Full Time | Ambulatory Healthcare Services2 Months Ago
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Sinai Chicago is Hiring a CONTRACT RISK ANALYST-VBC Near Chicago, IL
The Value Based Care (VBC) Contract Risk Analyst is responsible for analyzing and modeling managed care, Value Based Care (VBC) and population health risk agreements on behalf of Sinai Chicago Managed Care Department and Progress Health, Sinai Chicago’s, Clinically Integrated Network (CIN). Contractual arrangements include but are not limited to Medicaid, Commercial, Medicare Advantage, Medicare Accountable Care Organization (ACO) Reach, ACO – Medicaid, Capitation and global shared savings/risk. This role will partner with the Contracting team, CIN team and the Clinical teams on evaluating VBC shared savings/risk contracts, incentive programs and distribution, incentive funds flow, calculating and modeling projected financial risk performance (such as risk corridor scenarios, stoploss/reinsurance, feasibility, and scenario analyses). The analyst works with senior leadership to support future financial goals and strategies as well as modeling and forecasting. This role assists the Chief Population Health and Growth officer and team during risk-based contract negotiations to ensure successful contract negotiation and monitoring and enforcement of contract terms and support for value base care contracting initiatives. This role serves as a subject matter expert for risk-based contract terms developing monitoring tools and reporting to proactively manage and mitigate risk and improve contract performance. The analyst monitors and reviews existing and new Center for Medicare and Medicaid Innovation (CMMI) Government Programs whether for the hospital system, the ambulatory providers, or the CIN, to understand the risk components and partners with the Chief Population Health and Growth officer and interdisciplinary team to assess feasibility and requirements for participation. Additionally, this role collaborates with interdisciplinary teams across the care continuum – Decision Support, Financial Planning, Budgetary, etc