CommUnityCare Health Centers ยท 1 month ago
Business Analyst - Value Based Care
US-TX-Austin
Full-time
Hybrid
Mid Level
3+ years expCommUnityCare Health Centers is seeking a Business Analyst - Value Based Care to support the Population Health and Value-Based Care data needs of the organization. This role will leverage data analytics and reporting to improve quality, patient outcomes, and financial performance under risk-based arrangements, while collaborating with various stakeholders to achieve value-based care targets.
DentalHealth CareHospitalMedical
Responsibilities
Extract, analyze, and validate data from Epic EMR (Clarity, Caboodle, SlicerDicer) and payer claims to produce reports that measure quality, cost, utilization, and patient outcomes
Develop, maintain, and optimize dashboards for VBC performance (e.g., HEDIS, CMS ACO measures, STAR ratings, MIPS, MSSP, Medicaid APMs)
Monitor attribution lists and panel sizes; reconcile payer rosters with internal data
Perform risk adjustment, cost of care, and population segmentation analyses
Translate data findings into actionable recommendations for care managers, providers, and leadership
Partner with Population Health, Quality, Care Management, and Clinical Leadership to track progress against contractual VBC goals (quality, utilization, MLR, shared savings)
Support predictive modeling and stratification to identify high-risk/high-cost patients for care management
Provide analysis to guide strategic initiatives such as chronic disease management, SDOH interventions, and patient engagement
Contribute to payer reporting, audit responses, and financial reconciliation processes
Serve as a subject matter expert on Epic reporting tools and VBC data needs
Act as liaison between analytics, clinical operations, and payer partners to ensure data integrity and alignment
Present findings in clear, concise formats for technical and non-technical audiences (dashboards, presentations, written reports)
Qualification
Required
Bachelor's Degree (higher degree accepted) in Data Analytics, Statistics, Health Informatics, Public Health, Health IT, or related field
3 years experience in healthcare analytics, business intelligence, or data reporting
2 years experience with Epic EMR (Clarity, Caboodle, Reporting Workbench, or SlicerDicer)
Preferred
Master's or higher degree in Data Analytics, Statistics, Health Informatics, Public Health, Health IT
2 years of demonstrated knowledge of value-based care models (ACO, MSSP, PCMH, MIPS, Medicaid APMs, risk-sharing, bundled payments)
2 years experience with healthcare quality management (HEDIS, CMS measures, STAR ratings)
2 years experience with SQL, data extraction, and Epic reporting databases
2 years experience translating complex data into actionable insights for clinicians and executives
1 year working in a Federally Qualified Health Center, health plan, or integrated delivery system
1 year working with social determinants of health (SDOH) data and integration into population health analytics
Company
CommUnityCare Health Centers
CommUnityCare Health Centers is a not-for-profit 501(c) (3) corporation providing primary care health services to the medically underserved.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Nancy Ban, MBA, MA
Chief Operating Officer
yvonne camarena
Chief Operating Officer
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