Vendor Management and Valuation Analyst

We’re building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.

In this role, you will support the strategy, oversight, and valuation of vendors serving Medicare and Medicaid risk adjustment programs.

Responsibilities

• Support vendor management teams and regional stakeholders with vendor strategy, selection, contracting, onboarding, performance management, and issue resolution for Medicare and Medicaid risk adjustment programs
• Develop and maintain vendor valuation methodologies that quantify financial opportunity, return on investment, operational impact, and performance against contractual commitments
• Evaluate vendor capabilities, data quality, coding accuracy, submission readiness, scalability, and alignment with enterprise risk adjustment objectives
• Establish scorecards, key performance indicators, and governance routines to monitor vendor performance
• Use technology and programing skillsets to oversee data, reporting, and analytics needed to assess risk adjustment performance, forecast revenue impact, reconcile results, and identify emerging opportunities or risks
• Translate Medicare and Medicaid risk adjustment requirements into clear business, data, and technology specifications for internal teams and external vendors
• Develop, maintain, and execute analytics and AI-enabled capabilities that improve vendor oversight, valuation accuracy, operational efficiency, and decision-making while maintaining accountability
• Design and maintain documentation for vendor processes, data flows, and valuation models
• Present vendor performance, valuation findings, recommendations, and escalation items to senior leaders and governance forums

Requirements

• 3+ years of relevant experience in healthcare analytics, risk adjustment, vendor management, financial analysis, or an equivalent combination of experience
• Working knowledge of Medicare Advantage, Medicare Part D, Medicaid, and state-specific risk adjustment programs
• 2+ years of experience with SQL and/or Python for data analysis, validation, reconciliation, and performance measurement
• 2+ years of experience with business intelligence reporting tools such as Amazon Quick, Tableau, or Power BI
• Strong problem-solving, decision-making, planning, execution, collaboration, and stakeholder management skills

Benefits

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility