population health analyst

Viva Health

<div>Value-Based Care Provider Performance Analyst

Location: Birmingham, AL

Why VIVA HEALTH?

VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.

VIVA HEALTH has been recognized by Centers for Medicare &amp; Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.

Benefits
<ul>
<li>Comprehensive Health, Vision, and Dental Coverage</li>
<li>401(k) Savings Plan with company match and immediate vesting</li>
<li>Paid Time Off (PTO)</li>
<li>9 Paid Holidays annually plus a Floating Holiday to use as you choose</li>
<li>Tuition Assistance</li>
<li>Flexible Spending Accounts</li>
<li>Healthcare Reimbursement Account</li>
<li>Paid Parental Leave</li>
<li>Community Service Time Off</li>
<li>Life Insurance and Disability Coverage</li>
<li>Employee Wellness Program</li>
<li>Training and Development Programs to develop new skills and reach career goals</li>
<li>Employee Assistance Program</li>
</ul>
See more about the benefits of working at Viva Health - https://www.vivahealth.com/careers/benefits

Job Description

The Value-Based Care Provider Performance Analyst applies advanced analytical and technical skills to support the organization's value-based care initiatives, provider performance measurement, and fee-for-service contracting strategies. This role leverages diverse data sources to develop dashboards, financial models, and analytical outputs that drive performance improvement across value-based contracts, network adequacy, and reimbursement optimization.

This individual collaborates with provider strategy leadership to identify insights, model contract scenarios, and communicate findings to internal and external stakeholders. This position supports analytics for corporate initiatives including value-based care program performance, provider incentive programs, Star/HEDIS quality measures, population health management, and FFS contracting analysis.

