VALUE-BASED PURCHASING RESEARCH AND DATA ANALYST - 71243

Executive Service

VALUE-BASED PURCHASING RESEARCH AND DATA ANALYST

Division of TennCare

Long Term Services & Support (LTSS)

Nashville, TN

Salary : Minimum Monthly Salary $5,050 / month TennCare compensation is equitable and will be based on education and experience for a qualified candidate in accordance with Department of Human Resources (DOHR) policy.

Closing Date : 10 / 27 / 2025

The Division of TennCare is dedicated to providing our employees with a hybrid work environment. All TennCare positions have a combination of work from home and work in the office, which varies by position, department, and business need. You may review the specific expectations with our hiring team.

Background Check :

This position requires a criminal background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position

Who we are and what we do :

TennCare is Tennessee's managed care Medicaid program that provides health insurance coverage to certain groups of low-income individuals such as pregnant women, children, caretaker relatives of young children, older adults, and adults with physical disabilities. TennCare provides coverage for approximately 1.7 million Tennesseans and operates with an annual budget of approximately $14 billion. It is run by the Division of TennCare with oversight and some funding from the Centers for Medicare and Medicaid Services (CMS). TennCare's mission is to improve the lives of Tennesseans by providing high-quality cost-effective care. To fulfill that purpose, we equip each employee for active participation and empower teams to communicate and worked collaboratively to improve organizational processes in order to make a difference in the lives our members. Because of the positive impact TennCare has on the lives of the most vulnerable Tennesseans, TennCare employees report that their work provides them with a sense of meaning, purpose, and accomplishment. TennCare leadership understands that employees are our most valuable resource and ensures professional and leadership development are a priority for the agency.

Job Overview :

Long-Term Services and Supports (LTSS) is one of the largest units within TennCare with a team of highly capable staff who are committed to leading the ongoing development and operation of an innovative, sustainable, person driven LTSS system. This program allows older adults and people with disabilities and / or chronic conditions to have choice, control, and access to a full array of high-quality services and supports that assure optimal outcomes, including independence, health, and quality of life. The Assistant Director of Long-Term Care and Supports plays a key supporting role in advancing long-term care services within the Department of Quality, Accountability, and Innovation. This role will primarily focus on advancing value-based payment initiatives. Reporting to the Director, this position will support the implementation and optimization of value-based payment models, assist in quality improvement efforts, and help ensure compliance with regulatory requirements. The Assistant Director will collaborate closely with cross-functional teams and external partners to improve care delivery, reduce costs, and enhance member outcomes.

Key Responsibilities :

• Value-Based Payment Support : Aid in the implementation and optimization of value-based payment models, focusing on improving patient outcomes, care coordination, and cost efficiency across the LTSS program and authorities.
• Quality Improvement : Support quality improvement initiatives by gathering and analyzing data, coordinating projects, and collaborating with internal teams to enhance long-term care services.
• Data and Reporting : Help collect, analyze, and report on key performance indicators, providing actionable insights to support decision-making and continuous improvement efforts across LTSS programs and initiatives.
• Collaboration and Stakeholder Engagement : Work closely with Managed Care Organizations, healthcare providers, clinical teams, and external stakeholders to help drive integrated care models and foster person-centered care.
• Training and Development : Assist in coordinating staff training and development initiatives, ensuring that team members are equipped with the tools and knowledge necessary for success in a value-based care environment.
• Innovation and Continuous Improvement : Support the Director in promoting a culture of innovation and continuous improvement by helping to implement new practices and enhance existing services.

Minimum Qualifications :

Bachelor's degree in a related field AND 3+ years in similar role or in health care management or services; experience interpreting policy or procedural provisions for a TennCare, Medicaid, or other related health insurance organization is preferred. Experience in analyzing data and using data to drive performance and expectations. Experience with program management and / or grant management.

OR

An equivalent combination of education and work experience may be considered.

Desirable Qualifications : Master's degree in Healthcare Administration, Public Health, Social Work, or a related field.

Pursuant to the State of Tennessee's Workplace Discrimination and Harassment policy, the State is firmly committed to the principle of fair and equal employment opportunities for its citizens and strives to protect the rights and opportunities of all people to seek, obtain, and hold employment without being subjected to illegal discrimination and harassment in the workplace. It is the State's policy to provide an environment free of discrimination and harassment of an individual because of that person's race, color, national origin, age (40 and over), sex, pregnancy, religion, creed, disability, veteran's status or any other category protected by state and / or federal civil rights laws.