Business Specialist; Value Care

Join to apply for the Business Analyst (Value Based Care) role at Better Health Group

Our mission is Better Health. Our passion is helping others.

• Are you looking for a career opportunity that will help you grow personally and professionally?
• Do you have a passion for helping others achieve Better Health?
• Are you ready to join a growing team that shares your mission?

At Better Health Group, it’s our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! They support our providers and payors, ensuring they have the necessary tools and resources to always deliver best-in-class healthcare experiences for our patients. We don’t just talk the talk – we believe in it and live by it.

Be part of a team that shares your passion and drive, and start living your purpose at Better Health Group.

Local candidate highly preferred. Hybrid work schedule (In office/Remote). If remote, travel will be required, specifically to Tampa, FL.

Reports to:

VP National Products

The National Products Business Analyst plays a key role in leading and managing the execution of value-based care programs across the organization’s MSSP ACO, Medicaid, and Commercial product lines. This role is responsible for ensuring successful program delivery through cross-functional coordination, data-driven decision-making, and continuous process improvement. The incumbent will serve as a key liaison between clinical, operational, and compliance stakeholders, ensuring deliverables are met, performance targets are achieved, and all activities remain audit-ready and compliant with contractual and regulatory standards.

• Lead the planning, execution, and performance tracking of National Products initiatives, ensuring all contract deliverables, milestones, and timelines are met in alignment with strategic objectives.
• Own and maintain work plans, task trackers, and performance dashboards; monitor key risks, dependencies, and decisions, and proactively implement mitigation strategies.
• Oversee the coordination of clinic-facing initiatives including care gap closure campaigns, quality improvement efforts, and performance optimization activities.
• Analyze quality metrics (e.g., CQMs, HEDIS, Stars) and attribution data to identify trends, performance gaps, and improvement opportunities; develop and present actionable insights to leadership.
• Partner cross-functionally with Product, Operations, IT, and Compliance to ensure efficient data exchange, operational alignment, and issue resolution.
• Lead the development, documentation, and ongoing refinement of Standard Operating Procedures (SOPs), playbooks, and process maps; drive standardization and best practices across markets.
• Prepare and present KPI summaries, executive updates, and progress reports to leadership.
• Ensure all deliverables and communications meet contractual, CMS, Medicaid, and Commercial program requirements.
• Lead quality assurance reviews of data submissions, provider rosters, and encounter files to ensure accuracy, integrity, and compliance.
• Support strategic initiatives to enhance data integrity, improve operational efficiency, and reduce audit risk.
• Coordinate and contribute to training and education efforts for clinics and internal stakeholders to drive program understanding and adoption.
• Serve as a subject matter expert and consultant to leadership regarding regulatory expectations, operational performance, and program design.
• Exercise discretion in prioritizing competing deliverables, allocating resources, and adjusting timelines as necessary to meet business needs.
• Provide ongoing consultation to business leaders on compliance, process improvements, and program enhancements.
• Represent the National Products function in meetings, committees, and work groups; occasionally travel to markets as required.
• Perform additional duties as assigned.

• Bachelor’s Degree in Business, Public Health, Healthcare Administration, or related field.
• 3+ years experience in healthcare project management or program operations, ideally within a value-based care…