Local candidate highly preferred. Hybrid work schedule (In office/Remote). If remote, travel will be required, specifically to Tampa, FL.
Reports to: VP National Products
The National Products Business Analyst plays a key role in leading and managing the execution of value-based care programs across the organization’s MSSP ACO, Medicaid, and Commercial product lines. This role is responsible for ensuring successful program delivery through cross-functional coordination, data-driven decision-making, and continuous process improvement. The incumbent will serve as a key liaison between clinical, operational, and compliance stakeholders, ensuring deliverables are met, performance targets are achieved, and all activities remain audit-ready and compliant with contractual and regulatory standards.
Primary Responsibilities:
- Lead the planning, execution, and performance tracking of National Products initiatives, ensuring all contract deliverables, milestones, and timelines are met in alignment with strategic objectives.
- Own and maintain work plans, task trackers, and performance dashboards; monitor key risks, dependencies, and decisions, and proactively implement mitigation strategies.
- Oversee the coordination of clinic-facing initiatives including care gap closure campaigns, quality improvement efforts, and performance optimization activities.
- Analyze quality metrics (e.g., CQMs, HEDIS, Stars) and attribution data to identify trends, performance gaps, and improvement opportunities; develop and present actionable insights to leadership.
- Partner cross-functionally with Product, Operations, IT, and Compliance to ensure efficient data exchange, operational alignment, and issue resolution.
- Lead the development, documentation, and ongoing refinement of Standard Operating Procedures (SOPs), playbooks, and process maps; drive standardization and best practices across markets.
- Prepare and present KPI summaries, executive updates, and progress reports to leadership.
- Ensure all deliverables and communications meet contractual, CMS, Medicaid, and Commercial program requirements.
- Lead quality assurance reviews of data submissions, provider rosters, and encounter files to ensure accuracy, integrity, and compliance.
- Support strategic initiatives to enhance data integrity, improve operational efficiency, and reduce audit risk.
- Coordinate and contribute to training and education efforts for clinics and internal stakeholders to drive program understanding and adoption.
- Serve as a subject matter expert and consultant to leadership regarding regulatory expectations, operational performance, and program design.
- Exercise discretion in prioritizing competing deliverables, allocating resources, and adjusting timelines as necessary to meet business needs.
- Provide ongoing consultation to business leaders on compliance, process improvements, and program enhancements.
- Represent the National Products function in meetings, committees, and workgroups; occasionally travel to markets as required.
- Perform additional duties as assigned.
Position Requirements / Skills:
- Bachelor’s Degree in Business, Public Health, Healthcare Administration, or related field.
- 3+ years experience in healthcare project management or program operations, ideally within a value-based care environment.
- Proven experience managing cross-functional healthcare projects from design through implementation.
- Strong analytical and critical-thinking skills, with the ability to translate complex data into actionable insights.
- Demonstrated success in influencing leadership decisions and driving measurable improvements in program or quality outcomes.
- Ability to balance strategic oversight with tactical execution in a fast-paced environment.
- Excellent written and verbal communication skills with experience presenting to senior management.
- Proficiency with Google Workspace (Drive, Docs, Sheets, Slides) and project management tools for real-time collaboration.
- Exceptional organizational, time management, and prioritization skills; able to make independent decisions and exercise discretion in a dynamic environment.
- Results-driven, detail-oriented, and committed to maintaining compliance and operational excellence.
- Ability to travel periodically as needed to markets and corporate locations.
- Appreciation of cultural diversity and sensitivity toward target patient populations.
- Demonstrated ability to handle data with confidentiality.
Physical Requirements:
- Ability to remain in a stationary position for extended periods while working at a computer or attending meetings.
- Frequent use of hands and fingers to operate standard office equipment.
- Ability to move about the office environment, attend meetings, and collaborate with colleagues in person or virtually.
- Occasional travel to markets or corporate offices as required.
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Key Attributes/ Skills:
- Has a contagious and positive work ethic, inspires others, and models the behaviors of core values and guiding principles.
- An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments.
- Is able to work within our Better Health environment by facing tasks and challenges with energy and passion.
- Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals.
Other
Local candidate highly preferred. Hybrid work schedule (In office/Remote). If remote, travel will be required, specifically to Tampa, FL.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.