Job Description

Responsibilities:

• Perform advanced reimbursement, financial impact, and performance analyses to support managed care contracting and payer strategy.
• Support the design of value-based payment models, including shared savings, quality metrics, and risk arrangements.
• Provide real-time analytical insights and recommendations during payer negotiations and escalations.
• Monitor contract and value-based program performance, identifying underpayments, compliance gaps, unfavorable trends, and financial risk.
• Prepare monthly forecasts and financial reports covering value-based performance, reconciliation, and variance analysis.
• Conduct quarterly and annual reconciliation audits to ensure payer compliance with contract terms.
• Leverage payer data, market trends, and industry insights to inform negotiation strategy and enterprise decisions.
• Deliver monthly leadership reporting and ad-hoc analyses to support budgeting, performance monitoring, initiative development, and scenario modeling.

Qualifications:

• 3+ years of progressive experience in managed care analytics, healthcare finance, payer analytics, medical economics, or related healthcare consulting
• Education: Degree background with data analytics/Analysis
• Should have strong background in health care economics
• Need to have strong audit background - no need to be the lead auditor - more on understanding of audit
• Complete forecast - interpretation of IBNR, setting accruals using historical performance
• Monthly closing activities, financial packages, interpret new regulations
• Flexibility to do Adhoc
• Able to handle large set of data and create and translate numbers/analysis to non-finance stakeholders
• Creation of dashboards
• Tools:Tableau , Microsoft Suite

•  Shift: Night Shift
• Location: BGC, Taguig
• Arrangement: Hybrid (3 days RTO & 2 days WFH per week)