Key Responsibilities
<ul>
<li>Design, develop. and maintain dashboards and performance reports that track value-based care program metrics including quality, utilization, cost, and risk-adjusted outcomes across Medicare Advantage and commercial lines of business.</li>
<li>Build and maintain financial models to support fee-for-service contract negotiations including rate analysis, trend modeling, case mix adjustments, stop-loss thresholds, and reimbursement scenario comparisons.</li>
<li>Analyze provider performance data against contract benchmarks and quality targets. Identify opportunities for improvement and present actionable findings to provider strategy leadership and external provider partners.</li>
<li>Support development of value-based contract structures including shared savings, pay-for-performance, and bundled payment arrangements through quantitative modeling and historical utilization analysis.</li>
<li>Monitor and report on Star Rating and HEDIS measure performance at the provider and network level. Integrate quality metrics into provider scorecards and incentive calculations.</li>
<li>Develop and apply predictive analytics and risk stratification models to identify high-risk member populations, support proactive care management, and prioritize provider-level interventions.</li>
<li>Incorporate social determinants of health (SDOH) data into population health analyses to inform health equity initiatives, network gap assessments. and targeted intervention strategies.</li>
<li>Execute data retrieval, transformation, and analysis using tools including SQL, SAS, Tableau, Power BI, Excel, and other data platforms to support provider contracting and population health analytics.</li>
<li>Ensure data integrity and accuracy across analytical outputs. Define and implement automated queries, reports, and validation checks to maintain consistency and scalability.</li>
<li>Maintain and document data sources, technical specifications, and analytical methodologies pertaining to value-based care and contracting analytics within the department data infrastructure.</li>
<li>Prepare presentation materials and written analyses for internal leadership and external provider meetings, translating complex data findings into clear, decision-ready insights.</li>
</ul>
REQUIRED:
<ul>
<li>Bachelor's Degree in Health Informatics, Business Analytics, Mathematics, Healthcare Management, Health Services Research, Public Health, or other related field</li>
<li>4+ years&rsquo; experience conducting data analytics using tools such as SQL, SAS, Tableau, or equivalent
</li><li>Highly proficient in Microsoft Excel including complex formulas, conditional formatting, and Pivot Tables</li>
<li>Working knowledge of SQL, SAS, Crystal, or similar query and data manipulation tools</li>
<li>Proficient in Tableau and/or Power BI for dashboard development and data visualization</li>
<li>Experience working with healthcare claims and encounter data, including familiarity with ICD-10, CPT, and revenue code structures</li>
<li>Understanding of HIPAA data privacy and security requirements as they apply to member and provider analytics</li>
<li>Demonstrated ability to build and interpret financial models related to healthcare reimbursement, cost trends, or contract performance</li>
<li>Ability to manage multiple projects simultaneously within defined timelines with minimal supervision</li>
<li>Strong diagnostic and analytical skills to identify data quality issues, validate findings, and troubleshoot reporting problems</li>
<li>Experience presenting data-driven findings to leadership and stakeholders in clear, actionable formats</li>
<li>Ability to interpret technical specifications and apply them to business operations and analytic workflows</li>
<li>Strong oral, written, and interpersonal communication skills</li>
<li>High level of integrity and quality in all performed work</li>
<li>Valid driver's license in good standing</li>
</ul>
PREFERRED:
<ul>
<li>Master&rsquo;s degree in a related field (MBA, MHA, MPH, or MS in Analytics)</li>
<li>Experience in managed care or health plan analytics, particularly value-based care, provider contracting. or Medicare Advantage</li>
<li>Experience with FFS reimbursement methodologies, rate modeling, and contract financial analysis</li>
<li>Experience with advanced statistical or actuarial methodologies</li>
<li>Knowledge of national healthcare quality metrics including CMS Star Ratings, HEDIS, Risk Adjustment, HCC coding, and medical coding (ICD-10, CPT, LOINC)</li>
<li>Familiarity with value-based care contract structures: shared savings, pay-for-performance, episode-based payments, and ACO/CIN frameworks</li>
<li>Knowledge of fee-for-service reimbursement methodologies including DRG-based, per diem, percent-of-charges, and APC structures</li>
<li>Experience in Medicare Advantage plan operations, HMO/PPO managed care environments, or health insurance analytics</li>
<li>Experience with predictive analytics, risk stratification modeling, or machine learning applications in a healthcare setting</li>
<li>Familiarity with social determinants of health (SDOH) data integration and health equity analytics</li>
<li>Knowledge of healthcare interoperability standards (HL7, FHIR, C-CDA) and experience working with EHR-sourced or claims-based data</li>
<li>Experience with R or Python for statistical analysis or advanced data manipulation</li>
<li>Capability to independently identify and evaluate performance improvement opportunities related to provider KPIs</li>
<li>Highly proficient in both Tableau and Power BI, with experience building executive-level interactive dashboards</li>
<li>Intermediate to advanced SQL proficiency; experience with data warehouse environments (Snowflake, Azure, Databricks)</li>
<li>Knowledge of data governance principles, data dictionary maintenance, and data quality management frameworks</li></ul></div>

Value-Based Care Provider Performance Analyst

Alignerr

<div>
 
 Population Health Informaticist (AI Training)
 
 
 
 
 About The Role
 
 
 
 We're looking for experienced Population Health Informaticists to help evaluate and improve AI systems designed to analyze and act on large-scale health data. Your expertise will directly shape how AI understands population health trends, disparities, and intervention strategies &mdash; making a real-world difference at scale.
 
 
 This is a fully remote, flexible contract role working alongside world-leading AI research teams at Alignerr.
 
 
 <ul>
 <li>
 Organization: Alignerr
 </li>
 <li>
 Type: Hourly Contract
 </li>
 <li>
 Location: Remote
 </li>
 <li>
 Commitment: 10&ndash;40 hours/week
 
 
 </li>
 </ul>
 
 What You'll Do
 
 
 
 <ul>
 <li>
 Evaluate AI-generated population health analyses for accuracy, relevance, and clinical soundness
 </li>
 <li>
 Collect, integrate, and assess population health metrics to identify trends, disparities, and opportunities for improving outcomes
 </li>
 <li>
 Review and provide expert feedback on dashboards, data pipelines, and reporting frameworks used in health surveillance and decision-making
 </li>
 <li>
 Translate complex analytical insights into structured, actionable feedback that helps AI better support health programs and policy
 </li>
 <li>
 Flag errors, gaps, or misleading outputs in AI-generated public health content using clear, evidence-based reasoning
 
 
 </li>
 </ul>
 
 Who You Are
 
 
 
