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Open nowFirst seen 47 hours ago

Value-Based Expert

Cobden & Carter International1,048 open roles

Where
Taguig, Metro Manila, Philippines
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Your applicationOpen nowValue-Based ExpertCobden & Carter International · Taguig, Metro Manila, Philippines

  1. YouYes, apply to this one.

  2. CV RocketCV written for this posting.

  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

  4. CV RocketApplied on Cobden & Carter International's own form.

The reply lands in your private mailbox

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The clock on this job

Early applications get read.

12.1% of postings close within 7 days. Measured by our own scanner across the market. Cobden & Carter International postings stay open a median of 1 days.

Share of postings closed within
  1. 2.1%1 day
  2. 4.5%3 days
  3. 12.1%7 days
  4. 19.1%14 days
  5. 35.6%30 days
  6. 52.7%60 days
This job: first seen 47 hours ago

Cobden & Carter International median: 1 days open

The posting

Responsibilities:

  • Deliver advanced reimbursement, financial impact, and performance analyses to support managed care negotiations and payer strategy.
  • Design and evaluate value-based payment models, including shared savings, quality measures, risk corridors, and attribution methodologies.
  • Develop pro forma models and conduct sensitivity and stress testing to assess the financial impact of contract changes, cost initiatives, and market trends.
  • Monitor contract and value-based program performance, identifying underpayments, compliance issues, adverse payment trends, and financial risk.
  • Produce monthly forecasts and financial reports covering value-based performance, reconciliation, and variance analysis.
  • Lead quarterly and annual reconciliation audits to ensure payer compliance and identify contract performance gaps.
  • Create scalable tools, analytics, and executive-level visualizations to forecast value-based performance and support enterprise decision-making.
  • Mentor managed care analysts and contribute to analytical standards and process improvements

Qualifications:

  • 5-7+ years of progressive experience in healthcare finance, payer analytics, medical economics, or related healthcare consulting (required)
  • Demonstrated experience supporting value-based contract development, including performance measurement, attribution/quality metrics, reconciliation, and dispute resolution/appeals processes (required)
  • Experience with forecasting, audit, and predictive analytics. to support negotiation and contract performance management (required)
  • Advanced proficiency in SQL, Tableau, and/or Power BI. Demonstrated experience extracting, validating, and analyzing large healthcare claims, reimbursement, and/or value-based performance datasets (required)
  • Demonstrable track record of building analytics that drive business decisions and actions.
  • Strong communication skills with the ability to translate complex data into strategic insights for both technical and non-technical audiences (required)
  • Familiarity with actuarial concepts such as IBNR and financial reporting under shared-savings or risk-based arrangements. Deep understanding of CMS programs (Medicare Advantage, Medicaid) and HCC risk adjustment methodologies. (preferred)

Shift: Night Shift

Location: BGC, Taguig

Arrangement: Hybrid (3 days RTO & 2 days WFH per week)

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