Hiring: Senior Population Risk Performance Analyst (Value-Based Care) Company: Blue Cross NC Location: Raleigh-Durham-Chapel Hill Area Job Posted Time: 2026-09-15 10:40:37 Target Skills & Keywords : Medicare, SQL About the job Experience: •5+ years of experience in related field. •7+ years of experience in related field Required Skills: •This role is distinct from coding-based risk adjustment functions and focuses on performance measurement methodology and financial normalization. •Operationalize CMS-HCC, Milliman, and comparable population risk methodologies for performance evaluation and financial measurement. •Support development and maintenance of risk-normalized total cost of care and quality performance metrics. •Validate performance measurement methodologies used in shared savings, downside risk, and alternative payment models. •Analyze population risk movement and evaluate impacts on program financial performance and provider outcomes. •Partner with actuarial and finance teams to align modeling assumptions with contractual measurement logic. •Identify and investigate performance variances driven by population acuity, attribution changes, coding variation, or data completeness. •Support performance year reconciliation, settlement calculations, and financial exposure analysis. Qualifications: •Bachelor's degree or advanced degree in healthcare administration, business, public health, or related field. •In lieu of degree, 7+ years of experience in related field •Demonstrated experience working with population risk models including CMS-HCC and Milliman methodologies (or equivalent). •Strong SQL and analytical data experience. •Operational familiarity with total cost of care measurement and shared savings models. •Knowledge of attribution methodologies and population performance analytics. Compensation: •$98,092 - $156,947 / year Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!