Value-Based Care Analyst

About This Role

Tile Health’s platform helps health systems succeed in value-based contracts by surfacing actionable intelligence on cost, utilization, and quality. The Value-Based Care Analyst will model contract performance scenarios, track shared savings benchmarks, and deliver analytic support that enables partners to maximize their returns under risk-based arrangements. This role is ideal for a quantitatively minded professional passionate about aligning incentives with better patient outcomes.

What You'll Do

• Build and maintain financial models that project shared savings, downside risk exposure, and total cost of care under various VBC contract structures
• Analyze utilization patterns including ED visits, readmissions, and specialist referral leakage to identify cost reduction opportunities
• Prepare monthly and quarterly performance scorecards for ACO and bundled payment participants
• Support health system partners in CMS program reporting including MSSP, BPCI-A, and direct contracting models
• Collaborate with clinical teams to correlate quality improvement initiatives with financial outcomes

What We're Looking For

• Bachelor’s degree in economics, public health, statistics, or a quantitative discipline
• 3+ years of experience in value-based care analytics, health plan finance, or actuarial analysis in a healthcare setting
• Advanced Excel and SQL skills with experience building financial forecasting models
• Working knowledge of CMS value-based programs, attribution methodologies, and benchmark calculations
• Ability to communicate complex financial concepts clearly to clinical and executive audiences
• Experience with healthcare claims data (professional, facility, and pharmacy)

Nice to Have

• Experience with Tableau, Looker, or similar BI tools for interactive reporting
• Familiarity with risk adjustment coding optimization strategies
• Exposure to commercial payer alternative payment models