 <ul>
 <li>
 Experienced working with healthcare, public health, or population-level datasets
 </li>
 <li>
 Strong analytical thinker with solid data visualization and reporting skills
 </li>
 <li>
 Able to translate complex data into clear, actionable insights for diverse stakeholders
 </li>
 <li>
 Detail-oriented, self-motivated, and comfortable working asynchronously
 </li>
 <li>
 Passionate about using data to improve health outcomes at a community level
 
 
 </li>
 </ul>
 
 Nice to Have
 
 
 
 <ul>
 <li>
 Prior experience with data annotation, data quality, or evaluation systems
 </li>
 <li>
 Familiarity with epidemiology, biostatistics, or health informatics frameworks
 </li>
 <li>
 Experience working with electronic health records (EHR), claims data, or public health surveillance systems
 </li>
 <li>
 Background in designing or evaluating population health programs or initiatives
 
 
 </li>
 </ul>
 
 Why Join Us
 
 
 
 <ul>
 <li>
 Work on cutting-edge AI projects with top research labs shaping the future of health intelligence
 </li>
 <li>
 Fully remote and flexible &mdash; work on your own schedule, from anywhere
 </li>
 <li>
 Freelance perks: autonomy, variety, and collaboration with a global expert community
 </li>
 <li>
 Contribute to meaningful work that helps AI support better public health decisions worldwide
 </li>
 <li>
 Potential for ongoing work and contract extension
 </li>
 </ul>
</div>

Population Health Informaticist

<div>
 
 Population Health Informaticist (AI Training)
 
 
 
 
 About The Role
 
 
 
 We're partnering with leading AI research teams to build smarter, more accurate health AI &mdash; and we need population health experts to help make it happen. As a Population Health Informaticist, you'll apply your expertise to evaluate, annotate, and improve AI systems working with large-scale health data. Your insights will directly shape how AI understands population health trends, disparities, and interventions.
 
 
 This is a fully remote, flexible contract role &mdash; work on your own schedule and contribute to some of the most meaningful AI work being done today.
 
 
 <ul>
 <li>
 Organization: Alignerr
 </li>
 <li>
 Type: Hourly Contract
 </li>
 <li>
 Location: Remote
 </li>
 <li>
 Commitment: 10&ndash;40 hours/week
 
 
 </li>
 </ul>
 
 What You'll Do
 
 
 
 <ul>
 <li>
 Evaluate AI-generated population health analyses for accuracy, completeness, and clinical relevance
 </li>
 <li>
 Identify gaps, errors, or missed opportunities in AI outputs related to health trends, disparities, and intervention strategies
 </li>
 <li>
 Provide structured, expert feedback to help AI systems produce better population-level health insights
 </li>
 <li>
 Review data pipelines, dashboards, and reporting frameworks generated by AI for quality and usability
 </li>
 <li>
 Translate complex public health concepts into clear, actionable feedback that improves AI model performance
 
 
 </li>
 </ul>
 
 Who You Are
 
 
 
 <ul>
 <li>
 Experienced with healthcare, public health, or population-level datasets
 </li>
 <li>
 Strong analytical mindset with the ability to spot meaningful patterns and errors in health data
 </li>
 <li>
 Skilled in data visualization, dashboards, or health reporting tools
 </li>
 <li>
 Able to communicate complex findings clearly and concisely in writing
 </li>
 <li>
 Self-motivated and comfortable working independently on asynchronous tasks
 
 
 </li>
 </ul>
 
 Nice to Have
 
 
 
 <ul>
 <li>
 Background in epidemiology, biostatistics, health informatics, or a related field
 </li>
 <li>
 Experience with data annotation, data quality assurance, or evaluation workflows
 </li>
 <li>
 Familiarity with AI or machine learning systems in a healthcare context
 
 
 </li>
 </ul>
 
 Why Join Us
 
 
 
 <ul>
 <li>
 Work on cutting-edge AI projects alongside world-class research teams
 </li>
 <li>
 Fully remote and flexible &mdash; set your own hours and work from anywhere
 </li>
 <li>
 Freelance perks: autonomy, variety, and global collaboration
 </li>
 <li>
 Contribute to meaningful work that advances AI's role in improving public health
 </li>
 <li>
 Potential for ongoing work and contract extension
 </li>
 </ul>
</div>

