Manager III, VBC Performance , Medicare Population Health Programs
Amazon Health Services is seeking a Manager, Business Analysis to lead the VBC performance operations analytics team within Medicare Population Health Programs. This leader will own the business reporting cadence, including WBRs, MBRs, and QBRs, and manage a team of business analysts who deliver insights, forecasts, and models to enable leadership decisions about the value-based care business.
About the Team
You'll be a key leader on the MPHP team, working at the intersection of clinical operations, technology, and financial performance for One Medical Seniors. The MPHP team supports central strategy, operations, and analytics for the One Medical Seniors business line. You will lead a team of 6-7 business analysts and partner with clinical leadership, VBC operations, Product, and BIE/DE teams to drive insights that improve value-based care for Medicare patients. This role thrives in ambiguity, brings clarity to complexity, and aligns diverse stakeholders around a shared vision.
Responsibilities
- Business Operations Cadence: Own the end-to-end WBR, MBR, and QBR process for VBC performance, including narrative development, variance analysis, and action tracking. Ensure leadership has visibility into MCER trends, RAF performance, membership retention, and cohort-level economics. Drive deep dives when performance deviates from plan, identifying root causes and recommending corrective actions. Establish and maintain the metrics framework defining VBC success.
- VBC Performance Insights: Translate risk adjustment data into actionable insights, including RAF completeness trends, coding opportunity identification, and revenue impact quantification. Analyze MCE drivers across categories (inpatient, specialty, pharmacy, post-acute) to surface intervention opportunities. Develop membership analytics, including engagement scoring, retention drivers, and cohort economic trajectories. Quantify the impact of operational programs (care coordination, readmission prevention, specialty network optimization) on financial outcomes.
- Team Leadership: Manage and develop a team of business analysts, setting expectations for analytical rigor, business acumen, and stakeholder communication. Build team capabilities in VBC-specific analytics, including risk adjustment modeling, claims analysis, and population health measurement. Establish standards for analytical deliverables to ensure consistency, accuracy, and actionability. Create career development paths to grow analysts into VBC domain experts.
- Cross-Functional Partnership: Partner with actuary and finance teams to build and maintain membership forecasting models projecting cohort growth, attrition, and tenure mix across markets and payers. Collaborate with the BIE Manager to define data requirements, validate data quality, and prioritize dashboard and reporting development. Work with clinical operations, network, and growth teams to ensure analytics support operational decision-making. Align with finance on definitions, methodologies, and reporting standards for VBC financial metrics. Represent business analytics needs in data architecture and platform planning discussions.
Requirements
- 5+ years of experience in business analysis, data analysis, or an equivalent role.
- 3+ years of direct management experience.
- Bachelor's degree in Finance, Accounting, Business, Engineering, or a related field.
- Experience delivering forecasting, budgeting, variance analysis, and data interpretation.
Qualifications
- Master's degree in Business, Economics, Statistics, Engineering, or a related field.
- Experience with large-scale data mining and reporting tools (e.g., SQL, MS Power Query, Python).
- Experience with Cloud platforms (preferably AWS), database systems (SQL and NoSQL), AI tools for development productivity, contributing to open-source projects, and/or version control systems.
- Deep knowledge of value-based care economics, including risk adjustment (HCC/RAF), medical claims expense analysis, and PMPM financial modeling.
- Experience with Medicare Advantage or ACO financial models, including MCER, MLR, and cohort-level P&L analysis.
- Experience building membership forecasting models accounting for seasonality, tenure effects, and market dynamics.
- MBA, MPH, or advanced degree in a relevant quantitative field.
Pay
- USA, CA, San Francisco: $157,100 - $212,600 USD annually
- USA, WA, Seattle: $142,800 - $193,200 USD annually
Benefits
Amazon offers comprehensive benefits, including:
- Health insurance (medical, dental, vision, prescription, Basic Life & AD&D, with optional supplemental life plans).
- Employee Assistance Program (EAP) and mental health support.
- Medical Advice Line and Flexible Spending Accounts.
- Adoption and surrogacy reimbursement coverage.
- 401(k) matching.
- Paid time off and parental leave.