Clarity on the Role

The Manager of Program Research is an analytically driven individual contributor who applies deep expertise in Medicare claims data and health economics modeling to one of the most consequential analytical challenges in ACO management: ensuring that Wellvana's measured performance reflects the reality of care delivered. 

Program Intelligence is Wellvana's function for identifying, analyzing, and responding to external claims behaviors, eligibility events, and utilization patterns that distort the ACO's benchmark, attributed population, or cost performance. This is a proactive analytical surveillance function at the intersection of claims data science, health economics, and value-based care program knowledge. 

You will own the full analytical lifecycle: designing surveillance logic, investigating flagged patterns, building financial impact models, and producing outputs that protect ACO shared savings. You operate with high autonomy as...