Apicha Community Health Center

<div>Apicha Community Health Center aims to improve community health by providing access to comprehensive primary care, preventive health services, mental health, and supportive services. The center is dedicated to delivering high-quality, culturally competent services that enhance the quality of life. It also advocates for and offers a welcoming environment for underserved and vulnerable populations. 
Position Summary:
The Population Health Manager collaborates with a multidisciplinary staff to meet Population Health and quality improvement goals through projects aligned with the mission of Apicha and its strategic goals. The Population Health Manager supports the implementation of strategies to drive clinical transformation toward value-based care delivery and addressing underlying health disparities and social determinants of health. The role encompasses analysis and review of trends and projections of key clinical metrics, supporting new program development, and making recommendations to ensure the viability of the organization over the short and long term. The position requires an understanding and awareness of a dynamic healthcare landscape, including evidence-based practice, value-based payment, and delivery system transformation in order to achieve high quality of care.
 The major duties of the position include, but are not limited to:
 Project Management<div><ul><li>
Assist in the development of project scopes and statements of work under the guidance of the Director of Population Health Management</li><li>
Monitor project progress by tracking milestones, resolving problems, and coordinating status update meetings with stakeholders</li><li>
Development of workplans and protocols designed to guide team activities, ensuring delivery of key performance initiatives and goals</li><li>
Coordinate data collection and reporting of member enrollment and quality performance indicators with Managed Care Organization value-based initiatives and related reviews</li></ul></div>
Data Analysis and Validation<div><ul><li>
Analyze complex healthcare data from multiple, disparate sources to identify best practices, care delivery trends and clinical practice variation</li><li>
Utilize Excel and/or business intelligence tools (Tableau, Power BI, SAS) in the development of presentations, research abstracts, and agency-wide reports</li><li>
Validate data using various electronic health record and population health management systems and identify data discrepancies with demographic or clinical information</li><li>
Support efforts to ensure data integrity and validity, and perform ongoing quality assurance of data and reports, including NCQA PCMH accreditation, HEDIS/QARR, UDS, and HIV Treatment Cascade</li><li>
Validate data accuracy of Population Health dashboards supporting improvement of patient health outcomes</li><li>
Support implementation process and data optimization efforts to ensure data is accurate and reliable for use in performance improvement efforts</li></ul></div>
Quality Improvement<div><ul><li>
QI/QA activities shall be a part of the PHM's daily responsibilities.</li><li>
Ensure implementation and update of QI/QA operating procedures and completion of assessments and reporting QI/QA outcomes</li><li>
Lead QI initiatives by applying quality improvement methodologies (i.e., RCA, PDSA, DMAIC) and assists clinical and non-clinical teams in developing appropriate tracking metrics to monitor performance and ensure compliance with the Apicha QI/QA Plan</li><li>
Assist Director of Medicine in the performance of root cause analyses and recommends appropriate actions to improve clinical and non-clinical outcomes; develops visual presentations of current QI projects and accomplishments</li><li>
Collaborate with clinicians and staff to conduct quality assurance activities to meet various external reporting requirements including PCMH accreditation, HIVQUAL, UDS and RSR</li></ul></div>
Staff Management<div><ul><li>
Supervises Quality Improvement Coordinator (QIC) in meeting project goals and performance outcomes</li></ul></div>
Qualifications:<div><ul><li>
Bachelor&rsquo;s degree in Nursing, Health Care Administration, or related field required; advanced degree in related field, such as MS, MPH, or MA, strongly preferred.</li><li>
Experience managing projects in health care quality improvement, performance improvement, and/or practice transformation preferred.</li><li>
Intermediate to advanced analytic skills and knowledge of research methods, data collection, and analytical methodologies</li><li>
Ability to adapt with evolving Population Health quality performance standards and measures</li><li>
Familiarity with medical terminology, ICD-10, and CPT coding strongly preferred</li><li>
Understanding of UDS, HEDIS, and NCQA PCMH accreditation quality standards</li><li>
Excellent verbal and written communication skills; detail oriented; excellent proofreading and editing skills</li><li>
Strong working knowledge of Microsoft Office applications (Word, Excel, PowerPoint)</li><li>
Ability to work independently and in a team environment; ability to work with multidisciplinary staff with diverse backgrounds</li><li>
Ability to stand, walk or sit for an extended period of time</li><li>
Ability to hear within normal range</li><li>
Ability to see within normal range</li><li>
Noise level is moderate</li></ul> 
At Apicha, we believe that serving the needs of our staff is just as important as serving the needs of underserved people of New York City as such we are proud to offer our team members a competitive employee benefits package which include 12 Paid Holidays, vacation and sick leave, Health Insurance Coverage, Flexible Spending Account, Life Insurance, Employee Assistant Program just to name a few.</div></div>

