TriEdge Investments

• Apply quantitative analysis to underwrite risk across various value-based care contracts, including but not limited to P4Q, professional fee capitation, two-sided shared savings models, and global capitation arrangements. • A strong understanding of healthcare terminology and principles, including medical coding, claims data, and broader medical economic trends, including Part A, B, and D segments. • Strong proficiency in being able to use databases and tools to query, interpret, and build sensitivity models to evaluate risk propensity. • Ability to take claims data and develop IBNR models to inform a prediction of future paid claims experience. • Partner cross-functionally with internal stakeholders on legal implications of managed care negotiations, financial forecasting and budgeting, and operational delivery tactics. • Effective verbal, written, and presentation skills to wide audiences, including physicians, executive management, and external stakeholders. • Responsible for participating in payor JOC meetings to facilitate alignment on performance targets and goals.