reporting tools.
• Special projects as assigned ordirected.

Education/Experience:

BA/BS

• Bachelors Degree Required.

MBA/MHA/MPH

Preferred. Graduate education in health careadministration or other related areas preferred. Minimum of 1-3years of relevant healthcare operation or policy experience.

Ability to communicate with internal and external business partnerseffectively. Strong written and oral communication skills.

Knowledge of population health management, medical expense andquality performance analysis preferred.

Please note:

it is highlypreferred the candidate be located within commuting distance of ourLong Island City, NY office for a hybrid schedule of 2-3 days inoffice per week.

Pay Range:

$55,100.00

• $99,000.

00 per yearCentene offers a comprehensive benefits package including:competitive pay, health insurance, 401K and stock purchase plans,tuition reimbursement, paid time off plus holidays, and a flexibleapproach to work with remote, hybrid, field or office workschedules. Actual pay will be adjusted based on an individual’sskills, experience, education, and other job-related factorspermitted by law. Total compensation may also include additionalforms of incentives. Centene is an equal opportunity employer thatis committed to diversity, and values the ways in which we aredifferent. All qualified applicants will receive consideration foremployment without regard to race, color, religion, sex, sexualorientation, gender identity, national origin, disability, veteranstatus, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will beconsidered in accordance with the LA County Ordinance and theCalifornia Fair Chance Act