Population Health Manager

DataAnnotation

<div>
 We are looking for a
 
 Clinical Appeals Nurse
 
 to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model.
 
 
 In this role, you will need to be an expert in healthcare. We are interested in a wide range of expertise, so relevant backgrounds include Clinical Documentation &amp; HIM, Medication Management (PharmD), Laboratory Medicine and Pathology Services (MLS, MD), Quality Improvement &amp; Patient Safety, Regulatory Compliance, Accreditation &amp; Medical Staff, Care Coordination &amp; Case Management, Population Health &amp; Value-Based Care, and Managed Care &amp; Utilization Management.
 
 
 
 Benefits
 
 
 
 <ul>
 <li>
 Full-time or part-time remote position
 </li>
 <li>
 Choose which projects you want to work on
 </li>
 <li>
 Flexible schedule
 </li>
 <li>
 Projects are paid hourly starting at $50+ per hour
 </li>
 <li>
 Bonuses available for high-quality and high-volume work
 
 
 </li>
 </ul>
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Provide AI chatbots with diverse and complex healthcare-related problems
 </li>
 <li>
 Evaluate AI outputs for logic, accuracy, and performance
 </li>
 <li>
 Ensure the medical accuracy and overall quality of model responses
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 Fluency in English (native or bilingual level)
 </li>
 <li>
 A current or in-progress medical or healthcare-related degree
 
 
 </li>
 </ul>
 
 Notes:
 
 Payment is made via PayPal. We will never ask you for any money. PayPal will handle any currency conversions from USD. Only applicants in the United States will be considered for this role. This is an independent contractor position.
 
 
 
 #medicine
 
</div>

Clinical Appeals Nurse

Medica

<div>
 Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
 
 
 We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration &mdash; because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
 
 
 Evaluate and assess medical data to identify trends and opportunities. Determine requirements, create standards and/or define metrics to ensure complete and accurate reporting. Provide insight and recommendations using quantitative analysis and/or statistical analysis coupled with explanatory and predictive modeling to drive focused decision making. Performs other duties as assigned.
 
 
 
 Key Accountabilities
 
 
 
 <ul>
 <li>
 Collect, analyze, and interpret healthcare data.
 </li>
 <li>
 Develop dashboards, reports, and visualizations.
 </li>
 <li>
 Perform cost, utilization, trend, and forecasting analyses to support strategic initiatives.
 </li>
 <li>
 Assist in evaluating program performance, interventions, and value-based initiatives.
 </li>
 <li>
 Ensure data accuracy, integrity, and proper documentation across analytical deliverables.
 
 
 </li>
 </ul>
 
 Required Qualifications
 
 
 
 <ul>
 <li>
 Bachelor's degree or equivalent experience in related field
 </li>
 <li>
 3+ years of work experience beyond degree
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 <ul>
 <li>
 Experience working in health plans, provider groups, or value-based care environments.
 </li>
 <li>
 Familiarity with actuarial or financial modeling concepts.
 </li>
 <li>
 Exposure to population health, care management, or clinical program evaluation.
 
 
 </li>
 </ul>
 This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka MN, Madison WI, Omaha NE, or St. Louis MO.
 
 
 The full salary grade for this position is $62,700 - $107,500. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $62,700 - $94,080. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data.  In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
 
 
 The compensation and benefits information is provided as of the date of this posting. Medica&rsquo;s compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
 
 
 
 Eligibility to work in the US:
 
 Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
 
 
 We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
</div>

Healthcare Analyst II

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